| Digestive Health Center Of Swla | |
|
2770 3rd Ave Ste 345 Lake Charles LA 70601-8994 | |
| (337) 494-4785 | |
| (337) 494-4786 |
| Full Name | Digestive Health Center Of Swla |
|---|---|
| Speciality | Internal Medicine |
| Location | 2770 3rd Ave Ste 345, Lake Charles, Louisiana |
| Authorized Official Name and Position | Dawn Johnson-hatcher (CFO) |
| Authorized Official Contact | 3374942094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Health Center Of Swla Po Box 122623, Dept 2623 Dallas TX 75312-0001 Ph: (337) 494-2921 | Digestive Health Center Of Swla 2770 3rd Ave Ste 345 Lake Charles LA 70601-8994 Ph: (337) 494-4785 |
| NPI Number | 1356644066 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 12/04/2023 |
| Medicare PECOS PAC ID | 3072782713 |
|---|---|
| Medicare Enrollment ID | O20110813000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356644066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD203998 (Louisiana) | Primary |
| Provider Name | Khaled K Nour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750329413 PECOS PAC ID: 4284677055 Enrollment ID: I20050603000138 |
| Provider Name | Francisco Marrero |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093705055 PECOS PAC ID: 7214973551 Enrollment ID: I20110822000107 |
| Provider Name | Regina L Bougie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831504174 PECOS PAC ID: 2062632284 Enrollment ID: I20141009001609 |
| Provider Name | Sarpreet Ssingh Basra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427224765 PECOS PAC ID: 7810111671 Enrollment ID: I20160321001352 |
| Provider Name | Mary Mancuso Hearod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144760414 PECOS PAC ID: 0345526984 Enrollment ID: I20170413000562 |
| Provider Name | Eric C Fontenot |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083931646 PECOS PAC ID: 6901045541 Enrollment ID: I20170726003485 |
| Provider Name | Jaime Renee Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619488061 PECOS PAC ID: 0042576019 Enrollment ID: I20171107002136 |
| Provider Name | Crystal Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447964259 PECOS PAC ID: 9234502642 Enrollment ID: I20230306002768 |
| Provider Name | Suzette Mary Tolbird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669170650 PECOS PAC ID: 3870959422 Enrollment ID: I20230524000626 |
| Provider Name | Rilee Breann Como |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619730207 PECOS PAC ID: 4587003264 Enrollment ID: I20240415000509 |
Lake Charles Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-582-7632 Fax: 337-582-7656 | |
Family Medical Center. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-478-2650 Fax: 337-478-8183 | |
Cardiovascular Outpatient Center Of Southwest Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Suite 300, Lake Charles, LA 70601 Phone: 337-602-9991 | |
Washington-marion Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Pineview St, Lake Charles, LA 70615 Phone: 337-217-4540 Fax: 337-439-5029 | |
Headache And Wellness Center Of Southwest Louisiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 | |
Imperial Health, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 | |
Kndl Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-475-4748 Fax: 337-944-4421 |