GULFSOUTH CRITICAL CARE LLC (NPI# 1942704838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942704838 |
| Entity Type | Organization |
| Organization Name | GULFSOUTH CRITICAL CARE LLC |
| Other Organization Name | GULFSOUTH CRITICAL CARE LLC |
| Practice Address |
1970 N Highway 190 Covington LA 70433-5364 |
| Mailing Address |
Po Box 3370 Covington LA 70434 |
| Practice Telephone | 9854005988 |
| Practice Fax Number | 9858673644 |
| Mailing Telephone | 9854005988 |
| Mailing Fax Number | 9858673644 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Authorized Official Name | BRANDI WILLIS-OGDEN (BILLING / CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9854005988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GulfSouth Critical Care LLC | Doing Business As Name - Organization |
| Street Address |
1970 N HIGHWAY 190 |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-5364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538143599 | John Edward Angelo | Internal Medicine | 1970 N Highway 190, Covington, LA 70433-5364 | 2005-12-02 |
| 1700402153 | Cardiomed Consultants, LLC | Internal Medicine | 1970 N Highway 190, Covington, LA 70433-5364 | 2020-06-22 |
| 1013548296 | Colleen A Teel | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2020-01-28 |
| 1376181198 | Nicholas Giordano | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2019-12-11 |
| 1790335313 | Kristine B Barr | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2019-09-16 |
| 1730731043 | Candice H Wild | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2019-07-16 |
| 1104395482 | Teresa E Marshall | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2018-11-16 |
| 1083190623 | Brittany N Loupe | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2018-07-17 |
| 1619463916 | Gulfsouth Pulmonology, LLC | Internal Medicine | 1970 N Highway 190, Covington, LA 70433 | 2018-07-10 |
| 1285120808 | Molly Broom | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433 | 2018-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619463916 | Gulfsouth Pulmonology, LLC | Internal Medicine | 1970 N Highway 190, Covington, LA 70433 | 2018-07-10 |
| 1326097759 | Richard E. Casey | Internal Medicine | 1203 S Tyler St, Suite 200, Covington, LA 70433-2353 | 2006-05-10 |
| 1669421772 | Donald A Kuebel | Internal Medicine | 1203 S Tyler St, Suite 200, Covington, LA 70433-2353 | 2006-05-08 |
| 1356390371 | Ricardo E. Blanco | Internal Medicine | 1203 S Tyler St, Suite 200, Covington, LA 70433-2353 | 2006-05-08 |
| 1437108321 | David S Cressy Jr. | Internal Medicine | 1203 S Tyler St, Suite 200, Covington, LA 70433-2353 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992243349 | Francesco Simeone LLC | Internal Medicine | 7824 Freret St, New Orleans, LA 70118-3916 | 2017-02-06 |
| 1164870168 | Louisiana Pulmonary, LLC | Internal Medicine | 213 South Dr, Natchitoches, LA 71457-5003 | 2016-05-31 |
| 1316271356 | Critical Care Coverage LLC | Internal Medicine | 624 Travis St Ste 300, Shreveport, LA 71101-3014 | 2009-09-23 |
| 1053545152 | Marlon Andre Medford | Internal Medicine | 211 4th St Ste 200, Alexandria, LA 71301-8421 | 2009-05-05 |
| 1174644801 | Richard Louis Morrison | Internal Medicine | 48 Metairie Ct, Metairie, LA 70001-3032 | 2007-04-02 |
| 1336166255 | Gerardo Santos San Pedro | Internal Medicine | 2400 Hospital Dr Ste 340, Bossier City, LA 71111-2387 | 2006-07-16 |
| 1366486292 | Christopher Bryan Thomas | Internal Medicine | 8585 Picardy Ave Ste 313, Baton Rouge, LA 70809-3749 | 2006-06-14 |
| 1487653804 | Stephanie J Blair | Internal Medicine | 211 4th St, Alexandria, LA 71301-8421 | 2005-07-18 |
| 1780689224 | Calvin D. Alexander | Internal Medicine | 6046 S Lakeshore Dr, Shreveport, LA 71119-3704 | 2005-06-20 |
| 1073518510 | Stuart John Lebas | Internal Medicine | 500 Rue De La Vie St Ste 513, Baton Rouge, LA 70817-5129 | 2005-06-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.