Ryan Boudreau, | |
7777 Hennessy Blvd Ste 102, Baton Rouge, LA 70808-4363 | |
(225) 765-2048 | |
(225) 765-1958 |
Full Name | Ryan Boudreau |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 7777 Hennessy Blvd Ste 102, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770902074 | NPI | - | NPPES |
326368 | Other | LA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 326368 (Louisiana) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | University Of Chicago |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | The University Of Chicago Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031106000203 |
Mailing Address | Practice Location Address |
---|---|
Ryan Boudreau, 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-2048 | Ryan Boudreau, 7777 Hennessy Blvd Ste 102, Baton Rouge, LA 70808-4363 Ph: (225) 765-2048 |
Dr. John Mcalister Whitaker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 612, Baton Rouge, LA 70808 Phone: 225-769-5656 Fax: 225-766-6996 | |
James William Mcneil Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd, Suite 1008, Baton Rouge, LA 70808 Phone: 225-766-0416 Fax: 225-769-9212 | |
Dr. Jeffrey C Littleton, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 North Blvd, Ste 200-b, Baton Rouge, LA 70806 Phone: 225-381-2615 Fax: 225-381-2638 | |
Mr. Victor Q Tran, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809 Phone: 225-769-4493 Fax: 225-766-3144 | |
Daryl S Marx, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 612, Baton Rouge, LA 70808 Phone: 225-769-5656 Fax: 225-766-6996 | |
Jeffrey Scott Gruner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 102, Baton Rouge, LA 70808 Phone: 225-765-2048 Fax: 225-765-1958 | |
Mrs. Megan Mcintosh Breaux, NP Surgery Medicare: Accepting Medicare Assignments Practice Location: 7777 Hennessy Blvd Ste 406, Baton Rouge, LA 70808 Phone: 225-765-2048 Fax: 225-765-1958 |