| Mylaurel Medical Group La, Llc | |
|
1320 Magazine St Ste 203 New Orleans LA 70130-4267 | |
| (504) 475-1283 | |
| Not Available |
| Full Name | Mylaurel Medical Group La, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1320 Magazine St Ste 203, New Orleans, Louisiana |
| Authorized Official Name and Position | Leslie Baldridge (CREDENTIALING) |
| Authorized Official Contact | 7024176255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mylaurel Medical Group La, Llc 885 3rd Ave Fl 29 New York NY 10022-4834 Ph: (702) 417-6255 | Mylaurel Medical Group La, Llc 1320 Magazine St Ste 203 New Orleans LA 70130-4267 Ph: (504) 475-1283 |
| NPI Number | 1306341060 |
|---|---|
| Provider Enumeration Date | 03/26/2018 |
| Last Update Date | 01/09/2024 |
| Medicare PECOS PAC ID | 8123365467 |
|---|---|
| Medicare Enrollment ID | O20190124003081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306341060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Christopher Michael Voigt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144251182 PECOS PAC ID: 4587765649 Enrollment ID: I20070719000741 |
| Provider Name | Crystal Ann Rowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477865228 PECOS PAC ID: 4082748264 Enrollment ID: I20100811000118 |
| Provider Name | Bridget M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124335831 PECOS PAC ID: 4880880301 Enrollment ID: I20101123000975 |
| Provider Name | Manon B Mashburn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790984276 PECOS PAC ID: 9234327552 Enrollment ID: I20101230000205 |
| Provider Name | Angela Bradley Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619279353 PECOS PAC ID: 4688847569 Enrollment ID: I20111117000178 |
| Provider Name | Britni M Meche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124370838 PECOS PAC ID: 7315182367 Enrollment ID: I20130323000051 |
| Provider Name | Albert E Felix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629417217 PECOS PAC ID: 6204079353 Enrollment ID: I20130821000666 |
| Provider Name | Kawander L Parquet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154634111 PECOS PAC ID: 0840426417 Enrollment ID: I20131204001255 |
| Provider Name | Dionne Ricard Duplantier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083042873 PECOS PAC ID: 5092942102 Enrollment ID: I20131217001683 |
| Provider Name | Kristen E Muller Clinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619366432 PECOS PAC ID: 7012231756 Enrollment ID: I20150128001425 |
| Provider Name | Monitetra M King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972602662 PECOS PAC ID: 3274835905 Enrollment ID: I20160112001295 |
| Provider Name | Cassandra D Mcelroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700315678 PECOS PAC ID: 9739458050 Enrollment ID: I20170629002649 |
| Provider Name | Rachel Zeevi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407371669 PECOS PAC ID: 3375800873 Enrollment ID: I20171207001835 |
| Provider Name | Erica C Tercha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316344484 PECOS PAC ID: 5496070526 Enrollment ID: I20201023000540 |
| Provider Name | Teresa M Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609995612 PECOS PAC ID: 2961486550 Enrollment ID: I20201028001846 |
| Provider Name | Nse Obung Inyang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194274332 PECOS PAC ID: 4486089752 Enrollment ID: I20201123001882 |
| Provider Name | Rachel Crump |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285962621 PECOS PAC ID: 7911318977 Enrollment ID: I20201123002042 |
| Provider Name | Tiffinie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003369109 PECOS PAC ID: 2264727270 Enrollment ID: I20220209001157 |
| Provider Name | Michele S Tabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942795042 PECOS PAC ID: 5597015545 Enrollment ID: I20220420001538 |
| Provider Name | Brittany K Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811487648 PECOS PAC ID: 3779820253 Enrollment ID: I20220510000687 |
| Provider Name | Marcy G Carty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326038928 PECOS PAC ID: 6103844725 Enrollment ID: I20220803002216 |
| Provider Name | Allison R Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972026219 PECOS PAC ID: 2264705078 Enrollment ID: I20230113002012 |
| Provider Name | Whitney R Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810315 PECOS PAC ID: 7416232673 Enrollment ID: I20230130000037 |
| Provider Name | Benjamin Craxton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063941433 PECOS PAC ID: 4284065426 Enrollment ID: I20231222000782 |
| Provider Name | Gina Puglisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366472011 PECOS PAC ID: 3375574312 Enrollment ID: I20240106000714 |
| Provider Name | Christopher Touzeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548706443 PECOS PAC ID: 4981948445 Enrollment ID: I20240122001658 |
| Provider Name | Turandot Saul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578614434 PECOS PAC ID: 7911099684 Enrollment ID: I20240202000296 |
| Provider Name | Zachary A Coppola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689025793 PECOS PAC ID: 9133546955 Enrollment ID: I20240219002241 |
St. Thomas Community Health Center Erwin Bldg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1936 Magazine St, New Orleans, LA 70130 Phone: 504-529-5558 Fax: 504-595-5020 | |
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