| St Francis Medical Group LLC | |
|
312 Grammont St Ste 411 Monroe LA 71201-7403 | |
| (318) 966-6480 | |
| (318) 966-6481 |
| Full Name | St Francis Medical Group LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 312 Grammont St Ste 411, Monroe, Louisiana |
| Authorized Official Name and Position | Ronald E Hogan (SR. VICE PRESIDENT & CFO) |
| Authorized Official Contact | 3189667359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Francis Medical Group LLC 309 Jackson St Monroe LA 71201-7407 Ph: (318) 966-4000 | St Francis Medical Group LLC 312 Grammont St Ste 411 Monroe LA 71201-7403 Ph: (318) 966-6480 |
| NPI Number | 1134405087 |
|---|---|
| Provider Enumeration Date | 10/24/2011 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 5092970624 |
|---|---|
| Medicare Enrollment ID | O20120706000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134405087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 157 (Louisiana) | Primary |
| Provider Name | Richard D Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053350009 PECOS PAC ID: 5597661710 Enrollment ID: I20031209000744 |
| Provider Name | Danny R Ryals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144315961 PECOS PAC ID: 3971496084 Enrollment ID: I20040203001004 |
| Provider Name | Jen B Avis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801881115 PECOS PAC ID: 7911891247 Enrollment ID: I20040209001034 |
| Provider Name | Sharon K Joiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578508487 PECOS PAC ID: 6002702792 Enrollment ID: I20040227000785 |
| Provider Name | Paula M Wallace |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689698490 PECOS PAC ID: 9032006465 Enrollment ID: I20040301001266 |
| Provider Name | Bernie G Mchugh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699797571 PECOS PAC ID: 5890682587 Enrollment ID: I20040302000559 |
| Provider Name | Tracie M Bellanger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164454849 PECOS PAC ID: 8820985773 Enrollment ID: I20040303001328 |
| Provider Name | Michael S Conners III |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154386712 PECOS PAC ID: 7911991427 Enrollment ID: I20040408000915 |
| Provider Name | Coy W Gammage |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871590711 PECOS PAC ID: 3173511474 Enrollment ID: I20040505000323 |
| Provider Name | Benjamin Barry Weinberger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174520092 PECOS PAC ID: 3375531536 Enrollment ID: I20040505000779 |
| Provider Name | Scott M Barron |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316944259 PECOS PAC ID: 3274521463 Enrollment ID: I20040505001013 |
| Provider Name | Alyce R Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700806767 PECOS PAC ID: 9032190392 Enrollment ID: I20040525000373 |
| Provider Name | Rezaul Islam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841237286 PECOS PAC ID: 1557343860 Enrollment ID: I20040602000077 |
| Provider Name | Deborah S Blanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073502191 PECOS PAC ID: 1052396751 Enrollment ID: I20040618000478 |
| Provider Name | Nicole M Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083742993 PECOS PAC ID: 1052391422 Enrollment ID: I20040726000172 |
| Provider Name | James Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023007812 PECOS PAC ID: 9830162494 Enrollment ID: I20040813000107 |
| Provider Name | Aristotel Pena-miches |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326175829 PECOS PAC ID: 8224001631 Enrollment ID: I20040814000072 |
| Provider Name | Gregory C Sampognaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467546168 PECOS PAC ID: 9931173168 Enrollment ID: I20041101000982 |
| Provider Name | Chris J Dement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699750422 PECOS PAC ID: 6103888953 Enrollment ID: I20041103000312 |
| Provider Name | Ronald Fredrick Hammett |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295746634 PECOS PAC ID: 2062476963 Enrollment ID: I20041118001025 |
| Provider Name | Thomas J Gullatt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154487627 PECOS PAC ID: 1557327921 Enrollment ID: I20041207000939 |
| Provider Name | John D Bruchhaus |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144219031 PECOS PAC ID: 2365400553 Enrollment ID: I20041220000789 |
| Provider Name | Anderson C Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457383739 PECOS PAC ID: 0547217275 Enrollment ID: I20050405001066 |
| Provider Name | Richard C Kamm |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295835684 PECOS PAC ID: 3173554409 Enrollment ID: I20050826000384 |
| Provider Name | Carrie G Genusa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710928643 PECOS PAC ID: 8628081510 Enrollment ID: I20060718000365 |
| Provider Name | Ronald a Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609922251 PECOS PAC ID: 3870696362 Enrollment ID: I20070322000036 |
| Provider Name | Michael Sampognaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194752865 PECOS PAC ID: 1951492180 Enrollment ID: I20070802000311 |
| Provider Name | Amber M Shemwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104958347 PECOS PAC ID: 3274628318 Enrollment ID: I20080625000407 |
| Provider Name | Frank Sartor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437161171 PECOS PAC ID: 6406937127 Enrollment ID: I20080717000350 |
| Provider Name | Phillip L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922261551 PECOS PAC ID: 4587738273 Enrollment ID: I20080729000515 |
| Provider Name | Cory J Boudreaux |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790940096 PECOS PAC ID: 1254408669 Enrollment ID: I20080927000014 |
| Provider Name | Courtney M Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497901805 PECOS PAC ID: 5294802427 Enrollment ID: I20080930000174 |
| Provider Name | Carol Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942456603 PECOS PAC ID: 7416018510 Enrollment ID: I20081208000620 |
| Provider Name | Mark F Dollar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508824970 PECOS PAC ID: 1254493182 Enrollment ID: I20081230000551 |
| Provider Name | Raja S Pathapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083669501 PECOS PAC ID: 3779522081 Enrollment ID: I20090114000087 |
| Provider Name | Kami W Wiedeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710974969 PECOS PAC ID: 3476610650 Enrollment ID: I20090316000662 |
| Provider Name | Edgar L Feinberg |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1851311195 PECOS PAC ID: 6204733751 Enrollment ID: I20090421000458 |
| Provider Name | Richard M Dearman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942220280 PECOS PAC ID: 8123114584 Enrollment ID: I20090520000253 |
| Provider Name | April T Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861630865 PECOS PAC ID: 3779634233 Enrollment ID: I20090624000330 |
| Provider Name | Rolf D Morstead |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053308163 PECOS PAC ID: 1658414461 Enrollment ID: I20100202000519 |
| Provider Name | Mark L Kantrow |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1093716920 PECOS PAC ID: 1658416656 Enrollment ID: I20100302000436 |
| Provider Name | Marcia Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063639177 PECOS PAC ID: 9032254552 Enrollment ID: I20100308000601 |
| Provider Name | Robert Luis Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548226418 PECOS PAC ID: 2769453679 Enrollment ID: I20100616000227 |
| Provider Name | Robert David Halsell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134155500 PECOS PAC ID: 7012945264 Enrollment ID: I20100914000705 |
| Provider Name | Jesse M Lapietra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134155633 PECOS PAC ID: 0749218998 Enrollment ID: I20100927001275 |
| Provider Name | Dawn Pennebaker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447253745 PECOS PAC ID: 4981667524 Enrollment ID: I20101025001419 |
| Provider Name | Jason Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235132531 PECOS PAC ID: 3072669928 Enrollment ID: I20101026000218 |
| Provider Name | Gregory R Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093737819 PECOS PAC ID: 7911192356 Enrollment ID: I20101207000382 |
| Provider Name | Paul Michael Davis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538123534 PECOS PAC ID: 9436347465 Enrollment ID: I20101217000295 |
| Provider Name | Christopher B Bamburg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780994277 PECOS PAC ID: 6901086362 Enrollment ID: I20110202000680 |
| Provider Name | Raman Saharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801081245 PECOS PAC ID: 1254421563 Enrollment ID: I20110308000939 |
| Provider Name | Sara Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427269703 PECOS PAC ID: 7911185889 Enrollment ID: I20110623000306 |
| Provider Name | James B Gardner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487824637 PECOS PAC ID: 7416125042 Enrollment ID: I20110726000105 |
| Provider Name | Lyndsay J Mixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720373665 PECOS PAC ID: 1951570662 Enrollment ID: I20110815000840 |
| Provider Name | Clyde E Elliott |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1326058918 PECOS PAC ID: 7618140997 Enrollment ID: I20111102000097 |
| Provider Name | Tejal Jetha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134384613 PECOS PAC ID: 8921272758 Enrollment ID: I20111114000248 |
| Provider Name | Alecia C Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538354733 PECOS PAC ID: 5799950804 Enrollment ID: I20111219000185 |
| Provider Name | Hannah H Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427335249 PECOS PAC ID: 3274792767 Enrollment ID: I20120301000589 |
| Provider Name | Lisa M Faulkenbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518254713 PECOS PAC ID: 6406014166 Enrollment ID: I20120306000734 |
| Provider Name | Janice L Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003857236 PECOS PAC ID: 7113952086 Enrollment ID: I20120320000675 |
| Provider Name | Bonita H Dyess |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902899602 PECOS PAC ID: 7810151396 Enrollment ID: I20120613000309 |
| Provider Name | Nancy L Zukowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154314854 PECOS PAC ID: 0840455226 Enrollment ID: I20120710000494 |
| Provider Name | Stephanie N Aldret |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083845036 PECOS PAC ID: 3375680481 Enrollment ID: I20120724000055 |
| Provider Name | Trenton D Bratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831444843 PECOS PAC ID: 3072762947 Enrollment ID: I20121009000705 |
| Provider Name | Deanna Roark Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215282215 PECOS PAC ID: 6002066677 Enrollment ID: I20121017000794 |
| Provider Name | Dustin Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124377049 PECOS PAC ID: 9931350675 Enrollment ID: I20121106000536 |
| Provider Name | Michael Barnidge |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659529469 PECOS PAC ID: 4082859889 Enrollment ID: I20130620000441 |
| Provider Name | Emma R Loyless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114363967 PECOS PAC ID: 3274774492 Enrollment ID: I20130730000615 |
| Provider Name | Marshall a Cain |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831373117 PECOS PAC ID: 6305089764 Enrollment ID: I20130906000016 |
| Provider Name | Stacy D Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720367501 PECOS PAC ID: 2567606577 Enrollment ID: I20130912000684 |
| Provider Name | Jarmon C Comeaux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578721478 PECOS PAC ID: 7214165950 Enrollment ID: I20140102000453 |
| Provider Name | Jennifer L Hebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174849269 PECOS PAC ID: 2860633120 Enrollment ID: I20140417001489 |
| Provider Name | Erlinda D Jara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265866099 PECOS PAC ID: 2769602572 Enrollment ID: I20140930000476 |
| Provider Name | Tommy Glenn Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952693830 PECOS PAC ID: 2961624796 Enrollment ID: I20141112000513 |
| Provider Name | Michelle Blake |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1386872323 PECOS PAC ID: 5991029589 Enrollment ID: I20150202000290 |
| Provider Name | Heather C Grayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679981294 PECOS PAC ID: 0547585531 Enrollment ID: I20150216000733 |
| Provider Name | Lynne M Talley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720419203 PECOS PAC ID: 2769708312 Enrollment ID: I20150226000885 |
| Provider Name | Amy S Pruden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164771473 PECOS PAC ID: 8022336882 Enrollment ID: I20150408000821 |
| Provider Name | Sandra Kay Browder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205253861 PECOS PAC ID: 6709107949 Enrollment ID: I20150601000379 |
| Provider Name | Tanasha Porter Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619358314 PECOS PAC ID: 2466766670 Enrollment ID: I20150731016684 |
| Provider Name | Jeffrey M Hilbun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144547001 PECOS PAC ID: 3779899182 Enrollment ID: I20150831002498 |
| Provider Name | Nayana Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003297045 PECOS PAC ID: 6305152497 Enrollment ID: I20150903002689 |
| Provider Name | Billy G Branch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780975565 PECOS PAC ID: 4082921127 Enrollment ID: I20150922001293 |
| Provider Name | Amber Harris Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871975847 PECOS PAC ID: 7416267273 Enrollment ID: I20151105002783 |
| Provider Name | Michael Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760746515 PECOS PAC ID: 7214237015 Enrollment ID: I20151201000803 |
| Provider Name | Dana M Putman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922330208 PECOS PAC ID: 8527360767 Enrollment ID: I20160106000166 |
| Provider Name | Nickie Mcwilliams Spillers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437514668 PECOS PAC ID: 1153626643 Enrollment ID: I20160222000735 |
| Provider Name | Asghar Zamin Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366635104 PECOS PAC ID: 8224118583 Enrollment ID: I20160422000633 |
| Provider Name | Danielle G Raley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194169466 PECOS PAC ID: 8729383138 Enrollment ID: I20160523000199 |
| Provider Name | Cynthia S Pippins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184073538 PECOS PAC ID: 4183910151 Enrollment ID: I20160831001916 |
| Provider Name | Muhammad S Rawala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194166504 PECOS PAC ID: 6204078389 Enrollment ID: I20161024002371 |
| Provider Name | Matthew C Raley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235573361 PECOS PAC ID: 7113226234 Enrollment ID: I20170103001136 |
| Provider Name | Katie Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801340351 PECOS PAC ID: 6507140241 Enrollment ID: I20170224001611 |
| Provider Name | Benjamin Morehead |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124447719 PECOS PAC ID: 5496033565 Enrollment ID: I20170724003395 |
| Provider Name | Paul G Murphy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578822557 PECOS PAC ID: 8426328386 Enrollment ID: I20170725004244 |
| Provider Name | Aimee Denise Oldham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225074719 PECOS PAC ID: 4284723719 Enrollment ID: I20170816003603 |
| Provider Name | Landry Charmayne Bagwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356862858 PECOS PAC ID: 4284906702 Enrollment ID: I20170817004239 |
| Provider Name | Joy Curry Lockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578089751 PECOS PAC ID: 6002182821 Enrollment ID: I20171024000498 |
| Provider Name | Matthew D Mcguffee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407348352 PECOS PAC ID: 2264789080 Enrollment ID: I20180724003024 |
| Provider Name | Thomas Ross Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972895282 PECOS PAC ID: 2567766702 Enrollment ID: I20180725001256 |
| Provider Name | Sarah Aftab Ahmad |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053625418 PECOS PAC ID: 2365740859 Enrollment ID: I20180906002560 |
| Provider Name | Neha Jaswal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295116523 PECOS PAC ID: 8628312717 Enrollment ID: I20181129003215 |
| Provider Name | John Bradley Clifton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427515915 PECOS PAC ID: 5991044810 Enrollment ID: I20190311001725 |
| Provider Name | Mary Kathryn Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174096853 PECOS PAC ID: 1557602604 Enrollment ID: I20190418000324 |
| Provider Name | Ken Lawrence Gremillion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649833583 PECOS PAC ID: 7719220698 Enrollment ID: I20190516000252 |
| Provider Name | Nicholas C Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003473695 PECOS PAC ID: 5799010849 Enrollment ID: I20190711000510 |
| Provider Name | Steffani Mckinely Chance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396202628 PECOS PAC ID: 9537496526 Enrollment ID: I20190814001431 |
| Provider Name | Jill E. Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265735757 PECOS PAC ID: 5799933990 Enrollment ID: I20190826001512 |
| Provider Name | Aditya Rander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760834675 PECOS PAC ID: 1658667985 Enrollment ID: I20191004000423 |
| Provider Name | James Obinna Onyirimba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720475783 PECOS PAC ID: 3971834888 Enrollment ID: I20191008000585 |
| Provider Name | Shomari Jamal Olden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356791131 PECOS PAC ID: 3274828975 Enrollment ID: I20191010001105 |
| Provider Name | Ayn Jhasferee Morato |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356793970 PECOS PAC ID: 0042504904 Enrollment ID: I20191101000506 |
| Provider Name | Allyn Resch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841452661 PECOS PAC ID: 2163659293 Enrollment ID: I20191114000711 |
| Provider Name | Edmond Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912285446 PECOS PAC ID: 1951541754 Enrollment ID: I20191203001072 |
| Provider Name | Navin Ramlal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306228903 PECOS PAC ID: 4183934243 Enrollment ID: I20200205000230 |
| Provider Name | Eli Azzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770548786 PECOS PAC ID: 9032107602 Enrollment ID: I20200211002220 |
| Provider Name | Dianna F Pitre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134751126 PECOS PAC ID: 9133557408 Enrollment ID: I20200319002504 |
| Provider Name | James Roath Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295350189 PECOS PAC ID: 3173946423 Enrollment ID: I20200706002237 |
| Provider Name | Morgan L Batten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982228094 PECOS PAC ID: 8325463532 Enrollment ID: I20200805001789 |
| Provider Name | Anam Shahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518489749 PECOS PAC ID: 1456778463 Enrollment ID: I20200903003406 |
| Provider Name | Trisandhya Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285156760 PECOS PAC ID: 6901146612 Enrollment ID: I20200911001219 |
| Provider Name | Kate M Rugg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699387407 PECOS PAC ID: 9335567973 Enrollment ID: I20200915001045 |
| Provider Name | Harikrishna Bandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104336460 PECOS PAC ID: 8325467913 Enrollment ID: I20201001000240 |
| Provider Name | Varun Chauhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649880972 PECOS PAC ID: 5890105720 Enrollment ID: I20201105000160 |
| Provider Name | Jorge Martinez Bencosme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932650447 PECOS PAC ID: 8426384827 Enrollment ID: I20201210001350 |
| Provider Name | Nauman Khalid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821336405 PECOS PAC ID: 6800114976 Enrollment ID: I20201210002086 |
| Provider Name | Ashley N Tolliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831787233 PECOS PAC ID: 5193139814 Enrollment ID: I20210120002373 |
| Provider Name | Resham Raj Poudel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942650080 PECOS PAC ID: 8325452279 Enrollment ID: I20210204000886 |
| Provider Name | Sondra Jeness Rasbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689256612 PECOS PAC ID: 8426457961 Enrollment ID: I20210603000337 |
| Provider Name | Simone Trahan Mcmillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134796584 PECOS PAC ID: 5698177079 Enrollment ID: I20210707002989 |
| Provider Name | David V Tran |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093247892 PECOS PAC ID: 7517230758 Enrollment ID: I20210721001677 |
| Provider Name | Harry Hawthorne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245734813 PECOS PAC ID: 8022368836 Enrollment ID: I20210802000738 |
| Provider Name | Arjun Ghodasara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457771669 PECOS PAC ID: 4385912013 Enrollment ID: I20210806002009 |
| Provider Name | Bruno Zavala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306227558 PECOS PAC ID: 6103222948 Enrollment ID: I20210902002171 |
| Provider Name | Danielle Gooden Gullette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821764440 PECOS PAC ID: 2668878869 Enrollment ID: I20210914002434 |
| Provider Name | Bonas Dahal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417446782 PECOS PAC ID: 5193122430 Enrollment ID: I20210929000541 |
| Provider Name | Prakash Bahadur Chand |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700375706 PECOS PAC ID: 8729486055 Enrollment ID: I20211018000565 |
| Provider Name | Sara Doreen Grandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861986051 PECOS PAC ID: 2769731983 Enrollment ID: I20211018000967 |
| Provider Name | Muhammad Humayun H Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245724459 PECOS PAC ID: 0547658742 Enrollment ID: I20211020001603 |
| Provider Name | Jasmine N Ledet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275206906 PECOS PAC ID: 8820486400 Enrollment ID: I20211101002401 |
| Provider Name | Mariana Christina Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174297014 PECOS PAC ID: 9234520073 Enrollment ID: I20220105000694 |
| Provider Name | Chukwudumebi S Okafor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932631579 PECOS PAC ID: 0446677553 Enrollment ID: I20220616001341 |
| Provider Name | Alexis Victoria Guice Albin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376033118 PECOS PAC ID: 0749669570 Enrollment ID: I20220624000109 |
| Provider Name | Ronni Rebekah Naramore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437644564 PECOS PAC ID: 8729480603 Enrollment ID: I20220824002093 |
| Provider Name | Matthew R Abate |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376801548 PECOS PAC ID: 4981921244 Enrollment ID: I20220907001205 |
| Provider Name | Gulrez Mahmood |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982014213 PECOS PAC ID: 2961717129 Enrollment ID: I20220907004022 |
| Provider Name | Rehan Ahmed Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154843449 PECOS PAC ID: 1951633593 Enrollment ID: I20220908001805 |
| Provider Name | Bikash Poudel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194378125 PECOS PAC ID: 7911237151 Enrollment ID: I20220908002391 |
| Provider Name | Nidhi Batra |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093245904 PECOS PAC ID: 9537544218 Enrollment ID: I20220915003326 |
| Provider Name | Aashish Mainali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215599253 PECOS PAC ID: 1153650064 Enrollment ID: I20220921003616 |
| Provider Name | Hunter Johnson Harrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205218393 PECOS PAC ID: 9931456456 Enrollment ID: I20221010001855 |
| Provider Name | Kathryn Sharbono Stansbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841851862 PECOS PAC ID: 5193057487 Enrollment ID: I20221012003439 |
| Provider Name | Jose Gregorio Matos Urena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457913477 PECOS PAC ID: 5395111546 Enrollment ID: I20221013001369 |
| Provider Name | Megan Petty Gimber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114648268 PECOS PAC ID: 7618344763 Enrollment ID: I20221103000230 |
| Provider Name | Richard Matthew Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396007324 PECOS PAC ID: 3779700794 Enrollment ID: I20221129000113 |
| Provider Name | Pamraj Sharma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295229045 PECOS PAC ID: 8921356676 Enrollment ID: I20230131003120 |
| Provider Name | David Gloss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821278912 PECOS PAC ID: 6204967359 Enrollment ID: I20230208000343 |
| Provider Name | Rizwan Sadiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447365887 PECOS PAC ID: 5597764662 Enrollment ID: I20230324000705 |
| Provider Name | Joaquin Patricio Rosales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982627998 PECOS PAC ID: 2961877063 Enrollment ID: I20230403001344 |
| Provider Name | Janelle W Brower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831851690 PECOS PAC ID: 6709241847 Enrollment ID: I20230425002444 |
| Provider Name | Lance Tyler Albin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215434360 PECOS PAC ID: 3375889926 Enrollment ID: I20230605002024 |
| Provider Name | Hassan Ahmed Cheema |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659758084 PECOS PAC ID: 5991080731 Enrollment ID: I20230630002426 |
| Provider Name | Danielle Deel Traweek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083398242 PECOS PAC ID: 8123488731 Enrollment ID: I20230714000398 |
| Provider Name | Edward C Pierce |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730700550 PECOS PAC ID: 4880056464 Enrollment ID: I20230814002756 |
| Provider Name | Imran Ali Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255782405 PECOS PAC ID: 6507283215 Enrollment ID: I20230918001296 |
| Provider Name | Virginia Douglas Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386324895 PECOS PAC ID: 9931555885 Enrollment ID: I20231027003419 |
| Provider Name | Tresa Nesbitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609154483 PECOS PAC ID: 9638499817 Enrollment ID: I20231109000754 |
| Provider Name | Ranese Jeffery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700440997 PECOS PAC ID: 3779910906 Enrollment ID: I20231228000592 |
| Provider Name | Chidinma Joy Anyiwo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700349693 PECOS PAC ID: 9436576303 Enrollment ID: I20240321000693 |
| Provider Name | Kamran Shafi Mohammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770088106 PECOS PAC ID: 5991057861 Enrollment ID: I20240411003028 |
| Provider Name | Samantha Jean |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023438512 PECOS PAC ID: 1153543160 Enrollment ID: I20240423000873 |
| Provider Name | Adrian Ryan Bennett |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477086239 PECOS PAC ID: 4880004977 Enrollment ID: I20240607003584 |
| Provider Name | Marlena Renee Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437739778 PECOS PAC ID: 3779026133 Enrollment ID: I20240613004127 |
| Provider Name | Brooke Nichole Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730736208 PECOS PAC ID: 1355885542 Enrollment ID: I20240628001121 |
| Provider Name | Logan Renee Brown Roka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639791676 PECOS PAC ID: 1456895275 Enrollment ID: I20240703000664 |
| Provider Name | Ginger Ann Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013745405 PECOS PAC ID: 3870030778 Enrollment ID: I20240808002021 |
| Provider Name | Heather Nicole Deshazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629807854 PECOS PAC ID: 4385182765 Enrollment ID: I20240815004609 |
| Provider Name | Amr Aly Ahmed El-aawar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780065599 PECOS PAC ID: 2668723875 Enrollment ID: I20240820001460 |
| Provider Name | Jonathan R Walker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992332613 PECOS PAC ID: 3274955240 Enrollment ID: I20240821004867 |
| Provider Name | Andrew Joseph Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033606058 PECOS PAC ID: 4688922164 Enrollment ID: I20240823001524 |
| Provider Name | Rebecca Ann Vickery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497599351 PECOS PAC ID: 5294275350 Enrollment ID: I20240904003576 |
| Provider Name | Bethani Alise Saterfiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669200176 PECOS PAC ID: 5991246027 Enrollment ID: I20240917002130 |
| Provider Name | Thomas Rick Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790313906 PECOS PAC ID: 5496179764 Enrollment ID: I20241002003167 |
| Provider Name | Tista Thapa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396323366 PECOS PAC ID: 5294144556 Enrollment ID: I20241029000756 |
| Provider Name | Francis Thomas Wiser |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154653418 PECOS PAC ID: 9032247283 Enrollment ID: I20241114000822 |
| Provider Name | Amanda Lea Marshall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518195346 PECOS PAC ID: 4183874308 Enrollment ID: I20241115000141 |
| Provider Name | Chidozie H Odigwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447611579 PECOS PAC ID: 6507157856 Enrollment ID: I20241220002491 |
| Provider Name | Jaclyn Biondini Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912637034 PECOS PAC ID: 4284161704 Enrollment ID: I20241223001965 |
| Provider Name | Obioma Ilouga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922591700 PECOS PAC ID: 9234480682 Enrollment ID: I20250116003438 |
| Provider Name | Brittany Kirshon Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821383431 PECOS PAC ID: 7113149030 Enrollment ID: I20250207001745 |
| Provider Name | Shaista Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770681405 PECOS PAC ID: 1759388622 Enrollment ID: I20250415002980 |
| Provider Name | Dwayne Anthonio Wiltshire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487372801 PECOS PAC ID: 7315322773 Enrollment ID: I20250605004057 |
| Provider Name | Logan Hilton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649859935 PECOS PAC ID: 2062817414 Enrollment ID: I20250627001033 |
| Provider Name | Mazen Javed Iqbal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720502735 PECOS PAC ID: 4688099187 Enrollment ID: I20250630004360 |
| Provider Name | Nicholas King |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861438996 PECOS PAC ID: 0244243376 Enrollment ID: I20250717000567 |
| Provider Name | Ashish Guragain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558090837 PECOS PAC ID: 1658879861 Enrollment ID: I20250807002331 |
| Provider Name | Gajendra Chaudhary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487387916 PECOS PAC ID: 3173022324 Enrollment ID: I20250815001899 |
| Provider Name | Amrit Devkota |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730825928 PECOS PAC ID: 4385085299 Enrollment ID: I20250825004249 |
| Provider Name | Christopher Chevaro Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487374492 PECOS PAC ID: 9931601812 Enrollment ID: I20250909001102 |
| Provider Name | Anna Bailey Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023697695 PECOS PAC ID: 9032510490 Enrollment ID: I20250910003228 |
| Provider Name | M Muzzamil Yasin Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386388015 PECOS PAC ID: 0446756548 Enrollment ID: I20250929001643 |
| Provider Name | Blessing Eze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093450512 PECOS PAC ID: 7911403266 Enrollment ID: I20251004000117 |
| Provider Name | Clint Vaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639826571 PECOS PAC ID: 1951808195 Enrollment ID: I20251006004004 |
| Provider Name | Sanjeev Mahat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902544935 PECOS PAC ID: 6901399500 Enrollment ID: I20251202003776 |
| Provider Name | William F. House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518347855 PECOS PAC ID: 8628325834 Enrollment ID: I20251212003665 |
| Provider Name | Sally Horne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215040381 PECOS PAC ID: 5395723605 Enrollment ID: I20251219003925 |
| Provider Name | Katianne Pelley Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588559231 PECOS PAC ID: 0446737464 Enrollment ID: I20260121003573 |
| Provider Name | Suzanne Troup Duncan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285843185 PECOS PAC ID: 3274683164 Enrollment ID: I20260215000069 |
| Provider Name | Ekokobe Fonkem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538359534 PECOS PAC ID: 2062678295 Enrollment ID: I20260429001667 |
| Provider Name | Idar Eric Rommen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124049259 PECOS PAC ID: 3870676596 Enrollment ID: I20260506003706 |
| Provider Name | Marilyn Kline |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629027586 PECOS PAC ID: 8325050933 Enrollment ID: I20260514001190 |
| Provider Name | Suhail Istanbouly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407893886 PECOS PAC ID: 3870572100 Enrollment ID: I20260515000728 |
Affinity Central Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Rd, Suite C, Monroe, LA 71201 Phone: 318-812-7050 Fax: 318-812-7053 |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 |
South Ouachita Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4310 S Grand St Ste 1, Monroe, LA 71202 Phone: 318-746-0420 Fax: 318-752-1940 |
Phsc Desiard Street Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2913 Desiard St, Monroe, LA 71201 Phone: 318-651-9914 Fax: 318-410-0688 |
David L. Barnes, MD, APMC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 |
J Dean Stockstill MD, a Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 |