THADDEUS RAY ERATO (NPI# 1962429985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962429985 |
| Entity Type | Individual |
| Full Name | THADDEUS RAY ERATO |
| Credential | M.D. |
| Practice Address |
1052 Lakeshore Blvd Slidell LA 70461-4678 |
| Practice Telephone | 5043393472 |
| Mailing Telephone | 5043393472 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD.10535R | LA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 10535R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1675211 | 05 | |
| MS | 04609769 | 05 |
| Street Address |
1052 LAKESHORE BLVD |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461-4678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033293790 | Lee Robert Domangue, M.d., A Professional Medical Corporation | Emergency Medicine | 34057 Highway 433, Slidell, LA 70460-3531 | 2006-10-25 |
| 1538275771 | Innovative Health Services LLC | Emergency Medicine | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2006-08-21 |
| 1629057856 | Deepak S. Dixit | Emergency Medicine | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2006-01-16 |
| 1225419211 | Brant P Domangue | Emergency Medicine | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2015-06-15 |
| 1528487923 | Joshua T Lim | Emergency Medicine | 1001 Gause Blvd, Slidell, LA 70458 | 2014-04-14 |
| 1922340710 | Elizabeth Fruge | Emergency Medicine | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2013-03-20 |
| 1538401393 | Brenna Bussart Ramos | Emergency Medicine | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2013-03-20 |
| 1780998963 | Innovative Health Services LLC | Emergency Medicine | 1570 Lindberg Dr, Ste 12, Slidell, LA 70458-8058 | 2010-07-30 |
| 1770807786 | Andrew Joseph Fuller Sr. | Emergency Medicine | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2010-03-19 |
| 1255592788 | John Brian Seymour | Emergency Medicine | 100 Medical Center Drive, Slidell, LA 70461-5520 | 2008-06-18 |
| Find all providers in SLIDELL | ||||
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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.