| Affinity Health Group, Llc | |
|
112 Saint John St Monroe LA 71201-7322 | |
| (318) 387-5681 | |
| (318) 322-9957 |
| Full Name | Affinity Health Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 112 Saint John St, Monroe, Louisiana |
| Authorized Official Name and Position | Mike Breard (VICE PRESIDENT) |
| Authorized Official Contact | 3183610900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Health Group, Llc 130 Desiard Street Ste. 355 Monroe LA 71201-7363 Ph: (318) 807-7875 | Affinity Health Group, Llc 112 Saint John St Monroe LA 71201-7322 Ph: (318) 387-5681 |
| NPI Number | 1023291226 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Medicare PECOS PAC ID | 9335226547 |
|---|---|
| Medicare Enrollment ID | O20080411000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023291226 | NPI | - | NPPES |
| 1153061 | Medicaid | LA |
| Provider Name | David M Caskey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063432011 PECOS PAC ID: 8921912668 Enrollment ID: I20031117000563 |
| Provider Name | Edward O Coleman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730158965 PECOS PAC ID: 3173420494 Enrollment ID: I20031216000120 |
| Provider Name | Penny R Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588670855 PECOS PAC ID: 5890694830 Enrollment ID: I20040108000160 |
| Provider Name | William D Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386684298 PECOS PAC ID: 5294636148 Enrollment ID: I20040115000219 |
| Provider Name | Danny R Ryals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144315961 PECOS PAC ID: 3971496084 Enrollment ID: I20040203001004 |
| Provider Name | Charles G Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477541696 PECOS PAC ID: 5496654824 Enrollment ID: I20040217000868 |
| Provider Name | Ronald P Koepke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053389858 PECOS PAC ID: 0042292351 Enrollment ID: I20040602000129 |
| Provider Name | Clinton C Guillory |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1891852984 PECOS PAC ID: 3779568555 Enrollment ID: I20040624000334 |
| Provider Name | Nicole M Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083742993 PECOS PAC ID: 1052391422 Enrollment ID: I20040726000172 |
| Provider Name | Robert Raulerson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720021363 PECOS PAC ID: 0941273072 Enrollment ID: I20040817000947 |
| Provider Name | Jon Bradley Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629014626 PECOS PAC ID: 5395722144 Enrollment ID: I20040918000062 |
| Provider Name | Emily C Crooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720099047 PECOS PAC ID: 8325017601 Enrollment ID: I20041004000003 |
| 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 | Erin Hayden Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255414181 PECOS PAC ID: 8729044599 Enrollment ID: I20041203000128 |
| Provider Name | Yolanda S Camper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245305465 PECOS PAC ID: 8224095278 Enrollment ID: I20041213000003 |
| Provider Name | Henry Taliaferro |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992844435 PECOS PAC ID: 0547218117 Enrollment ID: I20050111000007 |
| Provider Name | Gary W Lowder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275652877 PECOS PAC ID: 9133167307 Enrollment ID: I20050419000485 |
| Provider Name | Charles W Mason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124039193 PECOS PAC ID: 7810930302 Enrollment ID: I20050606000845 |
| Provider Name | Patrick Gary Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396704375 PECOS PAC ID: 7214972793 Enrollment ID: I20050624000487 |
| Provider Name | Joel W Norris |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922033059 PECOS PAC ID: 8921085770 Enrollment ID: I20050726000650 |
| Provider Name | Stephen W Houseworth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053306894 PECOS PAC ID: 6002845799 Enrollment ID: I20050812000297 |
| Provider Name | Kimberly A Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639179872 PECOS PAC ID: 8527092444 Enrollment ID: I20050921000015 |
| Provider Name | Benjamin Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841236437 PECOS PAC ID: 3870527799 Enrollment ID: I20050921000032 |
| Provider Name | Clemens E Soeller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902806870 PECOS PAC ID: 6800798430 Enrollment ID: I20060123000309 |
| Provider Name | David A Culp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477565331 PECOS PAC ID: 6608882394 Enrollment ID: I20060306000150 |
| Provider Name | Buford Craig Lowery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295722759 PECOS PAC ID: 7315940699 Enrollment ID: I20060808000066 |
| Provider Name | Arthur E Liles |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619903572 PECOS PAC ID: 8628031267 Enrollment ID: I20060915000459 |
| Provider Name | Adrienne M Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760486567 PECOS PAC ID: 8527021161 Enrollment ID: I20061012000211 |
| Provider Name | Rena Braswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821180142 PECOS PAC ID: 9436251543 Enrollment ID: I20070220000664 |
| Provider Name | Ronald A Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609922251 PECOS PAC ID: 3870696362 Enrollment ID: I20070322000036 |
| Provider Name | Theresa J Ross |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528072188 PECOS PAC ID: 2365546256 Enrollment ID: I20070403000090 |
| Provider Name | Amanda K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396709820 PECOS PAC ID: 0244331569 Enrollment ID: I20070730000887 |
| Provider Name | Michael Sampognaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194752865 PECOS PAC ID: 1951492180 Enrollment ID: I20070802000311 |
| Provider Name | Laura B Willsher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306809777 PECOS PAC ID: 8921199332 Enrollment ID: I20070814000244 |
| Provider Name | Tina M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790748937 PECOS PAC ID: 6204929011 Enrollment ID: I20070911000148 |
| Provider Name | Matilda E Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003999459 PECOS PAC ID: 0749374890 Enrollment ID: I20070919000904 |
| Provider Name | Fred Barnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184811960 PECOS PAC ID: 7315034238 Enrollment ID: I20071024000522 |
| Provider Name | Wendi S. Mcvay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467662494 PECOS PAC ID: 6002991783 Enrollment ID: I20080305000139 |
| Provider Name | David A Yarbrough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831123553 PECOS PAC ID: 8820176282 Enrollment ID: I20080424000805 |
| Provider Name | William M Ellerbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174733489 PECOS PAC ID: 1355413402 Enrollment ID: I20080707000122 |
| Provider Name | Phillip L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922261551 PECOS PAC ID: 4587738273 Enrollment ID: I20080729000515 |
| Provider Name | Roy R Ragsdill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275599185 PECOS PAC ID: 5799847190 Enrollment ID: I20081218000558 |
| Provider Name | Mark F Dollar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508824970 PECOS PAC ID: 1254493182 Enrollment ID: I20081230000551 |
| Provider Name | Kami W Wiedeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710974969 PECOS PAC ID: 3476610650 Enrollment ID: I20090316000662 |
| Provider Name | Tamara L Bordelon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730192501 PECOS PAC ID: 3971660184 Enrollment ID: I20090327000469 |
| Provider Name | Christopher Leblanc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790923225 PECOS PAC ID: 9739237785 Enrollment ID: I20090430000200 |
| Provider Name | Emiliana M Yelverton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811082555 PECOS PAC ID: 9133270465 Enrollment ID: I20090626000519 |
| Provider Name | Stacey Gordon Majure |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669608295 PECOS PAC ID: 3870644784 Enrollment ID: I20090706000644 |
| Provider Name | Stuart L. Melton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104036243 PECOS PAC ID: 7214081371 Enrollment ID: I20090825000062 |
| Provider Name | Erika Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689814147 PECOS PAC ID: 6305991811 Enrollment ID: I20090908000088 |
| Provider Name | April F Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972730646 PECOS PAC ID: 2062568611 Enrollment ID: I20090923000189 |
| Provider Name | Kerry L Anders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699736538 PECOS PAC ID: 2961583687 Enrollment ID: I20100706000515 |
| Provider Name | Ralph L Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013962620 PECOS PAC ID: 4587550892 Enrollment ID: I20100716000166 |
| Provider Name | Penny C Montcalm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376877241 PECOS PAC ID: 0446383269 Enrollment ID: I20100730000650 |
| Provider Name | Daniel Wayne Twitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124039946 PECOS PAC ID: 3577756758 Enrollment ID: I20101020000648 |
| Provider Name | Michael T Hayward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083621759 PECOS PAC ID: 5799978805 Enrollment ID: I20101021000891 |
| Provider Name | Terence R Tugwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437152741 PECOS PAC ID: 6709849342 Enrollment ID: I20101025001416 |
| Provider Name | Gregory R Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093737819 PECOS PAC ID: 7911192356 Enrollment ID: I20101207000382 |
| Provider Name | Mari M Mcnabb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891712501 PECOS PAC ID: 4284637091 Enrollment ID: I20101213000631 |
| Provider Name | Jennifer Paine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346559937 PECOS PAC ID: 9830379189 Enrollment ID: I20110203001014 |
| Provider Name | Owen Meyers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770597668 PECOS PAC ID: 3173710928 Enrollment ID: I20110316000564 |
| Provider Name | Sara Dean |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003139213 PECOS PAC ID: 4587832456 Enrollment ID: I20110720000128 |
| Provider Name | Norman B Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790728228 PECOS PAC ID: 4082621776 Enrollment ID: I20110803000545 |
| Provider Name | Rayne W Lowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558670489 PECOS PAC ID: 3577734946 Enrollment ID: I20110914000691 |
| Provider Name | Sreekanth Depa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487821898 PECOS PAC ID: 2163694712 Enrollment ID: I20111004000652 |
| Provider Name | Anuradha R Thadur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255587424 PECOS PAC ID: 8921272048 Enrollment ID: I20111129000346 |
| Provider Name | Mark Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083992556 PECOS PAC ID: 9335315647 Enrollment ID: I20120106000600 |
| 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 | Angela C Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821352535 PECOS PAC ID: 8022274570 Enrollment ID: I20120727000192 |
| Provider Name | Odell Joseph Dean |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073656765 PECOS PAC ID: 6507881026 Enrollment ID: I20120807000382 |
| Provider Name | Sumatha Ghanta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053548156 PECOS PAC ID: 0648426536 Enrollment ID: I20120808000714 |
| Provider Name | Kyle B Bruyninckx |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972770378 PECOS PAC ID: 2163670688 Enrollment ID: I20120907000037 |
| Provider Name | Christopher R Campbell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942550462 PECOS PAC ID: 9032360631 Enrollment ID: I20121107000634 |
| Provider Name | Rajesh Gujjula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861629966 PECOS PAC ID: 9537314455 Enrollment ID: I20130226000605 |
| Provider Name | William B Liles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710197033 PECOS PAC ID: 1052566585 Enrollment ID: I20130306000350 |
| Provider Name | Suzette M Crayton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639297369 PECOS PAC ID: 3375789860 Enrollment ID: I20130430000159 |
| Provider Name | Jessica C Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093157927 PECOS PAC ID: 2567605611 Enrollment ID: I20130821000673 |
| Provider Name | Robert L Humble |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285665554 PECOS PAC ID: 5991838740 Enrollment ID: I20131007000401 |
| Provider Name | Lynne S Leblanc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891127932 PECOS PAC ID: 7810125010 Enrollment ID: I20140115001319 |
| Provider Name | Brian Lamb |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144656737 PECOS PAC ID: 7911135009 Enrollment ID: I20140117000766 |
| Provider Name | Subodh Uprety |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114159399 PECOS PAC ID: 3173752383 Enrollment ID: I20140211001492 |
| Provider Name | Maryanne S Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639293830 PECOS PAC ID: 7618109190 Enrollment ID: I20140416000265 |
| Provider Name | Margot B Eason |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740508571 PECOS PAC ID: 6709009152 Enrollment ID: I20140603002125 |
| Provider Name | Melissa K Flemister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205275120 PECOS PAC ID: 0840414819 Enrollment ID: I20140612001876 |
| Provider Name | Tori E Naquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437575180 PECOS PAC ID: 9537384581 Enrollment ID: I20140707000821 |
| Provider Name | Erin Kernaghan Garis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144640038 PECOS PAC ID: 5799902334 Enrollment ID: I20140806000091 |
| Provider Name | Trishna Thapa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710266077 PECOS PAC ID: 7618197229 Enrollment ID: I20141002001795 |
| Provider Name | Heather K Lensing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174811517 PECOS PAC ID: 3870764855 Enrollment ID: I20141020001104 |
| Provider Name | Christina D Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356756357 PECOS PAC ID: 6608098769 Enrollment ID: I20141105002217 |
| Provider Name | Cammie M Neatherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083029987 PECOS PAC ID: 6305168303 Enrollment ID: I20141202001662 |
| Provider Name | Ashley N Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144575663 PECOS PAC ID: 8527381938 Enrollment ID: I20141216000265 |
| Provider Name | Lauren S Erwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780915330 PECOS PAC ID: 8820311293 Enrollment ID: I20141217000217 |
| Provider Name | Linda C Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912398934 PECOS PAC ID: 5890011274 Enrollment ID: I20150302001117 |
| Provider Name | Amy S Pruden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164771473 PECOS PAC ID: 8022336882 Enrollment ID: I20150408000821 |
| Provider Name | Laura Mcdonald |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710297445 PECOS PAC ID: 0143549592 Enrollment ID: I20150506000903 |
| Provider Name | Kitty Jon Kervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013328533 PECOS PAC ID: 5193045946 Enrollment ID: I20150520000068 |
| Provider Name | Ryan Grimmett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902288970 PECOS PAC ID: 3173838950 Enrollment ID: I20150824001193 |
| 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 | Cleo Deason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881077808 PECOS PAC ID: 8123334398 Enrollment ID: I20150902002006 |
| Provider Name | April J Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750717518 PECOS PAC ID: 7618284472 Enrollment ID: I20150911001250 |
| Provider Name | Julia S Rodgers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174878466 PECOS PAC ID: 2365670718 Enrollment ID: I20150925001331 |
| Provider Name | Rhonda L Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144696378 PECOS PAC ID: 0749598860 Enrollment ID: I20151008002572 |
| Provider Name | Emily A Willard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588040703 PECOS PAC ID: 1355650383 Enrollment ID: I20151014001436 |
| 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 | Alvaro Federico Manrique Garcia |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861672859 PECOS PAC ID: 6901107754 Enrollment ID: I20151221000494 |
| Provider Name | Emily Martin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336414366 PECOS PAC ID: 1557662350 Enrollment ID: I20151221002223 |
| Provider Name | Sherrie Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336132042 PECOS PAC ID: 0345542510 Enrollment ID: I20160105001062 |
| Provider Name | Maximo C Kiok |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851359244 PECOS PAC ID: 8022905587 Enrollment ID: I20160106001140 |
| Provider Name | Karen Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982910824 PECOS PAC ID: 3678871316 Enrollment ID: I20160414000165 |
| Provider Name | James Patrick Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730471046 PECOS PAC ID: 3971809906 Enrollment ID: I20160614000841 |
| Provider Name | Erin Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811349145 PECOS PAC ID: 4981998531 Enrollment ID: I20160804002637 |
| Provider Name | Joy Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386007672 PECOS PAC ID: 8820384738 Enrollment ID: I20160901000121 |
| Provider Name | Anna M Strahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972969566 PECOS PAC ID: 5294022604 Enrollment ID: I20160929000590 |
| Provider Name | Tara L Lasuzzo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073695383 PECOS PAC ID: 7012010291 Enrollment ID: I20161021000923 |
| Provider Name | Ashley Michelle Wiltcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043762719 PECOS PAC ID: 0547541914 Enrollment ID: I20161222000756 |
| Provider Name | Laura E Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508318478 PECOS PAC ID: 5294016697 Enrollment ID: I20161222001387 |
| Provider Name | Cynthia A Brantly |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003346883 PECOS PAC ID: 1557630944 Enrollment ID: I20170628000688 |
| Provider Name | Kara Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942720362 PECOS PAC ID: 1254601271 Enrollment ID: I20170725001592 |
| Provider Name | Paul G Murphy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578822557 PECOS PAC ID: 8426328386 Enrollment ID: I20170725004244 |
| Provider Name | Oliver R Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538689260 PECOS PAC ID: 6608147905 Enrollment ID: I20170804001465 |
| Provider Name | Sharlene Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013437086 PECOS PAC ID: 1850662636 Enrollment ID: I20170814000715 |
| Provider Name | Ashley Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477075992 PECOS PAC ID: 2769754209 Enrollment ID: I20170818000739 |
| Provider Name | Amanda K Belin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265956254 PECOS PAC ID: 3274806542 Enrollment ID: I20170907003264 |
| Provider Name | Carly S Sehon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245751544 PECOS PAC ID: 8628342235 Enrollment ID: I20170920003430 |
| Provider Name | Sonya Rae Fronsoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427044601 PECOS PAC ID: 2769675156 Enrollment ID: I20171026003184 |
| Provider Name | James H Extine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609803477 PECOS PAC ID: 7416984307 Enrollment ID: I20180201002737 |
| Provider Name | Diane Mipro Griener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679099956 PECOS PAC ID: 7618237009 Enrollment ID: I20180202001222 |
| Provider Name | Sarah Dennison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861576407 PECOS PAC ID: 8325098221 Enrollment ID: I20180328001261 |
| Provider Name | Jyssica M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942702832 PECOS PAC ID: 9133484751 Enrollment ID: I20180601001735 |
| 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 | Melissa De La O |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699266643 PECOS PAC ID: 0749538122 Enrollment ID: I20180801000861 |
| Provider Name | Jennifer M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366794364 PECOS PAC ID: 3577813252 Enrollment ID: I20180829003528 |
| Provider Name | Annsley W Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912487869 PECOS PAC ID: 6204187784 Enrollment ID: I20180921002288 |
| Provider Name | Kala D Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366919748 PECOS PAC ID: 5597009415 Enrollment ID: I20181204002289 |
| Provider Name | Kimberly Extine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851525687 PECOS PAC ID: 9032241773 Enrollment ID: I20190114003094 |
| Provider Name | Kevin J Bunn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205061504 PECOS PAC ID: 9638480304 Enrollment ID: I20190115003003 |
| Provider Name | Taylor N West |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548739105 PECOS PAC ID: 5991043416 Enrollment ID: I20190207002831 |
| Provider Name | Ken Lawrence Gremillion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649833583 PECOS PAC ID: 7719220698 Enrollment ID: I20190516000252 |
| Provider Name | Kelly M Spillers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194181495 PECOS PAC ID: 9830422963 Enrollment ID: I20190605000820 |
| Provider Name | Marbie N Becton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750943726 PECOS PAC ID: 5597091421 Enrollment ID: I20190730001832 |
| Provider Name | Sulman Riazul Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164871927 PECOS PAC ID: 3577891886 Enrollment ID: I20190824000539 |
| Provider Name | Cynthia A Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033775184 PECOS PAC ID: 6800124066 Enrollment ID: I20190826002579 |
| Provider Name | Katrina R Gipson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366008500 PECOS PAC ID: 9739441973 Enrollment ID: I20190911003497 |
| Provider Name | Lane J Wyble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720642390 PECOS PAC ID: 1850620048 Enrollment ID: I20190913000599 |
| Provider Name | Sarah D Roy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942759402 PECOS PAC ID: 1951631449 Enrollment ID: I20190926000463 |
| Provider Name | Tiffany P Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104474725 PECOS PAC ID: 2769714492 Enrollment ID: I20191030002420 |
| Provider Name | Sierra G Norwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568028611 PECOS PAC ID: 4183900541 Enrollment ID: I20191113000951 |
| Provider Name | Creighton Chandler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366548885 PECOS PAC ID: 1759716194 Enrollment ID: I20200114000397 |
| Provider Name | Anna C Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154955755 PECOS PAC ID: 8729416425 Enrollment ID: I20200311001674 |
| Provider Name | Mallory A Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992367833 PECOS PAC ID: 3375971351 Enrollment ID: I20200325003231 |
| Provider Name | Christopher Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740829811 PECOS PAC ID: 1456780790 Enrollment ID: I20200407002559 |
| Provider Name | Leigh A Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225662653 PECOS PAC ID: 6507295789 Enrollment ID: I20200409001598 |
| Provider Name | Jessica W Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245852722 PECOS PAC ID: 0840525564 Enrollment ID: I20200629001031 |
| Provider Name | Rheagan R Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275157398 PECOS PAC ID: 3476976481 Enrollment ID: I20200709002069 |
| Provider Name | Brittany R Basco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659997732 PECOS PAC ID: 4183048820 Enrollment ID: I20200728001063 |
| Provider Name | Brandon T Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235753039 PECOS PAC ID: 4880019421 Enrollment ID: I20200729003611 |
| Provider Name | Morgan L Batten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982228094 PECOS PAC ID: 8325463532 Enrollment ID: I20200805001789 |
| Provider Name | Mary E Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083232771 PECOS PAC ID: 3870911894 Enrollment ID: I20200908002137 |
| Provider Name | Kate M Rugg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699387407 PECOS PAC ID: 9335567973 Enrollment ID: I20200915001045 |
| Provider Name | Ashley N Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922614221 PECOS PAC ID: 0446663892 Enrollment ID: I20210105000309 |
| Provider Name | Madelyn H Corkern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083169320 PECOS PAC ID: 8123435708 Enrollment ID: I20210326000808 |
| Provider Name | Bridget M Hosea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013527308 PECOS PAC ID: 2567870835 Enrollment ID: I20210427000223 |
| Provider Name | Aja D Hallmark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578135562 PECOS PAC ID: 1557764818 Enrollment ID: I20210723001330 |
| Provider Name | Madalyn O Howard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104461219 PECOS PAC ID: 5193122281 Enrollment ID: I20210915003401 |
| Provider Name | Consonya A Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962722785 PECOS PAC ID: 8426455254 Enrollment ID: I20210922000373 |
| Provider Name | Christopher T Lamanno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356010649 PECOS PAC ID: 1557768793 Enrollment ID: I20210930001202 |
| Provider Name | Jennifer L Kolb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821767120 PECOS PAC ID: 7517365547 Enrollment ID: I20211006000685 |
| Provider Name | Tommie L Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275295354 PECOS PAC ID: 2163810441 Enrollment ID: I20211020000339 |
| Provider Name | Daniel I Cordas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730166265 PECOS PAC ID: 2466613005 Enrollment ID: I20211109000160 |
| 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 | Melissa T Beinkemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699405415 PECOS PAC ID: 9830579861 Enrollment ID: I20220707002459 |
| Provider Name | Cynthia G Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053046631 PECOS PAC ID: 4284016668 Enrollment ID: I20220802000207 |
| Provider Name | Kathryn R Sharbono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841851862 PECOS PAC ID: 5193057487 Enrollment ID: I20221012003439 |
| Provider Name | Brooke L Anderson Passon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871287797 PECOS PAC ID: 1052771557 Enrollment ID: I20230715000435 |
| Provider Name | Karen J Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336862317 PECOS PAC ID: 3173984036 Enrollment ID: I20230725004215 |
| Provider Name | Michaela P Ponarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972297802 PECOS PAC ID: 9335501055 Enrollment ID: I20230814000037 |
| Provider Name | Michael R Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790906436 PECOS PAC ID: 6002917556 Enrollment ID: I20230913003850 |
| Provider Name | Brian Keith Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144903220 PECOS PAC ID: 0143677526 Enrollment ID: I20231110000573 |
Center For Personal Development, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Cole Ave, Monroe, LA 71203 Phone: 318-343-4392 Fax: 318-343-4393 | |
Alfredo E Torres A Professional Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Desiard Street, Suite 810, Monroe, LA 71201 Phone: 318-651-8337 | |
Affinity Health Gorup, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Rd # L, Monroe, LA 71201 Phone: 318-361-2161 Fax: 318-812-6055 | |
Family Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 Avenue Of America, Monroe, LA 71201 Phone: 318-998-2700 Fax: 318-998-2703 | |
Behavioral Developmental Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 Armand St, Monroe, LA 71201 Phone: 318-600-6640 Fax: 318-605-2662 | |
Absolute Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 N 21st St, Monroe, LA 71201 Phone: 318-450-4911 Fax: 318-855-6514 |