| Cardiovascular Institute Of The South, Llc | |
|
225 Dunn St Houma LA 70360-4413 | |
| (985) 876-0300 | |
| (985) 872-0317 |
| Full Name | Cardiovascular Institute Of The South, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 225 Dunn St, Houma, Louisiana |
| Authorized Official Name and Position | Nickolas C Zaunbrecher (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3372914834 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardiovascular Institute Of The South, Llc Po Box 4176 Houma LA 70361-4176 Ph: (985) 876-0300 | Cardiovascular Institute Of The South, Llc 225 Dunn St Houma LA 70360-4413 Ph: (985) 876-0300 |
| NPI Number | 1982689113 |
|---|---|
| Provider Enumeration Date | 12/09/2005 |
| Last Update Date | 04/27/2023 |
| Medicare PECOS PAC ID | 3779497441 |
|---|---|
| Medicare Enrollment ID | O20031117000706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982689113 | NPI | - | NPPES |
| 1795119 | Medicaid | LA | |
| CS0290 | Other | LA | RR MEDICARE |
| Provider Name | Anil K Chagarlamudi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952308959 PECOS PAC ID: 5698689107 Enrollment ID: I20031118000942 |
| Provider Name | Charles A Thompson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528260072 PECOS PAC ID: 7315847597 Enrollment ID: I20040113000206 |
| Provider Name | Kalyan K Veerina |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619974557 PECOS PAC ID: 2365420585 Enrollment ID: I20040713000488 |
| Provider Name | Darrell J Solet |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770550808 PECOS PAC ID: 1557324795 Enrollment ID: I20050302000035 |
| Provider Name | Eric D Engeron |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154328144 PECOS PAC ID: 7618906827 Enrollment ID: I20050816000401 |
| Provider Name | Louis A Salvaggio |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609894724 PECOS PAC ID: 4385674191 Enrollment ID: I20050822000013 |
| Provider Name | Siddharth K Bhansali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912999046 PECOS PAC ID: 9739105768 Enrollment ID: I20051019000840 |
| Provider Name | Vinod M Nair |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770550857 PECOS PAC ID: 1052332483 Enrollment ID: I20051214000025 |
| Provider Name | Robert L Menuet |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548200207 PECOS PAC ID: 4486667946 Enrollment ID: I20060728000338 |
| Provider Name | Marshall Quinn Coco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013045624 PECOS PAC ID: 1153426275 Enrollment ID: I20070418000561 |
| Provider Name | Agostino Ingraldi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427254432 PECOS PAC ID: 3779674346 Enrollment ID: I20070810000587 |
| Provider Name | John Mathew Edavettal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558333617 PECOS PAC ID: 4880786409 Enrollment ID: I20070827000586 |
| Provider Name | Garland Gary Green |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811044795 PECOS PAC ID: 0547356818 Enrollment ID: I20071017000864 |
| Provider Name | Mark Wayne Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770772170 PECOS PAC ID: 2163502949 Enrollment ID: I20080107000254 |
| Provider Name | Louise D Frederick |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144223207 PECOS PAC ID: 9638259120 Enrollment ID: I20080109000822 |
| Provider Name | Fernando J Ruiz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184662710 PECOS PAC ID: 6305802679 Enrollment ID: I20080228000234 |
| Provider Name | Stephanie Saizan Guillory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790960789 PECOS PAC ID: 9032296249 Enrollment ID: I20080411000117 |
| Provider Name | Lisa Lejeune Freyou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154506145 PECOS PAC ID: 0345329728 Enrollment ID: I20080509000646 |
| Provider Name | Albert Craig Pearce |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598737835 PECOS PAC ID: 4880782531 Enrollment ID: I20080605000909 |
| Provider Name | Narayanan Karayil Thekkoott |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043405541 PECOS PAC ID: 0547331258 Enrollment ID: I20080624000007 |
| Provider Name | Kyle G Lavergne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982886511 PECOS PAC ID: 1658449194 Enrollment ID: I20081010000060 |
| Provider Name | Wade B May |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861682239 PECOS PAC ID: 5890848782 Enrollment ID: I20090724000107 |
| Provider Name | Siby G Ayalloore |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1891985081 PECOS PAC ID: 9537212196 Enrollment ID: I20090729000319 |
| Provider Name | Alvin Michael Timothy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164509048 PECOS PAC ID: 6507828894 Enrollment ID: I20090901000313 |
| Provider Name | Christopher H Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013149954 PECOS PAC ID: 6002961646 Enrollment ID: I20090902000522 |
| Provider Name | Peter Stevens Fail |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1437156429 PECOS PAC ID: 6608977780 Enrollment ID: I20100225000485 |
| Provider Name | William Richard Ladd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245237221 PECOS PAC ID: 9335240415 Enrollment ID: I20100305000108 |
| Provider Name | Bart Ghislain Denys |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659378685 PECOS PAC ID: 3971604059 Enrollment ID: I20100315000234 |
| Provider Name | Mohammed S Rais |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093712028 PECOS PAC ID: 7618002460 Enrollment ID: I20100318000045 |
| Provider Name | Richard P Abben |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750388740 PECOS PAC ID: 5496844540 Enrollment ID: I20100318000060 |
| Provider Name | Kenneth Edward Wong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215935986 PECOS PAC ID: 6103822051 Enrollment ID: I20100318000089 |
| Provider Name | Craig M Walker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548267529 PECOS PAC ID: 1658326145 Enrollment ID: I20100415000991 |
| Provider Name | Sandeep A Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861490534 PECOS PAC ID: 9234230319 Enrollment ID: I20100424000002 |
| Provider Name | Jason Charles Leger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821095688 PECOS PAC ID: 9931238425 Enrollment ID: I20100520001057 |
| Provider Name | Venkata Satish Gadi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649451121 PECOS PAC ID: 3577688159 Enrollment ID: I20100920000768 |
| Provider Name | Amit N Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780990838 PECOS PAC ID: 8022134949 Enrollment ID: I20100929000255 |
| Provider Name | John K Lindsay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467612408 PECOS PAC ID: 7719170232 Enrollment ID: I20101015001297 |
| Provider Name | Christopher L Paris |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902953888 PECOS PAC ID: 8628101441 Enrollment ID: I20110629000809 |
| Provider Name | Jessica B Thibodaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861718926 PECOS PAC ID: 1052581691 Enrollment ID: I20110908002250 |
| Provider Name | Matt J Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861766206 PECOS PAC ID: 2062672892 Enrollment ID: I20120402000074 |
| Provider Name | Marc N Saad |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1548451677 PECOS PAC ID: 1658537758 Enrollment ID: I20120718000045 |
| Provider Name | Bose Cheeran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1649448598 PECOS PAC ID: 6204989551 Enrollment ID: I20120724000442 |
| Provider Name | Vinod A Chainani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174830178 PECOS PAC ID: 2860633914 Enrollment ID: I20130801000258 |
| Provider Name | Niksad Abraham |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033246970 PECOS PAC ID: 8325181902 Enrollment ID: I20130920000642 |
| Provider Name | Nicole M Jarreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376984468 PECOS PAC ID: 0042445595 Enrollment ID: I20131108001504 |
| Provider Name | Jean Claude Blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588005003 PECOS PAC ID: 0648406017 Enrollment ID: I20131114000377 |
| Provider Name | Angelle Vosburg Whitty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588099477 PECOS PAC ID: 2163659376 Enrollment ID: I20131216000129 |
| Provider Name | Amit N Amin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144458027 PECOS PAC ID: 6608022819 Enrollment ID: I20140124001453 |
| Provider Name | Owen Mogabgab |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669528915 PECOS PAC ID: 3274684816 Enrollment ID: I20140714000418 |
| Provider Name | Ankur Lodha |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598951436 PECOS PAC ID: 1951453844 Enrollment ID: I20141103001808 |
| Provider Name | Krishna Nagendran |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265674691 PECOS PAC ID: 6608024377 Enrollment ID: I20141104001190 |
| Provider Name | Gabrielle J Wurzlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467861609 PECOS PAC ID: 9931321098 Enrollment ID: I20141105002352 |
| Provider Name | Stephanie B Worth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801203112 PECOS PAC ID: 9638391675 Enrollment ID: I20141107000153 |
| Provider Name | David John Homan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164681334 PECOS PAC ID: 8426283748 Enrollment ID: I20141202002540 |
| Provider Name | Patricia Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861882920 PECOS PAC ID: 2466778030 Enrollment ID: I20150226001713 |
| Provider Name | Pradeep Krishnan Nair |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659517670 PECOS PAC ID: 8628128402 Enrollment ID: I20150302000362 |
| Provider Name | Sarah P Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265821326 PECOS PAC ID: 4587983036 Enrollment ID: I20150505000450 |
| Provider Name | John-mario Walter Altamirano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659764041 PECOS PAC ID: 8729308457 Enrollment ID: I20150521000130 |
| Provider Name | Marcus Allen Montet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619368586 PECOS PAC ID: 5991025322 Enrollment ID: I20150526001359 |
| Provider Name | Amber A Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033506027 PECOS PAC ID: 9830410851 Enrollment ID: I20150603000225 |
| Provider Name | Ryan Chauffe |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376741736 PECOS PAC ID: 6901049642 Enrollment ID: I20150813011211 |
| Provider Name | Karen Lynn Golla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134595622 PECOS PAC ID: 2769799907 Enrollment ID: I20150921000774 |
| Provider Name | Crystal L Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639549371 PECOS PAC ID: 7719287200 Enrollment ID: I20151207001156 |
| 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 | Randalla Taren Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730516162 PECOS PAC ID: 5799087292 Enrollment ID: I20151230000049 |
| Provider Name | Madelyn Hebert Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851783864 PECOS PAC ID: 2466754981 Enrollment ID: I20151230000547 |
| Provider Name | Billy J Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720446024 PECOS PAC ID: 9638477599 Enrollment ID: I20160411001480 |
| Provider Name | Samantha L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770952798 PECOS PAC ID: 2365740800 Enrollment ID: I20160415001279 |
| Provider Name | Johile E Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811352180 PECOS PAC ID: 9537468764 Enrollment ID: I20160422000254 |
| Provider Name | Ahmad Yousef Jabbar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023374451 PECOS PAC ID: 7911148143 Enrollment ID: I20160425001983 |
| Provider Name | Rein T Liles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902269509 PECOS PAC ID: 0345539961 Enrollment ID: I20160519002272 |
| Provider Name | Murray J Morella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497109979 PECOS PAC ID: 2860785771 Enrollment ID: I20160728002293 |
| Provider Name | Chad M Dugas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306004841 PECOS PAC ID: 5496970790 Enrollment ID: I20160808002473 |
| Provider Name | Robert H Drennan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538336177 PECOS PAC ID: 6406141175 Enrollment ID: I20160818002785 |
| Provider Name | Candace Fletcher Maggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427504893 PECOS PAC ID: 1759678378 Enrollment ID: I20160926002197 |
| Provider Name | Jedediah D Meche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598115057 PECOS PAC ID: 1153603360 Enrollment ID: I20170124001722 |
| Provider Name | Babu R Jasti |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417983271 PECOS PAC ID: 6305842477 Enrollment ID: I20170217000746 |
| Provider Name | Leah Marie Trahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871030064 PECOS PAC ID: 5395020895 Enrollment ID: I20170324000653 |
| Provider Name | Caroline H Barkerding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225578313 PECOS PAC ID: 2668759614 Enrollment ID: I20170501001709 |
| Provider Name | Charisse J Ward |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528243300 PECOS PAC ID: 4688729601 Enrollment ID: I20171016001902 |
| Provider Name | Kanwar Y Singh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679807093 PECOS PAC ID: 2567745839 Enrollment ID: I20171031002420 |
| Provider Name | Kirsten W Friddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821508532 PECOS PAC ID: 2961769062 Enrollment ID: I20171128001531 |
| Provider Name | Keiffer Bengie Wyble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083067144 PECOS PAC ID: 9234408774 Enrollment ID: I20180523000229 |
| Provider Name | Sharon Elizabeth Addington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114410933 PECOS PAC ID: 4688920341 Enrollment ID: I20180711000276 |
| Provider Name | Arti Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982969960 PECOS PAC ID: 6507150513 Enrollment ID: I20180814001207 |
| Provider Name | Michael Stephen Robichaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003301532 PECOS PAC ID: 4880944768 Enrollment ID: I20180914000429 |
| Provider Name | Michael A Gaglia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528031663 PECOS PAC ID: 9537104724 Enrollment ID: I20181012001348 |
| Provider Name | Emily Rivet Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013407121 PECOS PAC ID: 1850643263 Enrollment ID: I20181012002407 |
| Provider Name | Thomas Griffin Gaines |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679731574 PECOS PAC ID: 3870766744 Enrollment ID: I20181206000810 |
| Provider Name | Jacquelyn Leanna Coster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396231726 PECOS PAC ID: 4587909841 Enrollment ID: I20181214002400 |
| Provider Name | Ryan Jack Paul Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386113066 PECOS PAC ID: 2961749288 Enrollment ID: I20190124002544 |
| Provider Name | Naomie Rae Lafleur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689167579 PECOS PAC ID: 9638417637 Enrollment ID: I20190218001957 |
| Provider Name | Kiara Janae Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558856385 PECOS PAC ID: 7618216490 Enrollment ID: I20190222002130 |
| Provider Name | Mary Monica Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194207837 PECOS PAC ID: 1153660865 Enrollment ID: I20190225001054 |
| Provider Name | Brandt Joseph Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770049231 PECOS PAC ID: 0547593402 Enrollment ID: I20190607000305 |
| Provider Name | Sarah Elizabeth Navarre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407411440 PECOS PAC ID: 2567799893 Enrollment ID: I20190809000858 |
| Provider Name | Magdy Hanna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477993103 PECOS PAC ID: 9436445525 Enrollment ID: I20190916002896 |
| Provider Name | Laterica Lasha Antoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609422724 PECOS PAC ID: 2860722246 Enrollment ID: I20190927001018 |
| Provider Name | Elvis Pele Siripannho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659920908 PECOS PAC ID: 5496087538 Enrollment ID: I20191023000606 |
| Provider Name | Catrina Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649810748 PECOS PAC ID: 3971933656 Enrollment ID: I20200421000161 |
| Provider Name | Salman Waheed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417131772 PECOS PAC ID: 1052487527 Enrollment ID: I20200609000104 |
| Provider Name | Sagger Mawri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750725487 PECOS PAC ID: 4587896402 Enrollment ID: I20200731000759 |
| Provider Name | Andres Mauricio Vargas Estrada |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760794192 PECOS PAC ID: 8628210036 Enrollment ID: I20200806000468 |
| Provider Name | Lucien Naji Abboud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609055870 PECOS PAC ID: 3173675717 Enrollment ID: I20200901002330 |
| Provider Name | Riaz Riza Rahman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1518306596 PECOS PAC ID: 7810293024 Enrollment ID: I20200914000307 |
| Provider Name | Ujjwal Rastogi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699169904 PECOS PAC ID: 9335487438 Enrollment ID: I20200915000659 |
| Provider Name | Ashley St. Romain Landeche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245837897 PECOS PAC ID: 0143633461 Enrollment ID: I20210106000760 |
| Provider Name | Chelsea Marie Zenon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346842143 PECOS PAC ID: 1951717800 Enrollment ID: I20210301002698 |
| Provider Name | Rebecca Brown Lebas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508450230 PECOS PAC ID: 9436568748 Enrollment ID: I20210517000929 |
| Provider Name | Shane Paul Prejean |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1609141985 PECOS PAC ID: 8224345996 Enrollment ID: I20210708002167 |
| Provider Name | Erica Fidone |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780095224 PECOS PAC ID: 8022399229 Enrollment ID: I20210719003690 |
| Provider Name | David Michael Tadin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508131814 PECOS PAC ID: 5597980565 Enrollment ID: I20210722002260 |
| Provider Name | Avaneesh Jakkoju |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174962872 PECOS PAC ID: 4385877182 Enrollment ID: I20210812002109 |
| Provider Name | Akshit Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205256518 PECOS PAC ID: 7113220591 Enrollment ID: I20210818000813 |
| Provider Name | Gursukhmandeep S Sidhu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871930719 PECOS PAC ID: 2567602162 Enrollment ID: I20210820002462 |
| Provider Name | Caroline Zahm |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033593827 PECOS PAC ID: 4880985746 Enrollment ID: I20210929000231 |
| Provider Name | Joni Melancon Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366014862 PECOS PAC ID: 1759788912 Enrollment ID: I20210930001993 |
| Provider Name | Becky Gunn Rohner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134791635 PECOS PAC ID: 9931507795 Enrollment ID: I20211007003337 |
| Provider Name | Amit Kumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790834950 PECOS PAC ID: 8022019736 Enrollment ID: I20211115000765 |
| Provider Name | Kimberly Groht Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992461461 PECOS PAC ID: 4789077892 Enrollment ID: I20220214002242 |
| Provider Name | Courtney Lejeune Mankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407501984 PECOS PAC ID: 5799171005 Enrollment ID: I20220413000032 |
| Provider Name | Tony Joe De Martini |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174604631 PECOS PAC ID: 5193709962 Enrollment ID: I20220503002021 |
| Provider Name | Kay Christine Melancon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598413049 PECOS PAC ID: 7719364892 Enrollment ID: I20220510002540 |
| Provider Name | Matthew Thomas Finn |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376868000 PECOS PAC ID: 5496905440 Enrollment ID: I20220731000093 |
| Provider Name | John Raymond Lawrence |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1114345014 PECOS PAC ID: 6608154588 Enrollment ID: I20220810000957 |
| Provider Name | Douglas Patrick Rheam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770909608 PECOS PAC ID: 0345525788 Enrollment ID: I20220901001129 |
| Provider Name | Travis James Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659009199 PECOS PAC ID: 4688044100 Enrollment ID: I20221228000460 |
| Provider Name | Cheryl Credeur Fitch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366170714 PECOS PAC ID: 8729458104 Enrollment ID: I20221229000238 |
| Provider Name | William H Gurdin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144226168 PECOS PAC ID: 5294719381 Enrollment ID: I20230515001545 |
| Provider Name | Ayush Arora |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144672320 PECOS PAC ID: 9133581994 Enrollment ID: I20230811000346 |
| Provider Name | Sierra Lusienda Eames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609561521 PECOS PAC ID: 9032571245 Enrollment ID: I20230818001700 |
| Provider Name | Abdullah Bin Munir |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1750760195 PECOS PAC ID: 5395082796 Enrollment ID: I20230822002941 |
| Provider Name | Shashitha Gavini |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376074179 PECOS PAC ID: 8729350434 Enrollment ID: I20230823001619 |
| Provider Name | Paritosh Kafle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598117913 PECOS PAC ID: 4385998194 Enrollment ID: I20230823002486 |
| Provider Name | Phillip Austin Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1851787469 PECOS PAC ID: 3072833318 Enrollment ID: I20230824001115 |
| Provider Name | Thomas Ryan Gullatt |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750701421 PECOS PAC ID: 3779851522 Enrollment ID: I20230825001964 |
| Provider Name | Mccall Walker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457705501 PECOS PAC ID: 7517251234 Enrollment ID: I20230913001350 |
| Provider Name | Mary Claire Kraemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396529822 PECOS PAC ID: 1759738719 Enrollment ID: I20231113002288 |
| Provider Name | Briana Camille Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598549800 PECOS PAC ID: 1052769718 Enrollment ID: I20231120000707 |
| Provider Name | Dylan Aaron Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285314690 PECOS PAC ID: 6204284631 Enrollment ID: I20231127000642 |
| Provider Name | Taylor Bellard Soileau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902686827 PECOS PAC ID: 3476901372 Enrollment ID: I20231204001740 |
Gii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Belanger St, Suite 205, Houma, LA 70360 Phone: 985-868-7773 Fax: 985-868-4242 | |
Children's International, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 Mystic Blvd, Houma, LA 70360 Phone: 985-868-9339 Fax: 855-519-4481 | |
Physician Practice Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8166 Main St, Houma, LA 70360 Phone: 985-873-4141 | |
Life Coast Community Health Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 Enterprise Dr Ste C, Houma, LA 70360 Phone: 985-360-3755 Fax: 985-879-4580 | |
Just Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Armour Dr, Houma, LA 70364 Phone: 833-784-2669 Fax: 844-784-2329 | |
William H. St. Martin, M.d. A Professional Corpo Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 818 Verret Street, Houma, LA 70360 Phone: 985-857-8001 Fax: 985-857-8330 | |
Comprehensive Care Plus Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8120 Main St, Suite 403, Houma, LA 70360 Phone: 985-868-3737 Fax: 985-873-9997 |