SOUTHEAST NEUROSCIENCE CENTER, LLC (NPI# 1992184501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992184501 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST NEUROSCIENCE CENTER, LLC |
| Other Organization Name | SOUTHEAST NEUROSCIENCE CENTER |
| Practice Address |
1126 Marguerite St Suite A Morgan City LA 70380-1891 |
| Mailing Address |
Po Box 4051 Houma LA 70361-4051 |
| Practice Telephone | 9859173007 |
| Practice Fax Number | 9857029286 |
| Mailing Telephone | 9859173007 |
| Mailing Fax Number | 9859173010 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | MR. GABRIEL LEE NUGENT (DIRECTOR) |
| Authorized Official Telephone | 9858506805 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1947482 | 05 |
| Other Name | Type Code |
|---|---|
| Southeast Neuroscience Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962881573 | Southeast Neuroscience Center, LLC | Radiology | 970 S Acadia Rd, Thibodaux, LA 70301-4978 | 2015-05-28 |
| 1366820367 | Southeast Neuroscience Center, LLC | Clinic/Center | 8120 Main St, Suite 400, Houma, LA 70360-3403 | 2015-05-11 |
| 1285630129 | Southeast Neuroscience Center, LLC | Specialist | 128 Neuroscience Ct, Gray, LA 70359 | 2005-06-24 |
| Street Address |
1126 MARGUERITE ST SUITE A |
| City | MORGAN CITY |
| State | LA |
| Zip Code | 70380-1891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257001 | Francis Harold Metz IIi | Internal Medicine | 1126 Marguerite St, Morgan City, LA 70380-1854 | 2005-06-28 |
| 1538787247 | Stephanie Dupre | Nurse Practitioner | 1126 Marguerite St, Morgan City, LA 70380-1891 | 2020-07-09 |
| 1356702856 | Lindsay Foret | Nurse Practitioner | 1126 Marguerite St, Morgan City, LA 70380-1891 | 2016-03-10 |
| 1730545633 | Internal Medicine Clinic of Morgan City | Nurse Practitioner | 1126 Marguerite St, Morgan City, LA 70380-1891 | 2016-01-07 |
| 1417148933 | Lisa Sykes Thibodeaux | Psychiatry & Neurology | 1126 Marguerite St, Ste A, Morgan City, LA 70380-1891 | 2007-08-08 |
| 1225036833 | Natalie Jude Dishman | Internal Medicine | 1126 Marguerite St, Morgan City, LA 70380-1854 | 2005-07-08 |
| 1821095407 | Internal Medicine Clinic of Morgan City, LLC | Family Medicine | 1126 Marguerite St, Morgan City, LA 70380-1854 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625486 | Aubree Elizabeth-grace Underwood | Counselor | Fairview Treatment Center, 1101 Southeast Blvd, Morgan City, LA 70380 | 2019-12-02 |
| 1235609827 | Lori Billiot | Counselor | 434 Lagonda Rd, Morgan City, LA 70380 | 2018-11-27 |
| 1942720255 | Landon Robinson | Non-emergency Medical Transport (VAN) | 1200 Victor II Blvd Suite 500, Morgan City, LA 70380 | 2017-06-27 |
| 1588198212 | Marcia Ann Blereau | Nurse Practitioner | 1122 8th St, Morgan City, LA 70380 | 2017-04-19 |
| 1316312119 | Daniel Lebeouf | Pharmacist | 1002 La-70, Morgan City, LA 70380 | 2015-12-04 |
| 1154667210 | Bayou Smiles Center | Dentist | 1205 Victor II Blvd, Morgan City, LA 70380 | 2012-12-18 |
| 1265788707 | Hpc Biologicals Inc | Pharmacy | 1234 David Dr Ste A, Morgan City, LA 70380 | 2012-08-02 |
| 1376824102 | Don Monroe Ryan | Pharmacist | 1301 Highway 90 East, Morgan City, LA 70380 | 2011-09-07 |
| 1235449067 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1216 Victor II Blvd, Ste 300, Morgan City, LA 70380 | 2010-10-14 |
| 1659600989 | Walter H. Daniels, M.d. A Professional Medical Corp. | Family Medicine | 1300 Lakewood Drive, Suite G, Morgan City, LA 70380 | 2009-12-16 |
| Find all providers in zip 70380 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417148933 | Lisa Sykes Thibodeaux | Psychiatry & Neurology | 1126 Marguerite St, Ste A, Morgan City, LA 70380-1891 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374746 | Neupro LLC | Psychiatry & Neurology | 17086 Abita Ave, Prairieville, LA 70769-3369 | 2020-07-23 |
| 1548826803 | Brainwire LLC | Psychiatry & Neurology | 128 Keeneland Ln, Lafayette, LA 70503-6213 | 2019-05-13 |
| 1417474339 | Ascension Medical Associates, LLC | Psychiatry & Neurology | 37325 Market Place Dr., Suite D, Prairieville, LA 70769 | 2017-08-23 |
| 1881056778 | Miguel Federico Molina | Psychiatry & Neurology | 2912 Robert St, New Orleans, LA 70125-5033 | 2016-03-22 |
| 1750743621 | Jessica Chachere Baity | Psychiatry & Neurology | 1542 Tulane Ave Fl 7, New Orleans, LA 70112-2865 | 2016-03-22 |
| 1629451638 | Chaitanya Amrutkar | Psychiatry & Neurology | 1811 E Bert Koun Loop Ste 120, Shreveport, LA 71105-5741 | 2015-07-08 |
| 1962899872 | Tashfin Samiul Huq | Psychiatry & Neurology | 726 N Acadia Rd Ste 2300, Thibodaux, LA 70301-5078 | 2015-04-17 |
| 1841684263 | Oliver Achi | Psychiatry & Neurology | 2312 E Main St Ste C, New Iberia, LA 70560-4064 | 2015-03-24 |
| 1104232289 | Martha Montgomery Robinson | Psychiatry & Neurology | 1430 Tulane Ave # 8065, New Orleans, LA 70112-2632 | 2014-07-09 |
| 1124439328 | Tanya Kapoor-maini | Psychiatry & Neurology | 120 Ochsner Blvd Ste 320, Gretna, LA 70056 | 2014-05-12 |
| Find all providers with the same taxonomy | ||||
| City | MORGAN CITY |
| Zip Code | 70380 |
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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.