Ch Mssp Services La Llc | |
100 Kingston Rd Sulphur LA 70663-4016 | |
(337) 408-0797 | |
Not Available |
Full Name | Ch Mssp Services La Llc |
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Speciality | Internal Medicine |
Location | 100 Kingston Rd, Sulphur, Louisiana |
Authorized Official Name and Position | Nicole Howard (SVP OF ADMINISTRATIVE SERVICES) |
Authorized Official Contact | 3374080797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ch Mssp Services La Llc 5750 Johnston St Ste 205 Lafayette LA 70503-5334 Ph: (337) 408-0797 | Ch Mssp Services La Llc 100 Kingston Rd Sulphur LA 70663-4016 Ph: (337) 408-0797 |
NPI Number | 1982285060 |
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Provider Enumeration Date | 04/20/2021 |
Last Update Date | 03/21/2025 |
Medicare PECOS PAC ID | 6901206416 |
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Medicare Enrollment ID | O20210621000338 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982285060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Robert Hernandez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043247745 PECOS PAC ID: 2062302037 Enrollment ID: I20050308000207 |
Provider Name | Stacey V Durr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770511107 PECOS PAC ID: 0840205977 Enrollment ID: I20060210000517 |
Provider Name | David Colvin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023010592 PECOS PAC ID: 5496855793 Enrollment ID: I20070716000713 |
Provider Name | Kim Lange |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093994253 PECOS PAC ID: 2264591254 Enrollment ID: I20081105000629 |
Provider Name | Rachel M Rowland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548403454 PECOS PAC ID: 2668520826 Enrollment ID: I20090428000558 |
Provider Name | Donna R Hewitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588867485 PECOS PAC ID: 1658417654 Enrollment ID: I20091005000748 |
Provider Name | Dillon H Hart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457681850 PECOS PAC ID: 8224003397 Enrollment ID: I20100517000574 |
Provider Name | Pat Bass |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952321820 PECOS PAC ID: 2163614488 Enrollment ID: I20101005001001 |
Provider Name | Shahed M Jameel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902002850 PECOS PAC ID: 0648466631 Enrollment ID: I20101202000820 |
Provider Name | Byron Herpich |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20110825000648 |
Provider Name | June Roderick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356669519 PECOS PAC ID: 5597895631 Enrollment ID: I20120423000469 |
Provider Name | Alicia P Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437445913 PECOS PAC ID: 9537326814 Enrollment ID: I20140811002082 |
Provider Name | Monica R Tracy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134500820 PECOS PAC ID: 1850605528 Enrollment ID: I20150810000367 |
Provider Name | David A Reed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518214923 PECOS PAC ID: 7416179056 Enrollment ID: I20160324002152 |
Provider Name | Alanna Hebert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477927689 PECOS PAC ID: 9234436411 Enrollment ID: I20160404000375 |
Provider Name | Susila Shanmuganathan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447510300 PECOS PAC ID: 1355589961 Enrollment ID: I20160622000442 |
Provider Name | Brittany F Meche |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972959062 PECOS PAC ID: 7517251127 Enrollment ID: I20160804001244 |
Provider Name | Robert Emon Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114455409 PECOS PAC ID: 6608144498 Enrollment ID: I20170620002269 |
Provider Name | Nakia S Thomas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730585589 PECOS PAC ID: 8123391729 Enrollment ID: I20170901001906 |
Provider Name | Teri Lynn Duggan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992282719 PECOS PAC ID: 3577813732 Enrollment ID: I20180910000749 |
Provider Name | Hayley E Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114402013 PECOS PAC ID: 7012255292 Enrollment ID: I20190213001934 |
Provider Name | Tarcariyunn Shantay Caldwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922653443 PECOS PAC ID: 8820326994 Enrollment ID: I20190827003827 |
Provider Name | Mary S Inman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780237701 PECOS PAC ID: 3072842954 Enrollment ID: I20190903002216 |
Provider Name | Michael C Lysek |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265968853 PECOS PAC ID: 3173874823 Enrollment ID: I20200520001325 |
Provider Name | Ashley L Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417565664 PECOS PAC ID: 8820409238 Enrollment ID: I20201116000888 |
Provider Name | Sarah M. Haines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346842499 PECOS PAC ID: 7012329295 Enrollment ID: I20201211000990 |
Provider Name | Tera Rachal Cooke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932717576 PECOS PAC ID: 3072887066 Enrollment ID: I20210423000607 |
Provider Name | Latoya M Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649843160 PECOS PAC ID: 5193129997 Enrollment ID: I20210802000416 |
Provider Name | Caleb A Dupre |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275065633 PECOS PAC ID: 2668738121 Enrollment ID: I20210806000036 |
Provider Name | Lindsay L. Jameel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629640107 PECOS PAC ID: 1658775978 Enrollment ID: I20210810000111 |
Provider Name | Stormy Tullis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396417184 PECOS PAC ID: 9638577406 Enrollment ID: I20211007003508 |
Provider Name | Shaun Inman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144969478 PECOS PAC ID: 4688054778 Enrollment ID: I20220707000951 |
Provider Name | Kaylie Elizabeth Buras |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184350852 PECOS PAC ID: 9133598352 Enrollment ID: I20221210000539 |
Provider Name | Emily Christine Neal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780369108 PECOS PAC ID: 8820458771 Enrollment ID: I20230724002868 |
Provider Name | Brian Cooper |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366678963 PECOS PAC ID: 0547426223 Enrollment ID: I20240220002128 |
Provider Name | Falisha Moses |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790419554 PECOS PAC ID: 9830620897 Enrollment ID: I20241001002334 |
Provider Name | Amanda Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265242465 PECOS PAC ID: 5698205144 Enrollment ID: I20250212003505 |
Provider Name | Jonathan Snipes |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1821250077 PECOS PAC ID: 8123298254 Enrollment ID: I20250514000368 |
Provider Name | Coreen Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952957722 PECOS PAC ID: 6608209861 Enrollment ID: I20250519003396 |
Provider Name | Brooke Fernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265054464 PECOS PAC ID: 7012388341 Enrollment ID: I20250606000292 |
Andrew T Davies Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1114 Stelly Ln, Sulphur, LA 70663 Phone: 337-528-7316 Fax: 337-528-7884 | |
Maplewood Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3702 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-5459 Fax: 337-626-2045 | |
Calcasieu Family Physicians, Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 1st Ave, Sulphur, LA 70663 Phone: 337-527-6530 Fax: 337-527-7337 | |
Sulphur Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3924 Maplewood Dr, Sulphur, LA 70663 Phone: 337-626-0078 Fax: 337-626-0330 | |
Grimball & Richert Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 1st Ave, Sulphur, LA 70663 Phone: 337-527-6301 Fax: 337-527-9194 | |
Calcasieu Cameron Hospital Service District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Cypress St Ste A, Sulphur, LA 70663 Phone: 337-310-0395 Fax: 337-310-0392 | |
Imperial Health, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1327 Stelly Lane, Suite 3, Sulphur, LA 70663 Phone: 337-310-3670 Fax: 337-421-1408 |