DR. HENRY GOVAN TALIAFERRO (NPI# 1992844435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992844435 |
| Entity Type | Individual |
| Full Name | DR. HENRY GOVAN TALIAFERRO |
| Credential | M.D. |
| Practice Address |
2516 Broadmoor Blvd Monroe LA 71201-2988 |
| Mailing Address |
130 Desiard St Suite 355 Monroe LA 71201-7319 |
| Practice Telephone | 3188121125 |
| Practice Fax Number | 3188121129 |
| Mailing Telephone | 3188077875 |
| Mailing Fax Number | 3188126603 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2019-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 012237 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1194972 | 05 |
| Street Address |
2516 BROADMOOR BLVD |
| City | MONROE |
| State | LA |
| Zip Code | 71201-2988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710974969 | Kami Worley Wiedeman | Nurse Practitioner | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2005-10-03 |
| 1609366053 | Affinity Health Group LLC | Clinic/Center | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2018-05-11 |
| 1386007672 | Joy Renee Huggins | Registered Nurse | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2016-04-04 |
| 1588040703 | Emily Willard | Nurse Practitioner | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2015-08-11 |
| 1871975847 | Amber Kelly | Nurse Practitioner | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2015-06-25 |
| 1861879249 | Affinity Health Group, LLC | Orthopaedic Surgery | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2015-05-05 |
| 1629469812 | Affinity Health Group, LLC | Surgery | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2015-02-10 |
| 1982002911 | Affinity Health Group, LLC | Internal Medicine | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2014-12-08 |
| 1275942757 | Affinity Health Group LLC | Internal Medicine | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2014-08-08 |
| 1750793378 | Affinity Health Group, LLC | Otolaryngology | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2014-06-02 |
| Find all providers in the same location | ||||
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568637940 | Thomas H Fields Jr Md LLC | Otolaryngology | 405 Roselawn Ave, Monroe, LA 71201-5345 | 2008-04-25 |
| 1396815429 | Doctors Hearing Center LLC Xxxiii | Otolaryngology | 405 Roselawn Avenue, Monroe, LA 71201 | 2006-11-08 |
| 1316998792 | Han-soo Bae | Otolaryngology | 321 Stewart Rd, Monroe, MI 48162-4393 | 2006-05-12 |
| 1750793378 | Affinity Health Group, LLC | Otolaryngology | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2014-06-02 |
| 1740530427 | Ent Associates of Northeast Louisiana, LLC | Otolaryngology | 2802 Kilpatrick Blvd, Monroe, LA 71201-5139 | 2012-09-11 |
| 1508185075 | Ross Adam Udoff | Otolaryngology | 1632 E Roosevelt Blvd, Monroe, NC 28112-4017 | 2010-05-24 |
| 1528386448 | Lee A Miller Md Apmc | Otolaryngology | 312 Grammont Street, Suite 303, Monroe, LA 71201-7403 | 2010-05-17 |
| 1972777860 | Opeyemi Olatoye Daramola | Otolaryngology | 855 State Route 17m, Monroe, NY 10950-1600 | 2008-04-22 |
| 1447445036 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 1632 E Roosevelt Blvd, Monroe, NC 28112-4017 | 2007-09-07 |
| 1730273566 | Anthony R. Rogerson | Otolaryngology | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-10-03 |
| 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.