NORTHEAST LOUISIANA CARDIOVASCULAR (NPI# 1982799532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982799532 |
| Entity Type | Organization |
| Organization Name | NORTHEAST LOUISIANA CARDIOVASCULAR |
| Practice Address |
2503 Broadmoor Blvd Monroe LA 71201-2987 |
| Practice Telephone | 3183227726 |
| Practice Fax Number | 3183222614 |
| Mailing Telephone | 3183227726 |
| Mailing Fax Number | 3183222614 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | DR. GREGORY C SAMPOGNARO (PRESIDENT) |
| Authorized Official Telephone | 3183227726 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS | 4388289030 | 01 |
| Street Address |
2503 BROADMOOR BLVD |
| City | MONROE |
| State | LA |
| Zip Code | 71201-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619595634 | Marguerita M Griffin | Nurse Practitioner | 2503 Broadmoor Blvd, Monroe, LA 71201-2987 | 2020-07-07 |
| 1215282215 | Deanna Roark Mckee | Nurse Practitioner | 2503 Broadmoor Blvd, Monroe, LA 71201-2987 | 2012-07-17 |
| 1235337346 | Gregory C Sampognaro Md | Specialist | 2503 Broadmoor Blvd, Monroe, LA 71201-2987 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1902443310 | Affinity Health Gorup, LLC | Internal Medicine | 2516 Broadmoor Blvd Ste 2, Monroe, LA 71201-2988 | 2019-12-04 |
| 1235372426 | D. Scott Burkett, M.d. (a Medial Corporation) | Internal Medicine | 513 Walnut St, Monroe, LA 71201-6229 | 2009-04-17 |
| 1023291226 | Affinity Health Group, LLC | Internal Medicine | 112 Saint. John Street, Monroe, LA 71201 | 2007-12-11 |
| 1033281811 | Advanced Heart Care | Internal Medicine | 1414 Stewart Rd, Monroe, MI 48162-9228 | 2006-11-15 |
| 1528170255 | Kurt D Olinde | Internal Medicine | 3370 Deborah Dr, Monroe, LA 71201-2151 | 2006-08-31 |
| 1841237286 | Rezaul Islam | Internal Medicine | 3100 Forsythe Ave, Monroe, LA 71201-3014 | 2006-06-02 |
| 1043257090 | Shayne R Squires | Internal Medicine | 2151 W Spring St Ste B110, Monroe, GA 30655-3209 | 2006-05-31 |
| 1841274768 | Godfrey Achilihu | Internal Medicine | 614 N 2nd St, Monroe, LA 71201-6236 | 2005-12-05 |
| 1205820255 | Emile Anthony Barrow Jr. | Internal Medicine | 1100 N 18th St Ste 100, Monroe, LA 71201-5712 | 2005-09-06 |
| 1619517281 | Affinity Health Gorup, LLC | Internal Medicine | 2516 Broadmoor Blvd Ste 2c-2, Monroe, LA 71201-2988 | 2020-01-13 |
| 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.