JEFF S REDMOND (NPI# 1992904627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992904627 |
| Entity Type | Individual |
| Full Name | JEFF S REDMOND |
| Credential | M.D. |
| Practice Address |
1001 Gause Blvd Slidell LA 70458-2939 |
| Mailing Address |
206 Delta Dr Mandeville LA 70448-7562 |
| Practice Telephone | 9852808545 |
| Mailing Telephone | 9852378787 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2018-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD.202882 | LA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME101200 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0000041854 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PIN | AK548X | 01 | |
| LA | 1057924 | 05 | |
| MEDICARE PIN | AK548Z | 01 | |
| MS | 01002054 | 05 |
| Street Address |
1001 GAUSE BLVD |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879139 | Kraig S De Lanzac | Anesthesiology | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2005-05-30 |
| 1427680438 | Ernest Terry | Pharmacist | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2020-02-07 |
| 1700431202 | Ochsner Clinic LLC | Clinic/Center | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2019-08-02 |
| 1578122180 | Andrea Marie Miller Benefield | Nurse Practitioner | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2019-06-07 |
| 1396223749 | Abby Marie Moody | Nurse Anesthetist, Certified Registered | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2018-07-29 |
| 1003318007 | Laura Janette Pichon | Nurse Practitioner | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2018-03-06 |
| 1720589690 | Joel Eldon Bilbo | Nurse Anesthetist, Certified Registered | 1001 Gause Blvd, Slidell, LA 70458 | 2018-02-26 |
| 1467968156 | William Cody Jenkins | Registered Nurse | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2017-12-18 |
| 1003202128 | Michael Nguyen | Family Medicine | 1001 Gause Blvd, Slidell, LA 70458 | 2015-04-15 |
| 1144627316 | Jennifer S Stauter | Registered Nurse | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206487 | Delta Diagnostics LLC | Radiology | 989 Robert Blvd., Slidell, LA 70458-2009 | 2005-06-21 |
| 1881699809 | Jaime Santiago Tuazon | Radiology | 989 Robert Blvd, Slidell, LA 70458-2009 | 2005-06-16 |
| 1013912278 | Arthur Jerry Satterlee | Radiology | 1310 Gause Blvd, Slidell, LA 70458-3016 | 2005-06-15 |
| 1083619241 | Thompson Mack Dietz Iv | Radiology | 1495 Gause Blvd, Slidell, LA 70458-2205 | 2005-06-15 |
| 1215252341 | William Alexander Shaffer | Radiology | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2010-03-31 |
| 1700027786 | Charles Barrett Smith | Radiology | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2009-03-20 |
| 1114117850 | Professional Radiology Services LLC | Radiology | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2007-07-30 |
| 1841490422 | Myles Christopher Digby | Radiology | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2007-07-20 |
| 1962502591 | David Joseph Donaldson Jr. | Radiology | 100 Medical Center Drive, Slidell, LA 70461-5520 | 2006-09-24 |
| 1508964990 | Laurie Ann Bishop | Radiology | 100 Medical Center Drive, Slidell, LA 70461-5520 | 2006-09-20 |
| Find all providers in SLIDELL | ||||
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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.