| Clhg-ruston Llc | |
|
1200 Celebrity Dr Ruston LA 71270-3893 | |
| (318) 254-2100 | |
| Not Available |
| Full Name | Clhg-ruston Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 Celebrity Dr, Ruston, Louisiana |
| Authorized Official Name and Position | Kathy M Hall (CEO) |
| Authorized Official Contact | 3182542450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clhg-ruston Llc 1200 Celebrity Dr Ruston LA 71270-3893 Ph: () - | Clhg-ruston Llc 1200 Celebrity Dr Ruston LA 71270-3893 Ph: (318) 254-2100 |
| NPI Number | 1154012185 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 05/19/2023 |
| Medicare PECOS PAC ID | 7315361425 |
|---|---|
| Medicare Enrollment ID | O20220718002173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154012185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bobby T Ensminger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508813742 PECOS PAC ID: 3870490980 Enrollment ID: I20031217000314 |
| Provider Name | Aaron Marquardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538349733 PECOS PAC ID: 7315129038 Enrollment ID: I20110316000598 |
| Provider Name | Savannah T Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285996306 PECOS PAC ID: 1557527793 Enrollment ID: I20120716000570 |
| Provider Name | Robert Todd Rickman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417168782 PECOS PAC ID: 0042476418 Enrollment ID: I20120730000646 |
| Provider Name | Kamal A Masri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134418437 PECOS PAC ID: 8022232305 Enrollment ID: I20150129001319 |
| Provider Name | Kevin M Langlois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184997264 PECOS PAC ID: 6204145261 Enrollment ID: I20151014002501 |
| Provider Name | Stavan Y Patel |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1558688309 PECOS PAC ID: 6507161817 Enrollment ID: I20160721001012 |
| Provider Name | Jennifer Calvert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598280752 PECOS PAC ID: 1052684537 Enrollment ID: I20170905002102 |
| Provider Name | Ravali Tarigopula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285802892 PECOS PAC ID: 0547427346 Enrollment ID: I20180827000633 |
| Provider Name | Mark David Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558034033 PECOS PAC ID: 1254715725 Enrollment ID: I20220901000407 |
| Provider Name | Nancy E Bass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811922016 PECOS PAC ID: 1951359975 Enrollment ID: I20230524000472 |
| Provider Name | Taylor Blake Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437937125 PECOS PAC ID: 5991152670 Enrollment ID: I20231117001470 |
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Amazing Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 S Bonner St, Ruston, LA 71270 Phone: 318-202-5935 Fax: 318-202-5933 | |
Shelyna Thawer-rice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Farmerville Hwy, Ruston, LA 71270 Phone: 318-255-5141 | |
Michael Brooks Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 612 S Farmerville Street, Ruston, LA 71270 Phone: 318-436-2600 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 161 Road Camp Rd, Ruston, LA 71270 Phone: 318-251-5111 |