Axcess Medical Clinic, Inc

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

026430 Issued in LA

Legal business name

AXCESS MEDICAL CLINIC, INC

Doing business as

Functional Rehabilitation Institute

Practice address

524 Elmwood Park Blvd
Suite 100
Harahan, LA 70123-3339

Phone

(504) 734-2393

Fax

(504) 467-6002

NPI assigned

Jul 8, 2008

Last updated

Aug 18, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth C Knight Jr.

Title

President

Phone

(504) 909-4554

Specialties & licenses 1

Addresses

Other names 1

• Functional Rehabilitation Institute Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Corey M Hall, M.D.

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1205882420
  NPD (past)
• Charles Edward Schlosser III, MD,M.P.H

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Gulfport, MS
  • NPI 1730379231
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1386807444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6673",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700096673",
            "telephone_number": "504-734-2393",
            "fax_number": "504-467-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 ELMWOOD PARK BLVD",
            "address_2": "SUITE 100",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701233339",
            "telephone_number": "504-734-2393",
            "fax_number": "504-467-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXCESS MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-909-4554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "026430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Rehabilitation Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Edward Anthony, DPT
• Ginette Arguello, LCSW
• Asm Pharmacy, LLC (The Laitram Pharmacy)
• Aspen Pharmacy
• Avita Drugs LLC
• Anthony Bakewell
• Jenny Kravet Baldassaro, RN, BSN
• Josephine Kalif Ballanco, LCSW, BCD
• Terri Balser
• Jeana Balukonis, PMHNP

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Harahan, LA
• Providers in Harahan, LA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.