| Woman's Specialty Clinic | |
| 
					500 Rue De La Vie St Suite 515 Baton Rouge LA 70817-5127  | |
| (225) 924-8550 | |
| (225) 924-8647 | 
| Full Name | Woman's Specialty Clinic | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 500 Rue De La Vie St, Baton Rouge, Louisiana | 
| Authorized Official Name and Position | Teri G Fontenot (CEO AND PRESIDENT) | 
| Authorized Official Contact | 2259271300 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Woman's Specialty Clinic 500 Rue De La Vie St Ste 311 Baton Rouge LA 70817-5128 Ph: (225) 924-8550  | Woman's Specialty Clinic 500 Rue De La Vie St Suite 515 Baton Rouge LA 70817-5127 Ph: (225) 924-8550  | 
| NPI Number | 1366483315 | 
|---|---|
| Provider Enumeration Date | 06/09/2006 | 
| Last Update Date | 08/19/2022 | 
| Medicare PECOS PAC ID | 8921903048 | 
|---|---|
| Medicare Enrollment ID | O20031203000149 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1366483315 | NPI | - | NPPES | 
| 1444677 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary | 
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary | 
| Provider Name | Duane D Superneau | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1427018274 PECOS PAC ID: 0143125195 Enrollment ID: I20031203000283  | 
| Provider Name | Charles L Pearson | 
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) | 
| Provider Identifiers | NPI Number: 1801806153 PECOS PAC ID: 5294622163 Enrollment ID: I20040304000049  | 
| Provider Name | Stuart J Lebas | 
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) | 
| Provider Identifiers | NPI Number: 1073518510 PECOS PAC ID: 7012010036 Enrollment ID: I20070410000317  | 
| Provider Name | Beverly Ogden | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1326008210 PECOS PAC ID: 0042240376 Enrollment ID: I20080617000616  | 
| Provider Name | Robert L Koscick | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1508826348 PECOS PAC ID: 6305876632 Enrollment ID: I20100603000966  | 
| Provider Name | Barry G Hallner | 
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology | 
| Provider Identifiers | NPI Number: 1508030958 PECOS PAC ID: 6406011048 Enrollment ID: I20120703000546  | 
| Provider Name | Armanda D. Tatsas | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1134276926 PECOS PAC ID: 6800065293 Enrollment ID: I20130719000021  | 
| Provider Name | Amberly L Nunez | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1265693535 PECOS PAC ID: 9335385053 Enrollment ID: I20130719000063  | 
| Provider Name | Jonathan Curtis Stone | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1225272578 PECOS PAC ID: 3870716434 Enrollment ID: I20140529000529  | 
| Provider Name | Zarius Drummond | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1093733412 PECOS PAC ID: 7810990181 Enrollment ID: I20141017000095  | 
| Provider Name | Amanda Lee Gorena | 
|---|---|
| Provider Type | Practitioner - Pathology | 
| Provider Identifiers | NPI Number: 1356501290 PECOS PAC ID: 6002131570 Enrollment ID: I20150205000576  | 
| Provider Name | Abdulla Majid-moosa | 
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) | 
| Provider Identifiers | NPI Number: 1558628859 PECOS PAC ID: 5496997330 Enrollment ID: I20180807001015  | 
| Provider Name | David Neil Campbell | 
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) | 
| Provider Identifiers | NPI Number: 1134562432 PECOS PAC ID: 4981844750 Enrollment ID: I20190731001522  | 
| Provider Name | Yash D Shah | 
|---|---|
| Provider Type | Practitioner - Neurology | 
| Provider Identifiers | NPI Number: 1487107074 PECOS PAC ID: 7618378266 Enrollment ID: I20220525001076  | 
| Provider Name | Jocelyn Bailosis Lorenzo | 
|---|---|
| Provider Type | Practitioner - Pediatric Medicine | 
| Provider Identifiers | NPI Number: 1265883375 PECOS PAC ID: 9739472127 Enrollment ID: I20220609001838  | 
| Provider Name | Chad Mcnair Manuel | 
|---|---|
| Provider Type | Practitioner - Neurology | 
| Provider Identifiers | NPI Number: 1861924284 PECOS PAC ID: 9234506213 Enrollment ID: I20230512000008  | 
Charlie H Bridges Md, Facs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd Ste 608, Baton Rouge, LA 70808 Phone: 225-767-0394 Fax: 225-767-3904  | |
Venus/neuropathy Treatment Centers Of La,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 S Sherwood Forest Blvd, Suite110, Baton Rouge, LA 70816 Phone: 225-636-5184 Fax: 225-636-5185  | |
Central Community School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13421 Hooper Rd, Baton Rouge, LA 70818 Phone: 225-262-1919  | |
Deekay Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3923 Convention St, Baton Rouge, LA 70806 Phone: 225-381-6478  | |
Total Family Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4336 North Blvd, Suite 103, Baton Rouge, LA 70806 Phone: 225-383-3187 Fax: 225-383-3190  | |
3c&l Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4720 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809 Phone: 225-256-7219  | |
Comprehensive Healthcare Of La, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Riley St, Baton Rouge, LA 70805 Phone: 225-931-4887  |