| Kyle Chase Hargroder, NP | |
|
4920 Church St Ste E, Zachary, LA 70791-3580 | |
| (225) 658-1808 | |
| (225) 208-7932 |
| Full Name | Kyle Chase Hargroder |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 4920 Church St Ste E, Zachary, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841537214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 07129 (Louisiana) | Primary |
| Entity Name | Baton Rouge Orthopaedic Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770503690 PECOS PAC ID: 3274446414 Enrollment ID: O20031112000509 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Chase Hargroder, NP 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 Ph: (225) 924-2424 | Kyle Chase Hargroder, NP 4920 Church St Ste E, Zachary, LA 70791-3580 Ph: (225) 658-1808 |
Michael Evan Williams, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6550 Main St Ste 1000, Zachary, LA 70791 Phone: 225-654-1559 Fax: 225-654-6212 | |
Lori S Grace, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6550 Main St Ste 3500, Zachary, LA 70791 Phone: 225-658-6780 Fax: 225-658-6781 | |
Courtney B Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19900 Old Scenic Hwy Ste H, Zachary, LA 70791 Phone: 225-570-2618 | |
Jeremy Dedeaux, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2335 Church St, Suite E, Zachary, LA 70791 Phone: 225-654-3607 Fax: 225-658-2262 | |
Mrs. Celeste M Howard-bourque, PMHNP-BC, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4544 W Central Ave, Zachary, LA 70791 Phone: 337-739-9824 Fax: 504-208-4952 | |
Loryn Culver Matthews, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18989 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-654-8850 | |
Sarah Wallace Eisworth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19900 Old Scenic Hwy, Zachary, LA 70791 Phone: 225-570-2618 Fax: 225-570-8539 |