MEDICARE: HEALTHSPERE MANAGEMENT GROUP, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician

General Provider Information

NPI Number	:	1316399512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHSPERE MANAGEMENT GROUP, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1991
Second Line	:
City	:	MANDEVILLE
State	:	LA
Zip	:	70470-1991
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 S CLAIBORNE AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70125-5010
Country	:	US
Telephone Number	:	512-963-2492
Fax Number	:

Authorized Official
Title or Position	:	MBR
Name	:	DR. CHAD DOMANGUE
Credential	:
Telephone Number	:	985-892-8934

Provider Enumeration Date	:	07/12/2016
Last Update Date	:	07/12/2016

Similar Medicare Providers

1982804217 — ADVANCED MEDICAL CENTER OF UPTOWN
Practice Location Address:

4600 S CLAIBORNE AVE
NEW ORLEANS, LA
70125-5010

Practice Phone: 504-899-2225
Practice Fax: 504-899-2280

1780901587 — PLANNED PARENTHOOD GULF COAST, INC.
Practice Location Address:

4636 S CLAIBORNE AVE , STE 100
NEW ORLEANS, LA
70125-5010

Practice Phone: 504-897-9200
Practice Fax: 404-494-7433

1871846998 — TAMIKA DELICIA THOMAS-MAGEE FNP-C
Practice Location Address:

4636 S CLAIBORNE AVE
NEW ORLEANS, LA
70125-5010

Practice Phone: 504-897-9200
Practice Fax: 404-494-7435

1295114031 — MORNING STAR RISING, INC.
Practice Location Address:

4612 S CLAIBORNE AVE
NEW ORLEANS, LA
70125-5010

Practice Phone: 504-496-0214
Practice Fax: 504-831-3155

1093236283 — SPINE MANAGEMENT GROUP, LLC
Practice Location Address:

4600 S CLAIBORNE AVE STE 100
NEW ORLEANS, LA
70125-5010

Practice Phone: 504-899-2225
Practice Fax: 504-899-2280

1063031110 — DR. KELLY L. BAQUET APRN
Practice Location Address:

4636 S CLAIBORNE AVE
NEW ORLEANS, LA
70125-5010

Practice Phone: 504-897-9200
Practice Fax:

Directions to “HEALTHSPERE MANAGEMENT GROUP, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.