JERONIMO SALVADOR VELAZQUEZ (NPI# 1962446732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962446732 |
Entity Type | Individual |
Full Name | JERONIMO SALVADOR VELAZQUEZ |
Credential | M.D. |
Practice Address |
9001 Summa Avenue Baton Rouge LA 70809 |
Mailing Address |
1514 Jefferson Highway New Orleans LA 70121 |
Practice Telephone | 2257615370 |
Mailing Telephone | 5048424000 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2013-01-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 015438 | LA | Other Service Providers |
Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
MD.015438 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 01055351 | 05 | |
LA | 1331376 | 05 |
Street Address |
9001 SUMMA AVENUE |
City | BATON ROUGE |
State | LA |
Zip Code | 70809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699760520 | Ronald David Menard | Family Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809-8210 | 2005-09-16 |
1073771416 | Erin Wheeler Derbigny | Physical Medicine & Rehabilitation | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2008-05-31 |
1487823951 | Shilpa Mainampati Reddy | Family Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2008-02-28 |
1437327905 | Kodi Fay Crisp-coleman | Family Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2008-02-18 |
1982882874 | Gregory Paul Gaspard | Internal Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2008-02-04 |
1891978177 | Lei Gao | Internal Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2007-12-10 |
1275723942 | Amy Gaudet Rabalais | Orthopaedic Surgery | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2007-07-30 |
1184828873 | Brian P. Jones | Internal Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809 | 2007-06-14 |
1073724365 | Alicia Castleberry Kober | Pediatrics | 9001 Summa Avenue, Baton Rouge, LA 70809-3726 | 2007-05-25 |
1326160094 | Melissa Bagwell Love | Family Medicine | 9001 Summa Avenue, Baton Rouge, LA 70809 | 2007-04-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
Find all providers in zip 70809 |
Taxonomy Code | 207UN0901X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Nuclear Medicine |
Specialization | Nuclear Cardiology |
A nuclear medicine physician who specializes in nuclear cardiology. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063769339 | Olga M Garcia | Nuclear Medicine | 2324 Palmer Ave, New Orleans, LA 70118-6372 | 2012-08-06 |
1457775603 | Jones Wellness & Cardiovascular | Nuclear Medicine | 5640 Read Blvd, Suite 600, New Orleans, LA 70127-3140 | 2014-02-08 |
1821320110 | Advanced Imaging Specialties, LLC | Nuclear Medicine | 120 W Main St, Suite 3, Ville Platte, LA 70586-4574 | 2010-02-11 |
1023225356 | Lafayette Heart Clinic, LLC | Nuclear Medicine | 5000 Ambassador Caffery Pkwy, Province Building 1, Lafayette, LA 70508 | 2007-05-17 |
1952525719 | St Tammany Cardiovascular Specialists LLC | Nuclear Medicine | 4404 Highway 22, Mandeville, LA 70471-3310 | 2007-04-12 |
1962474759 | Red River Cardiac Imaging, LLC | Nuclear Medicine | 3311 Prescott Rd, Suite 116, Alexandria, LA 71301-3900 | 2006-02-06 |
City | BATON ROUGE |
Zip Code | 70809 |
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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.