| LSU Healthcare Network - Kenner | |
|
200 W Esplanade Ave Kenner LA 70065-2489 | |
| (504) 464-2940 | |
| Not Available |
| Full Name | LSU Healthcare Network - Kenner |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 W Esplanade Ave, Kenner, Louisiana |
| Authorized Official Name and Position | Atara Mcavoy (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5044121819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| LSU Healthcare Network - Kenner 478 S Johnson St Fl 6 New Orleans LA 70112-2238 | LSU Healthcare Network - Kenner 200 W Esplanade Ave Kenner LA 70065-2489 Ph: (504) 464-2940 |
| NPI Number | 1285285510 |
|---|---|
| Provider Enumeration Date | 09/27/2019 |
| Last Update Date | 12/04/2024 |
| Certification Date | 12/04/2024 |
| Medicare PECOS PAC ID | 7911334503 |
|---|---|
| Medicare Enrollment ID | O20200220000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285285510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Daniel K Jens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508814203 PECOS PAC ID: 6305810714 Enrollment ID: I20040823000377 |
| Provider Name | Ernest James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568438745 PECOS PAC ID: 4486618295 Enrollment ID: I20041112000005 |
| Provider Name | Ronald J Gagne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588914436 PECOS PAC ID: 2062470867 Enrollment ID: I20041227000662 |
| Provider Name | Najy N Masri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083642128 PECOS PAC ID: 0446267991 Enrollment ID: I20060308000815 |
| Provider Name | Sanjay Kamboj |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1487676243 PECOS PAC ID: 7618070608 Enrollment ID: I20070312000608 |
| Provider Name | Kristi a Boudreaux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447466941 PECOS PAC ID: 8224129317 Enrollment ID: I20070803000086 |
| Provider Name | Pamela M Wiseman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699860411 PECOS PAC ID: 0648304519 Enrollment ID: I20100813000451 |
| Provider Name | James S Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700950870 PECOS PAC ID: 7012032808 Enrollment ID: I20100916001048 |
| Provider Name | Ross E Mccarron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245471226 PECOS PAC ID: 1557524527 Enrollment ID: I20120601000003 |
| Provider Name | Houston Gordon Bonnyman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215222765 PECOS PAC ID: 5991098451 Enrollment ID: I20160721002231 |
| Provider Name | Kyle L Morse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396195889 PECOS PAC ID: 0244518256 Enrollment ID: I20161026001528 |
| Provider Name | Madeline E Cozad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003298456 PECOS PAC ID: 4284910712 Enrollment ID: I20181203002677 |
| Provider Name | Jolie M Leblanc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295147163 PECOS PAC ID: 0345586889 Enrollment ID: I20190104000455 |
| Provider Name | Lindsay M Liles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093219560 PECOS PAC ID: 8022364355 Enrollment ID: I20210719001525 |
| Provider Name | Daniel Keith Holmes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790312940 PECOS PAC ID: 8628490034 Enrollment ID: I20230509001265 |
| Provider Name | Allison Marie Pinner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447888565 PECOS PAC ID: 7810318276 Enrollment ID: I20230524002284 |
| Provider Name | Nora E Lamartine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922427624 PECOS PAC ID: 6901022243 Enrollment ID: I20251030003836 |
Fast Cure Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 Williams Blvd, Suite A, Kenner, LA 70062 Phone: 504-467-1937 Fax: 504-467-1938 |
Healing Doctors Wellness Center LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1909 34th St, Kenner, LA 70065 Phone: 504-352-2802 |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 671 W Esplanade Ave, Kenner, LA 70065 Phone: 504-575-3712 Fax: 504-575-3691 |
Bonnabel Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Bruin Drive, Kenner, LA 70065 Phone: 504-303-6676 Fax: 504-303-6680 |
Health Guard Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Williams Blvd, Suite K, Kenner, LA 70062 Phone: 504-466-9386 Fax: 504-466-9312 |
Kenner Chc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 819 W Esplanade Ave Ste B, Kenner, LA 70065 Phone: 504-575-3712 Fax: 504-575-3691 |