| North Oaks Med Ctr Professional Billing | |
|
15790 Paul Vega Md Dr Hammond LA 70403-1434 | |
| (985) 230-1682 | |
| (985) 230-1617 |
| Full Name | North Oaks Med Ctr Professional Billing |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 15790 Paul Vega Md Dr, Hammond, Louisiana |
| Authorized Official Name and Position | Mark T Anderson (CFO) |
| Authorized Official Contact | 9852306602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Oaks Med Ctr Professional Billing Po Box 2668 Hammond LA 70404-2668 Ph: (985) 230-6534 | North Oaks Med Ctr Professional Billing 15790 Paul Vega Md Dr Hammond LA 70403-1434 Ph: (985) 230-1682 |
| NPI Number | 1972630705 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 04/08/2026 |
| Certification Date | 04/08/2026 |
| Medicare PECOS PAC ID | 2466629522 |
|---|---|
| Medicare Enrollment ID | O20120117000359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972630705 | NPI | - | NPPES |
| 1795879 | Medicaid | LA | |
| 6290355 | Other | AETNA | |
| 1077759 | Other | UNITED HEALTHCARE | |
| 201761 | Other | COVENTRY | |
| 720765132005 | Other | TRICARE-HUMANA | |
| 881253 | Medicaid | MS | |
| 011720765132 | Other | CHAMPUS-VA | |
| 0041030 | Other | OGB | |
| 7207651320155 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Secondary |
| 282N00000X | General Acute Care Hospital | 203 (Louisiana) | Primary |
| 207P00000X | Emergency Medicine | (NU) | Secondary |
| Provider Name | Lisa Falcon Brooks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386647899 PECOS PAC ID: 0547173460 Enrollment ID: I20031107000052 |
| Provider Name | Lasandra Barton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699777615 PECOS PAC ID: 8628977063 Enrollment ID: I20040106000128 |
| Provider Name | Michael R. Christner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912939026 PECOS PAC ID: 5496656753 Enrollment ID: I20040119000665 |
| Provider Name | Sheryl L Sawatsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609961663 PECOS PAC ID: 9638071152 Enrollment ID: I20040124000245 |
| Provider Name | Lisa M Colon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275695017 PECOS PAC ID: 1951299973 Enrollment ID: I20040310000186 |
| Provider Name | Marya J Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700988508 PECOS PAC ID: 9638069008 Enrollment ID: I20040318000894 |
| Provider Name | Nancy R Mellin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255330494 PECOS PAC ID: 1951390814 Enrollment ID: I20040507000244 |
| Provider Name | Brandon C Cambre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346272440 PECOS PAC ID: 0840289211 Enrollment ID: I20040511000048 |
| Provider Name | Agrippa G Robert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720010606 PECOS PAC ID: 1951383660 Enrollment ID: I20040607000017 |
| Provider Name | Gary M Mall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568491330 PECOS PAC ID: 3173502077 Enrollment ID: I20040715000089 |
| Provider Name | Jherie D Ducombs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881690782 PECOS PAC ID: 4880660703 Enrollment ID: I20040902000553 |
| Provider Name | William P Kopfler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912903816 PECOS PAC ID: 4284629254 Enrollment ID: I20041025000236 |
| Provider Name | Robert T Mcafee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033153564 PECOS PAC ID: 8527029446 Enrollment ID: I20041025000272 |
| Provider Name | Patrick a Delaney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619973237 PECOS PAC ID: 6800881871 Enrollment ID: I20041025000304 |
| Provider Name | Susan Zacharia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114997715 PECOS PAC ID: 0749247344 Enrollment ID: I20041215000608 |
| Provider Name | Fred S Willis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235131665 PECOS PAC ID: 8022068832 Enrollment ID: I20050129000111 |
| Provider Name | Jose Mena |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740241363 PECOS PAC ID: 9335190248 Enrollment ID: I20050208001050 |
| Provider Name | Charles R Ducombs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891765954 PECOS PAC ID: 3274587266 Enrollment ID: I20050311000904 |
| Provider Name | Arvind R Yertha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720178197 PECOS PAC ID: 0941256804 Enrollment ID: I20050324000205 |
| Provider Name | Roland Okungbowa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568560407 PECOS PAC ID: 8426073925 Enrollment ID: I20051013000641 |
| Provider Name | Anish P Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265487375 PECOS PAC ID: 2668480187 Enrollment ID: I20060324000502 |
| Provider Name | Benjamin M Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326261355 PECOS PAC ID: 1254349103 Enrollment ID: I20060413000158 |
| Provider Name | Leo a Pei |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124027925 PECOS PAC ID: 3375540156 Enrollment ID: I20061109000198 |
| Provider Name | James M Parker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407888555 PECOS PAC ID: 6305845553 Enrollment ID: I20061215000431 |
| Provider Name | Dana M Palo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881604924 PECOS PAC ID: 7911908249 Enrollment ID: I20070129000530 |
| Provider Name | Joseph Gonzales |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003901539 PECOS PAC ID: 5193825438 Enrollment ID: I20070716000232 |
| Provider Name | Tressy N Lauga |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285656397 PECOS PAC ID: 4880691757 Enrollment ID: I20070716000504 |
| Provider Name | Michael N Harlan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558390310 PECOS PAC ID: 1052402856 Enrollment ID: I20070808000679 |
| Provider Name | Minyon Gremillion |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669677993 PECOS PAC ID: 7214029388 Enrollment ID: I20070821000115 |
| Provider Name | Jacques C Peltier |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427108968 PECOS PAC ID: 8628161080 Enrollment ID: I20070831000034 |
| Provider Name | Socrates Zapata Campusano |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013083112 PECOS PAC ID: 0547355224 Enrollment ID: I20070927000098 |
| Provider Name | Donna H Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093717266 PECOS PAC ID: 5991750440 Enrollment ID: I20071002000601 |
| Provider Name | Albert L Diket |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588685507 PECOS PAC ID: 8527149723 Enrollment ID: I20080114000552 |
| Provider Name | Marc E Pitre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154318269 PECOS PAC ID: 9133149115 Enrollment ID: I20080501000476 |
| Provider Name | James R Herrin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720079593 PECOS PAC ID: 9335179159 Enrollment ID: I20080502000582 |
| Provider Name | Michael R Maher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770747974 PECOS PAC ID: 4284708124 Enrollment ID: I20080811000390 |
| Provider Name | Dorothy a Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932186491 PECOS PAC ID: 2769557867 Enrollment ID: I20080826000013 |
| Provider Name | Melanie S Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174787295 PECOS PAC ID: 5890862882 Enrollment ID: I20080917000023 |
| Provider Name | Michael Cordone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033253000 PECOS PAC ID: 6901991322 Enrollment ID: I20080929000742 |
| Provider Name | Daniel W Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538351093 PECOS PAC ID: 5294803342 Enrollment ID: I20081002000655 |
| Provider Name | Edward W Veillon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700081247 PECOS PAC ID: 1355411125 Enrollment ID: I20081022000329 |
| Provider Name | Chad M. Klug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780835215 PECOS PAC ID: 2668531179 Enrollment ID: I20081112000377 |
| Provider Name | Brandy S Mccullough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154562742 PECOS PAC ID: 1658438841 Enrollment ID: I20090313000457 |
| Provider Name | Jean Genzale - Bertrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972743243 PECOS PAC ID: 0345397766 Enrollment ID: I20090421000700 |
| Provider Name | Claude Dantonio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548420706 PECOS PAC ID: 0345391561 Enrollment ID: I20090630000249 |
| Provider Name | Robert C Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932156379 PECOS PAC ID: 8628042744 Enrollment ID: I20090808000104 |
| Provider Name | Eric S Pezant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124255096 PECOS PAC ID: 1052466786 Enrollment ID: I20090902000291 |
| Provider Name | Kathryn M Felder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619103272 PECOS PAC ID: 3375699762 Enrollment ID: I20090928000217 |
| Provider Name | Michael E Fahr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013134626 PECOS PAC ID: 9335285857 Enrollment ID: I20091013000742 |
| Provider Name | Sean Hendricks |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164583084 PECOS PAC ID: 2961597018 Enrollment ID: I20100212000540 |
| Provider Name | Laurie Sica |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649209701 PECOS PAC ID: 5890839088 Enrollment ID: I20100225000938 |
| Provider Name | Herbert G Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700825346 PECOS PAC ID: 6608911698 Enrollment ID: I20100302000379 |
| Provider Name | Kevin B Doan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306875463 PECOS PAC ID: 9436294121 Enrollment ID: I20100305000393 |
| Provider Name | Jody N Domingue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215966387 PECOS PAC ID: 0749325447 Enrollment ID: I20100305000448 |
| Provider Name | Linda H Parham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649236308 PECOS PAC ID: 6608911300 Enrollment ID: I20100305000510 |
| Provider Name | Rhonda J Lambert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871557751 PECOS PAC ID: 1153457080 Enrollment ID: I20100330001353 |
| Provider Name | Toria H Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427218676 PECOS PAC ID: 1153457684 Enrollment ID: I20100410000047 |
| Provider Name | Amy Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871824078 PECOS PAC ID: 6608903141 Enrollment ID: I20100415000066 |
| Provider Name | Mark E Haile |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023028560 PECOS PAC ID: 6608903166 Enrollment ID: I20100415000322 |
| Provider Name | William G Plunkett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871553016 PECOS PAC ID: 8426063587 Enrollment ID: I20100518000182 |
| Provider Name | Jeffrey B Lacour |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568682474 PECOS PAC ID: 9931255080 Enrollment ID: I20100728000261 |
| Provider Name | Barry J Breaux |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548324437 PECOS PAC ID: 0446443667 Enrollment ID: I20101020001176 |
| Provider Name | Bruce M Ennis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639134901 PECOS PAC ID: 4486686318 Enrollment ID: I20101116001119 |
| Provider Name | Amy P Linn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265585467 PECOS PAC ID: 0143416891 Enrollment ID: I20101122000083 |
| Provider Name | Celeste a Dale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457671109 PECOS PAC ID: 9032305396 Enrollment ID: I20101129000483 |
| Provider Name | Michelle M Civello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396051868 PECOS PAC ID: 6305026246 Enrollment ID: I20110209000438 |
| Provider Name | Luke a Wall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124207873 PECOS PAC ID: 8224219514 Enrollment ID: I20110218000855 |
| Provider Name | Patrick Greiffenstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013108174 PECOS PAC ID: 6608057591 Enrollment ID: I20110225000178 |
| Provider Name | Courtney D Passman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023265287 PECOS PAC ID: 7911049986 Enrollment ID: I20110228000157 |
| Provider Name | Brian Ashford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265622732 PECOS PAC ID: 2769664127 Enrollment ID: I20110308000035 |
| Provider Name | Rebecca Boyd Whittemore |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467490714 PECOS PAC ID: 7416053061 Enrollment ID: I20110329000108 |
| Provider Name | Pauline E Burrall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881992568 PECOS PAC ID: 8628252442 Enrollment ID: I20110401000707 |
| Provider Name | Daniel a Linarello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518950286 PECOS PAC ID: 4082801048 Enrollment ID: I20110523000493 |
| Provider Name | Lacy C Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477873362 PECOS PAC ID: 3971780479 Enrollment ID: I20110610000022 |
| Provider Name | Desiree' H Feucht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477841104 PECOS PAC ID: 5193994697 Enrollment ID: I20110817000418 |
| Provider Name | Carl M Gauthier |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649460239 PECOS PAC ID: 3971773490 Enrollment ID: I20110818000891 |
| Provider Name | Christopher B Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396742508 PECOS PAC ID: 3971661422 Enrollment ID: I20110902000390 |
| Provider Name | Justin D Fowlkes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629392642 PECOS PAC ID: 6608048277 Enrollment ID: I20111004000794 |
| Provider Name | Daraka Y Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619281615 PECOS PAC ID: 7113199910 Enrollment ID: I20111019000833 |
| Provider Name | Jaime M Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487845665 PECOS PAC ID: 6800060542 Enrollment ID: I20111115000829 |
| Provider Name | Lorris J Bouzigard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093953713 PECOS PAC ID: 6002098696 Enrollment ID: I20111213000727 |
| Provider Name | Abdul M Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902123995 PECOS PAC ID: 5193982825 Enrollment ID: I20120207000639 |
| Provider Name | Nidal Abi Rafeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457506743 PECOS PAC ID: 2668635137 Enrollment ID: I20120521000064 |
| Provider Name | Aaron W Bateman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134453848 PECOS PAC ID: 6709040298 Enrollment ID: I20120613000462 |
| Provider Name | Lori H Mayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043576960 PECOS PAC ID: 2860656949 Enrollment ID: I20120621000456 |
| Provider Name | Jeffrey C. Boyne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568632529 PECOS PAC ID: 9234308925 Enrollment ID: I20120713000177 |
| Provider Name | Abir Abdo |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205071164 PECOS PAC ID: 4981897659 Enrollment ID: I20120720000527 |
| Provider Name | Brad M Lake |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922205160 PECOS PAC ID: 6608032164 Enrollment ID: I20120727000258 |
| Provider Name | Stephen M. Graham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467650804 PECOS PAC ID: 5395991541 Enrollment ID: I20120803000609 |
| Provider Name | Trisha Bordelon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811256241 PECOS PAC ID: 1355597436 Enrollment ID: I20120806000080 |
| Provider Name | Kathryn O Dorhauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740457506 PECOS PAC ID: 7810145539 Enrollment ID: I20120920000633 |
| Provider Name | John R Krieg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972720381 PECOS PAC ID: 6800044595 Enrollment ID: I20120921000690 |
| Provider Name | Matthew C Lafleur |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780853127 PECOS PAC ID: 7810154895 Enrollment ID: I20121102000223 |
| Provider Name | Jennifer a Taylor Jeanfreau |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093970311 PECOS PAC ID: 9638320310 Enrollment ID: I20121105000625 |
| Provider Name | Heather Grantham Stokes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053624742 PECOS PAC ID: 7315061611 Enrollment ID: I20121227000161 |
| Provider Name | Shane C Landreaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104022011 PECOS PAC ID: 5890930515 Enrollment ID: I20130401000224 |
| Provider Name | Jacob R Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356680896 PECOS PAC ID: 0345486585 Enrollment ID: I20130415000147 |
| Provider Name | Charlie P Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861787954 PECOS PAC ID: 6709023559 Enrollment ID: I20130515000048 |
| Provider Name | Janet P Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689017113 PECOS PAC ID: 7315187887 Enrollment ID: I20130703000458 |
| Provider Name | Aaron D Martin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104858406 PECOS PAC ID: 8426120262 Enrollment ID: I20130711000057 |
| Provider Name | D'antoni C Dennis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194986968 PECOS PAC ID: 3971743055 Enrollment ID: I20130715000048 |
| Provider Name | Jody P Nunnery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952742496 PECOS PAC ID: 4183868284 Enrollment ID: I20130911000198 |
| Provider Name | Rebecca J Kinnard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730313115 PECOS PAC ID: 6608010319 Enrollment ID: I20130919000571 |
| Provider Name | Addie M Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184057697 PECOS PAC ID: 2365676855 Enrollment ID: I20131017000055 |
| Provider Name | April K Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811318181 PECOS PAC ID: 8123258175 Enrollment ID: I20140313000624 |
| Provider Name | Rachel E Shard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093039018 PECOS PAC ID: 2466682448 Enrollment ID: I20140313001878 |
| Provider Name | Jennifer Littell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336568468 PECOS PAC ID: 3274766522 Enrollment ID: I20140512001900 |
| Provider Name | Todd D Morgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912320060 PECOS PAC ID: 5799918066 Enrollment ID: I20140513000503 |
| Provider Name | Arden N Ballard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891001772 PECOS PAC ID: 2264629021 Enrollment ID: I20140602002182 |
| Provider Name | Ashley Nicole Bratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003231085 PECOS PAC ID: 8325261746 Enrollment ID: I20140603000965 |
| Provider Name | Marquinn D Duke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104093293 PECOS PAC ID: 8628294022 Enrollment ID: I20140721001300 |
| Provider Name | Georges Khoueiry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689829087 PECOS PAC ID: 4688729783 Enrollment ID: I20140801000569 |
| Provider Name | Gayle H Beyl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710279195 PECOS PAC ID: 5991922676 Enrollment ID: I20140805000899 |
| Provider Name | Tyler G Borne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619383809 PECOS PAC ID: 0446479422 Enrollment ID: I20140924002017 |
| Provider Name | Mary D Rabalais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740622638 PECOS PAC ID: 3274754163 Enrollment ID: I20141017000591 |
| Provider Name | Jeffrey B Witty |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013178284 PECOS PAC ID: 9739314188 Enrollment ID: I20141017001176 |
| Provider Name | Theepa Thayalakulasingam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356533749 PECOS PAC ID: 2961623731 Enrollment ID: I20141020001332 |
| Provider Name | Carrie T Vargas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922408962 PECOS PAC ID: 5597986711 Enrollment ID: I20141031000491 |
| Provider Name | Betty R Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043626757 PECOS PAC ID: 2264654136 Enrollment ID: I20141107001542 |
| Provider Name | Leslie James Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508282609 PECOS PAC ID: 2062634850 Enrollment ID: I20141111001630 |
| Provider Name | Latania Z Austin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124428990 PECOS PAC ID: 7719209634 Enrollment ID: I20141204000764 |
| Provider Name | Katrina T Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124206586 PECOS PAC ID: 0840378386 Enrollment ID: I20150709000863 |
| Provider Name | Barrett J Littell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528446432 PECOS PAC ID: 4183937550 Enrollment ID: I20150715000690 |
| Provider Name | Thomas Edward Allison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912252438 PECOS PAC ID: 9537317045 Enrollment ID: I20150730011120 |
| Provider Name | Christine a Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124415872 PECOS PAC ID: 0749596948 Enrollment ID: I20150902002930 |
| Provider Name | Jared M Rochelle |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1689998601 PECOS PAC ID: 9032425103 Enrollment ID: I20150903001938 |
| Provider Name | Anna P Melerine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851657118 PECOS PAC ID: 7416107578 Enrollment ID: I20150903002425 |
| Provider Name | Jodee P Bernier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992186100 PECOS PAC ID: 6608186614 Enrollment ID: I20151103002617 |
| Provider Name | Mallory S Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124499678 PECOS PAC ID: 4981905916 Enrollment ID: I20151217000439 |
| Provider Name | Dong S Cho |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306940036 PECOS PAC ID: 5991694671 Enrollment ID: I20160105000903 |
| Provider Name | Jennifer E Rhodes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821451592 PECOS PAC ID: 5193024115 Enrollment ID: I20160426001176 |
| Provider Name | Amber D Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487079257 PECOS PAC ID: 1355631391 Enrollment ID: I20160603001781 |
| Provider Name | Devin R Respess |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871945345 PECOS PAC ID: 6406144484 Enrollment ID: I20161006000796 |
| Provider Name | Amy E Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306395785 PECOS PAC ID: 2062793144 Enrollment ID: I20170104000113 |
| Provider Name | Trey Weston Stokes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831640259 PECOS PAC ID: 8022399039 Enrollment ID: I20170106000457 |
| Provider Name | Natalie Terell Easterly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295283893 PECOS PAC ID: 8325321268 Enrollment ID: I20170220001222 |
| Provider Name | Courtney Commander |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1245611953 PECOS PAC ID: 9133404809 Enrollment ID: I20170320001360 |
| Provider Name | Michelle J Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689100786 PECOS PAC ID: 9638447709 Enrollment ID: I20170613002109 |
| Provider Name | Timothy Jude Hattier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770993891 PECOS PAC ID: 1052691581 Enrollment ID: I20170627001771 |
| Provider Name | Patrick J Sheehan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295144491 PECOS PAC ID: 0648540146 Enrollment ID: I20170717000620 |
| Provider Name | Erickia L Le Meunier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548784192 PECOS PAC ID: 9234401696 Enrollment ID: I20170818002101 |
| Provider Name | Corey S Majors |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134495526 PECOS PAC ID: 7214245802 Enrollment ID: I20170829003722 |
| Provider Name | Joan C Peperone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922538222 PECOS PAC ID: 2769755313 Enrollment ID: I20170905000463 |
| Provider Name | Kimberly Nicole Hodge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770858011 PECOS PAC ID: 4385862309 Enrollment ID: I20171116002602 |
| Provider Name | Vicki Tessitore Matherne |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659427417 PECOS PAC ID: 0446510366 Enrollment ID: I20180213002968 |
| Provider Name | Megan Perilloux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508371931 PECOS PAC ID: 3678833449 Enrollment ID: I20180216000967 |
| Provider Name | Julia Kendrick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376836510 PECOS PAC ID: 0941593578 Enrollment ID: I20180227002879 |
| Provider Name | Natalie B Bratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740783042 PECOS PAC ID: 8325300395 Enrollment ID: I20180403001107 |
| Provider Name | Sonia Eve Replansky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073930293 PECOS PAC ID: 4880992197 Enrollment ID: I20180409000616 |
| Provider Name | Elise C Reeves |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497138598 PECOS PAC ID: 5395053797 Enrollment ID: I20180412001507 |
| Provider Name | Lucas C Ainsworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912386863 PECOS PAC ID: 6709192933 Enrollment ID: I20180514000714 |
| Provider Name | Brandon J Mong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821452624 PECOS PAC ID: 4385916816 Enrollment ID: I20180515002413 |
| Provider Name | John a Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952721946 PECOS PAC ID: 8426354010 Enrollment ID: I20180517002587 |
| Provider Name | Noelle Bordelon Plaisance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912401795 PECOS PAC ID: 1153686324 Enrollment ID: I20180518000019 |
| Provider Name | Angela N Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821586272 PECOS PAC ID: 9830454347 Enrollment ID: I20180605001067 |
| Provider Name | Anoop K Kar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861811184 PECOS PAC ID: 8022396910 Enrollment ID: I20180620000450 |
| Provider Name | Jennifer Amelia Owens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962701771 PECOS PAC ID: 9032410485 Enrollment ID: I20180711000677 |
| Provider Name | Kristen King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003301375 PECOS PAC ID: 0648529149 Enrollment ID: I20180816001078 |
| Provider Name | Rishi Pathak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861836868 PECOS PAC ID: 7911209416 Enrollment ID: I20180829003774 |
| Provider Name | Taylor M Jordan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851879316 PECOS PAC ID: 9133470347 Enrollment ID: I20180927002227 |
| Provider Name | Keenan J Holmes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629556170 PECOS PAC ID: 5799036802 Enrollment ID: I20180927002681 |
| Provider Name | Tiffany M Billiot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154806586 PECOS PAC ID: 0143564955 Enrollment ID: I20181205002246 |
| Provider Name | John B Easterly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043795339 PECOS PAC ID: 2567706385 Enrollment ID: I20181205003004 |
| Provider Name | Tara D Benjamin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427222413 PECOS PAC ID: 8325210529 Enrollment ID: I20190312000199 |
| Provider Name | Jennifer L Dubuc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831655109 PECOS PAC ID: 7012259070 Enrollment ID: I20190424000351 |
| Provider Name | Jonathan E Schoen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346683356 PECOS PAC ID: 8325266976 Enrollment ID: I20190501000585 |
| Provider Name | Bethany L Menard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861888166 PECOS PAC ID: 4587965678 Enrollment ID: I20190523001096 |
| Provider Name | Julee Fava |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649449737 PECOS PAC ID: 0244573558 Enrollment ID: I20190529002146 |
| Provider Name | Megan M Dodge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467845313 PECOS PAC ID: 1456607183 Enrollment ID: I20190708001623 |
| Provider Name | Brittany Janel-helen Roussel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104485390 PECOS PAC ID: 9032444252 Enrollment ID: I20190710003044 |
| Provider Name | Vince Williams Lands |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578905055 PECOS PAC ID: 0840540464 Enrollment ID: I20190717002744 |
| Provider Name | Rae L Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184283814 PECOS PAC ID: 8426385865 Enrollment ID: I20190808001011 |
| Provider Name | Aimee Elizabeth Ledet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770145161 PECOS PAC ID: 5698003184 Enrollment ID: I20190821003977 |
| Provider Name | Patrick S Barousse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053759555 PECOS PAC ID: 5991937872 Enrollment ID: I20190916002205 |
| Provider Name | Marc Alexander Raj |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225371818 PECOS PAC ID: 9234421322 Enrollment ID: I20190926001580 |
| Provider Name | Nicholas R Salerno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528599107 PECOS PAC ID: 4688944036 Enrollment ID: I20191216001413 |
| Provider Name | Paige K Long |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003467812 PECOS PAC ID: 1951735117 Enrollment ID: I20191220000642 |
| Provider Name | Brittany Lynn Brumfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245752419 PECOS PAC ID: 6305273012 Enrollment ID: I20200219000106 |
| Provider Name | Tyler G Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558900159 PECOS PAC ID: 1254768989 Enrollment ID: I20200219000699 |
| Provider Name | Travis King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659904407 PECOS PAC ID: 0648609339 Enrollment ID: I20200331003567 |
| Provider Name | Courtney L Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780216655 PECOS PAC ID: 9133558877 Enrollment ID: I20200401002013 |
| Provider Name | Leigh a Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225662653 PECOS PAC ID: 6507295789 Enrollment ID: I20200409001598 |
| Provider Name | Derek Palmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407290372 PECOS PAC ID: 2769788736 Enrollment ID: I20200602001042 |
| Provider Name | Nader a Shourbaji |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174782213 PECOS PAC ID: 1557505807 Enrollment ID: I20200609001846 |
| Provider Name | Jennifer J Steib |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417573213 PECOS PAC ID: 2163845678 Enrollment ID: I20200630002801 |
| Provider Name | Robert Emmett Reily |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205255353 PECOS PAC ID: 6800228099 Enrollment ID: I20200716003078 |
| Provider Name | Julie S Ponder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811235476 PECOS PAC ID: 6901224765 Enrollment ID: I20200911000609 |
| Provider Name | Marissa a Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366050809 PECOS PAC ID: 0446670194 Enrollment ID: I20201019000408 |
| Provider Name | Whitney Lashua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144836115 PECOS PAC ID: 8820418403 Enrollment ID: I20201020003470 |
| Provider Name | Adam G Podet |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255793113 PECOS PAC ID: 3476834755 Enrollment ID: I20201023001490 |
| Provider Name | Devon Relle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093326407 PECOS PAC ID: 5092135301 Enrollment ID: I20201026000532 |
| Provider Name | Matthew Joseph Bruhn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669070769 PECOS PAC ID: 7517377054 Enrollment ID: I20201111002735 |
| Provider Name | Jessica Granier Fajoni |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174152573 PECOS PAC ID: 1153732656 Enrollment ID: I20201203002387 |
| Provider Name | Lavias Martez Burns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164518205 PECOS PAC ID: 3274424197 Enrollment ID: I20210129000748 |
| Provider Name | Jennifer Bonaventure |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790241834 PECOS PAC ID: 0840606919 Enrollment ID: I20210316000394 |
| Provider Name | Meredith Tittsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265764799 PECOS PAC ID: 8022255587 Enrollment ID: I20210408000025 |
| Provider Name | Amy Renee Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356936694 PECOS PAC ID: 1557779899 Enrollment ID: I20210426001736 |
| Provider Name | Jourdan Pellegrini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770118374 PECOS PAC ID: 4789093980 Enrollment ID: I20210428003032 |
| Provider Name | Maia D Mclin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982288387 PECOS PAC ID: 2163821794 Enrollment ID: I20210601001811 |
| Provider Name | James Wilkinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215347315 PECOS PAC ID: 7810296423 Enrollment ID: I20210707001284 |
| Provider Name | Alexandra Richards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689240293 PECOS PAC ID: 5597161844 Enrollment ID: I20210911000142 |
| Provider Name | Elizabeth J Clair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114305745 PECOS PAC ID: 7911213350 Enrollment ID: I20211007001942 |
| Provider Name | Kimberly Roshelle Coney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124638036 PECOS PAC ID: 4385032747 Enrollment ID: I20211104000540 |
| Provider Name | Marylynn Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568903854 PECOS PAC ID: 1355628512 Enrollment ID: I20211111001358 |
| Provider Name | Lauren T Baumgarten |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972980993 PECOS PAC ID: 6800189713 Enrollment ID: I20211117001218 |
| Provider Name | Brooke L Leblanc |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740634609 PECOS PAC ID: 4981990892 Enrollment ID: I20211123001081 |
| Provider Name | Najib Murr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831319862 PECOS PAC ID: 6800067265 Enrollment ID: I20211213000963 |
| Provider Name | Lindsey Hollywood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053917070 PECOS PAC ID: 7810309861 Enrollment ID: I20220112000236 |
| Provider Name | Matthew Nielsen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700129707 PECOS PAC ID: 8123328622 Enrollment ID: I20220119001249 |
| Provider Name | Katie Robinson Macedo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790436533 PECOS PAC ID: 7618369752 Enrollment ID: I20220121000881 |
| Provider Name | Lisa Elizabeth Frey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104587682 PECOS PAC ID: 7517359664 Enrollment ID: I20220121001289 |
| Provider Name | Nathan E Winters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134871577 PECOS PAC ID: 8820481419 Enrollment ID: I20220202002585 |
| Provider Name | Aimee B Toomer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558014712 PECOS PAC ID: 3476946849 Enrollment ID: I20220207002076 |
| Provider Name | Catherine Norman Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023516341 PECOS PAC ID: 9830582790 Enrollment ID: I20220217000878 |
| Provider Name | Kelsey Anne St Arnaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083370886 PECOS PAC ID: 4789070707 Enrollment ID: I20220331000221 |
| Provider Name | Christina M Sharon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346603040 PECOS PAC ID: 6103204540 Enrollment ID: I20220526000119 |
| Provider Name | Kayla Burkhardt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427555952 PECOS PAC ID: 2769860956 Enrollment ID: I20220531001165 |
| Provider Name | William Taylor Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952863185 PECOS PAC ID: 6406188044 Enrollment ID: I20220629003816 |
| Provider Name | Madeline Louise Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588283105 PECOS PAC ID: 6608256631 Enrollment ID: I20220707002327 |
| Provider Name | Timothy D Marcus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083174817 PECOS PAC ID: 4880920560 Enrollment ID: I20220708001968 |
| Provider Name | Ashley Meyn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588156921 PECOS PAC ID: 0042561904 Enrollment ID: I20220719002617 |
| Provider Name | Andrea Maria Legendre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033856786 PECOS PAC ID: 6709268147 Enrollment ID: I20220802002806 |
| Provider Name | Michelle Sliva |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1891216503 PECOS PAC ID: 0648519181 Enrollment ID: I20220816001285 |
| Provider Name | Kayla L Pence |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316478753 PECOS PAC ID: 8224412648 Enrollment ID: I20220903000100 |
| Provider Name | Georges Elie Tanios |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386907681 PECOS PAC ID: 2567719685 Enrollment ID: I20220907003264 |
| Provider Name | Lacey Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225770266 PECOS PAC ID: 2860877982 Enrollment ID: I20220909002198 |
| Provider Name | C Aitlin Pardue |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386379832 PECOS PAC ID: 3577948439 Enrollment ID: I20220914001197 |
| Provider Name | Hannah Fugarino Perrilloux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497497275 PECOS PAC ID: 6406231141 Enrollment ID: I20220916001960 |
| Provider Name | Rose F Depaula |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659875417 PECOS PAC ID: 1456608868 Enrollment ID: I20221003000371 |
| Provider Name | Jade Gioia Pizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639806698 PECOS PAC ID: 4082080346 Enrollment ID: I20221012001626 |
| Provider Name | Jacob John Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821519976 PECOS PAC ID: 2961768197 Enrollment ID: I20221024002286 |
| Provider Name | Zachary Joseph Boudreaux |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356053367 PECOS PAC ID: 2062883598 Enrollment ID: I20230120001337 |
| Provider Name | Paige E Deville |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134688393 PECOS PAC ID: 0941536148 Enrollment ID: I20230404002462 |
| Provider Name | Serghei Alexandr Evtodienco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538856620 PECOS PAC ID: 7719342500 Enrollment ID: I20230501001268 |
| Provider Name | Taylor Piglia Goss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154931806 PECOS PAC ID: 5496113615 Enrollment ID: I20230621000951 |
| Provider Name | Trey Branson Perrin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114537776 PECOS PAC ID: 7416315650 Enrollment ID: I20230621001642 |
| Provider Name | Olivia Breeland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861003139 PECOS PAC ID: 8921466004 Enrollment ID: I20230621003530 |
| Provider Name | Elizabeth S Hayes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407347693 PECOS PAC ID: 0244585081 Enrollment ID: I20230714002128 |
| Provider Name | Raymond Joseph Chapman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487264966 PECOS PAC ID: 3678933777 Enrollment ID: I20230720004248 |
| Provider Name | Steven D Jones |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1710428917 PECOS PAC ID: 3678840196 Enrollment ID: I20230727001193 |
| Provider Name | Olivia Buquoi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083308662 PECOS PAC ID: 1153782321 Enrollment ID: I20230803003442 |
| Provider Name | Jasmine Severan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225712367 PECOS PAC ID: 4385005313 Enrollment ID: I20230807001999 |
| Provider Name | Shay Nicole Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114604287 PECOS PAC ID: 6507228632 Enrollment ID: I20230821004100 |
| Provider Name | Brent Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255011813 PECOS PAC ID: 0345603817 Enrollment ID: I20230830004451 |
| Provider Name | Brigette Hogue Pennington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770285728 PECOS PAC ID: 9638533417 Enrollment ID: I20230912003152 |
| Provider Name | Neil Bhathela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851820567 PECOS PAC ID: 2163793829 Enrollment ID: I20231018001415 |
| Provider Name | Nandini Bakshi Batra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801902200 PECOS PAC ID: 5991855595 Enrollment ID: I20231018001614 |
| Provider Name | Michael Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558757757 PECOS PAC ID: 9335424449 Enrollment ID: I20231024000970 |
| Provider Name | Aravind B Reddy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548756588 PECOS PAC ID: 9436527447 Enrollment ID: I20231028000130 |
| Provider Name | Neal Prakash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568480838 PECOS PAC ID: 6103860184 Enrollment ID: I20231030002568 |
| Provider Name | Kussay Nassr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316942022 PECOS PAC ID: 8820079684 Enrollment ID: I20231031000120 |
| Provider Name | Sam Kumar Saha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20231031000607 |
| Provider Name | Steven Dale Arbogast |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962615377 PECOS PAC ID: 3375697774 Enrollment ID: I20231031002012 |
| Provider Name | Ruchir Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396033437 PECOS PAC ID: 1557656501 Enrollment ID: I20231101000154 |
| Provider Name | Ann Collier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487898458 PECOS PAC ID: 0042442915 Enrollment ID: I20231101000370 |
| Provider Name | Mahmoud Salhab |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154762458 PECOS PAC ID: 0446486864 Enrollment ID: I20231101000925 |
| Provider Name | Rajiv Narula |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982959979 PECOS PAC ID: 6709147689 Enrollment ID: I20231101001058 |
| Provider Name | Rami-james K Assadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265819478 PECOS PAC ID: 8325343247 Enrollment ID: I20231101002890 |
| Provider Name | Melanie J Winningham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588954788 PECOS PAC ID: 9335434752 Enrollment ID: I20231101003614 |
| Provider Name | Jonathan Ray Diaz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578856159 PECOS PAC ID: 8224255633 Enrollment ID: I20231109003087 |
| Provider Name | Darryl B Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669156246 PECOS PAC ID: 7416304258 Enrollment ID: I20231115003050 |
| Provider Name | Matthew J Chiniche |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265743421 PECOS PAC ID: 4789718909 Enrollment ID: I20231204001501 |
| Provider Name | Alexandra Battalora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437931508 PECOS PAC ID: 5597114512 Enrollment ID: I20231215000119 |
| Provider Name | Hannah Bergeron Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407636798 PECOS PAC ID: 9436509858 Enrollment ID: I20231228000428 |
| Provider Name | Kaitlyn Methvien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750150520 PECOS PAC ID: 1153773635 Enrollment ID: I20240119003412 |
| Provider Name | Courtney Viola Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932981610 PECOS PAC ID: 2860845930 Enrollment ID: I20240125002199 |
| Provider Name | Paige Ora Falgout |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457072704 PECOS PAC ID: 1254776842 Enrollment ID: I20240305003781 |
| Provider Name | William Smith |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1790079325 PECOS PAC ID: 6002048758 Enrollment ID: I20240319002445 |
| Provider Name | Amanda Deadmond |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053818583 PECOS PAC ID: 6608318985 Enrollment ID: I20240603002641 |
| Provider Name | Thien Viet Ninh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548898448 PECOS PAC ID: 4183168446 Enrollment ID: I20240627004263 |
| Provider Name | Aadit Patel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1699161083 PECOS PAC ID: 3476897901 Enrollment ID: I20240628000690 |
| Provider Name | Kristin a Signater |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699271866 PECOS PAC ID: 5698178507 Enrollment ID: I20240628001620 |
| Provider Name | Emily Wells |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609618289 PECOS PAC ID: 9234673237 Enrollment ID: I20240702000390 |
| Provider Name | Edward C Burkhardt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518499904 PECOS PAC ID: 8729353370 Enrollment ID: I20240813003753 |
| Provider Name | Anupama Menon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194815670 PECOS PAC ID: 8820992951 Enrollment ID: I20240830001824 |
| Provider Name | Dayana Brillith Frazer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982453254 PECOS PAC ID: 4486193646 Enrollment ID: I20240831000377 |
| Provider Name | Gowri Gokul |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538490362 PECOS PAC ID: 9931385747 Enrollment ID: I20240909004665 |
| Provider Name | Phillip James Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316778087 PECOS PAC ID: 0446781561 Enrollment ID: I20241001000536 |
| Provider Name | John Wuthrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407383417 PECOS PAC ID: 7315363561 Enrollment ID: I20241007001938 |
| Provider Name | Gonzalo Ausqui |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891148524 PECOS PAC ID: 4385937218 Enrollment ID: I20241009000744 |
| Provider Name | Madison Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982441374 PECOS PAC ID: 8325570294 Enrollment ID: I20241016003108 |
| Provider Name | Kayla Magee Bryson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114614922 PECOS PAC ID: 7618401076 Enrollment ID: I20241108000105 |
| Provider Name | Samuel Hickey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205835717 PECOS PAC ID: 9830624139 Enrollment ID: I20241122003727 |
| Provider Name | Nicole R Hutson Simone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710006481 PECOS PAC ID: 3274068382 Enrollment ID: I20241126004311 |
| Provider Name | Kimberly Simoneaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811930951 PECOS PAC ID: 7315473881 Enrollment ID: I20241206001725 |
| Provider Name | Elizabeth Hazard Fritz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275750812 PECOS PAC ID: 1658807623 Enrollment ID: I20241213001798 |
| Provider Name | Melissa Schillage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760660682 PECOS PAC ID: 7618403692 Enrollment ID: I20241213002531 |
| Provider Name | Kim Gatlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841988458 PECOS PAC ID: 9739543539 Enrollment ID: I20241217002558 |
| Provider Name | Lesley Schaff Palisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942573373 PECOS PAC ID: 4486181815 Enrollment ID: I20241226001402 |
| Provider Name | Victoria Dickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841056074 PECOS PAC ID: 8325575624 Enrollment ID: I20241227001532 |
| Provider Name | Jessica Hale Verburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871697094 PECOS PAC ID: 6901333004 Enrollment ID: I20250102000365 |
| Provider Name | Sarah Allen Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821658097 PECOS PAC ID: 1254868250 Enrollment ID: I20250102000479 |
| Provider Name | Kathryn Anne Gary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184492290 PECOS PAC ID: 3274053848 Enrollment ID: I20250226001300 |
| Provider Name | Robert Derenbecker |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1962933796 PECOS PAC ID: 2264709039 Enrollment ID: I20250522000542 |
| Provider Name | Tyler Scott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053872812 PECOS PAC ID: 8224362371 Enrollment ID: I20250616000649 |
| Provider Name | Jenna Anzalone Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922890441 PECOS PAC ID: 8628589348 Enrollment ID: I20250618002143 |
| Provider Name | John Rhodes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982344875 PECOS PAC ID: 5698130607 Enrollment ID: I20250625002715 |
| Provider Name | Celine Jeha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619700853 PECOS PAC ID: 9638679863 Enrollment ID: I20250822001399 |
| Provider Name | Michelle Emery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376934695 PECOS PAC ID: 4688178536 Enrollment ID: I20250916000468 |
| Provider Name | Megan Tassin Baldassaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689542797 PECOS PAC ID: 1456845239 Enrollment ID: I20251209003677 |
| Provider Name | Erik Rasmussen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376868158 PECOS PAC ID: 4183950157 Enrollment ID: I20251211000148 |
| Provider Name | Stephen Garrett Whipple-bones |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386148120 PECOS PAC ID: 2163916495 Enrollment ID: I20251212003411 |
| Provider Name | Danielle Terrell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396236253 PECOS PAC ID: 9436644812 Enrollment ID: I20251223001900 |
| Provider Name | Irene Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831432137 PECOS PAC ID: 7113151648 Enrollment ID: I20251226000913 |
| Provider Name | Joel Roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790573947 PECOS PAC ID: 3274019880 Enrollment ID: I20260114001384 |
| Provider Name | Lauren Kraft |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811844582 PECOS PAC ID: 8729562061 Enrollment ID: I20260324003655 |
| Provider Name | Tracy Brazan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194247189 PECOS PAC ID: 0345715249 Enrollment ID: I20260408002529 |
| Provider Name | Cody Mcneil |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538096763 PECOS PAC ID: 1153892492 Enrollment ID: I20260608001149 |
| Provider Name | Blake Dalferes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023907888 PECOS PAC ID: 0749751972 Enrollment ID: I20260608004244 |
| Provider Name | Jack William Ploen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922886258 PECOS PAC ID: 3375015423 Enrollment ID: I20260618004469 |
Internal Medicine of Hammond, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 W Thomas St, Hammond, LA 70401 Phone: 985-230-4466 |
Total Healthcare Associates LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15825 Professional Plz, Suite C, Hammond, LA 70403 Phone: 985-662-5776 Fax: 985-662-5718 |
Accessible Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 J W Davis Dr Ste 102, Hammond, LA 70403 Phone: 985-956-7370 Fax: 985-956-7371 |
Woodland Park Magnet Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 S Range Rd, Hammond, LA 70403 Phone: 225-683-5292 Fax: 225-683-1310 |
Grace Family Clinic, L.L.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 1/2 White St, Hammond, LA 70403 Phone: 281-208-2220 Fax: 281-208-2225 |
Natalbany Middle Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 47370 N Morrison Blvd, Hammond, LA 70401 Phone: 225-683-5292 Fax: 225-683-1310 |