COLUMBIA HEALTHCARE SYSTEMS OF LA, INC (NPI# 1972559888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972559888 |
| Entity Type | Organization |
| Organization Name | COLUMBIA HEALTHCARE SYSTEMS OF LA, INC |
| Other Organization Name | COLUMBIA HEALTHCARE SYSTEMS OF LA, INC |
| Practice Address |
3418 Medical Park Dr Ste 3 Monroe LA 71203-2376 |
| Practice Telephone | 3183255661 |
| Mailing Telephone | 3183255661 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-09-20 |
| Authorized Official Name | ROBERT R LAGESSE (VP) |
| Authorized Official Telephone | 3183255661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE GROUP NUMBER | 5CQ93 | 01 |
| Other Name | Type Code |
|---|---|
| Columbia Healthcare Systems of LA, Inc | Doing Business As Name - Organization |
| Street Address |
3418 MEDICAL PARK DR STE 3 |
| City | MONROE |
| State | LA |
| Zip Code | 71203-2376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992702641 | Jonathan Mack Barham | Obstetrics & Gynecology | 3418 Medical Park Dr, Suite 5, Monroe, LA 71203-2376 | 2005-07-07 |
| 1164700944 | Calvin Walker Md, LLC | Psychiatry & Neurology | 3418 Medical Park Dr, Suite 24, Monroe, LA 71203-2376 | 2011-07-28 |
| 1114195658 | Daryl S. Marx M.d., L.L.C. | Specialist | 3418 Medical Park Dr, Suite 1, Monroe, LA 71203-2376 | 2008-02-19 |
| 1841383221 | Mohammad Mousa | Internal Medicine | 3418 Medical Park Dr, Suite 23, Monroe, LA 71203-2376 | 2006-09-30 |
| 1629161005 | Southern Endocrinology Center | Internal Medicine | 3418 Medical Park Dr, Suite 23, Monroe, LA 71203-2376 | 2006-09-30 |
| 1710941737 | Calvin Cecil Walker | Psychiatry & Neurology | 3418 Medical Park Dr, Suite 24, Monroe, LA 71203-2376 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902430846 | Pessy Rolnitzky | Specialist | 453 County Route 105, Monroe, NY 10950-3136 | 2020-03-01 |
| 1265947238 | Brenda Ayllene Sabatello | Specialist | 126 Barr Lne, Monroe, NY 10950 | 2017-12-12 |
| 1902329055 | Martha Klein | Specialist | 412 High St, Monroe, NY 10950-1511 | 2017-07-20 |
| 1972053023 | Rochelle Matlofsky | Specialist | 71 Lincoln Rd, Monroe, NY 10950-5005 | 2016-10-12 |
| 1497200943 | Carteret Comprehensive Medical Care, P.C. | Specialist | 320 Spotswood Englishtown Rd, Monroe, NJ 08831-8651 | 2016-08-24 |
| 1457723728 | Craig Hertz | Specialist | 15881 Lords Lake Ave Se, Monroe, WA 98272-2860 | 2015-10-27 |
| 1295128346 | Anna Adler | Specialist | 5 Briarwood Ave, Monroe, NY 10950-3105 | 2015-03-13 |
| 1417347337 | Laurie C. Laufer | Specialist | 72 Lake Region Blvd, Monroe, NY 10950-1142 | 2015-01-30 |
| 1134526031 | A Plus Center | Specialist | 8 Lemberg Ct, 003, Monroe, NY 10950-5713 | 2014-11-21 |
| 1477961100 | Letissha M Drake | Specialist | 1969 Old Charlotte Hwy Ste E, Monroe, NC 28110-9151 | 2014-07-25 |
| Find all providers in MONROE | ||||
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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.