| East Jefferson Physicians Group Llc | |
|
Lcmc Payor Enrollment 1100 Poydras St, Suite 2500 New Orleans LA 70163-1101 | |
| (504) 527-9953 | |
| (504) 527-9950 |
| Full Name | East Jefferson Physicians Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | Lcmc Payor Enrollment, New Orleans, Louisiana |
| Authorized Official Name and Position | Michele Beaupre (DIRECTOR) |
| Authorized Official Contact | 5045036783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Jefferson Physicians Group Llc Lcmc Payor Enrollment 1100 Poydras St, Suite 2500 New Orleans LA 70163-1101 Ph: (504) 527-9953 | East Jefferson Physicians Group Llc Lcmc Payor Enrollment 1100 Poydras St, Suite 2500 New Orleans LA 70163-1101 Ph: (504) 527-9953 |
| NPI Number | 1922293372 |
|---|---|
| Provider Enumeration Date | 09/10/2007 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 4587660402 |
|---|---|
| Medicare Enrollment ID | O20090127000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922293372 | NPI | - | NPPES |
| DF2307 | Other | LA | RAILROAD MEDICARE |
| 1337951 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| Provider Name | Martha Carr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093779522 PECOS PAC ID: 5991619330 Enrollment ID: I20031118001113 |
| Provider Name | Jill J Feinberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396724530 PECOS PAC ID: 7214835552 Enrollment ID: I20031223000806 |
| Provider Name | James K Ellis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982792750 PECOS PAC ID: 1850292038 Enrollment ID: I20040120000451 |
| Provider Name | John D Leblanc |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477520625 PECOS PAC ID: 8022903624 Enrollment ID: I20040220000681 |
| Provider Name | Julio C Guillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851393060 PECOS PAC ID: 6002703337 Enrollment ID: I20040302000605 |
| Provider Name | Marya J Porter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700988508 PECOS PAC ID: 9638069008 Enrollment ID: I20040318000894 |
| Provider Name | Hamid Salam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346287737 PECOS PAC ID: 3173413481 Enrollment ID: I20040319000047 |
| Provider Name | David W Hoerner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801849047 PECOS PAC ID: 3274424882 Enrollment ID: I20040323001049 |
| Provider Name | Robert W Greer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508862822 PECOS PAC ID: 0345233045 Enrollment ID: I20040407001095 |
| Provider Name | Ricardo Febry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386616571 PECOS PAC ID: 9537156310 Enrollment ID: I20040426001506 |
| Provider Name | Adriana Nagy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154302016 PECOS PAC ID: 2769470582 Enrollment ID: I20040503000208 |
| Provider Name | Sergio J Barrios |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427030113 PECOS PAC ID: 7618968827 Enrollment ID: I20040518001048 |
| Provider Name | Mark J Marino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497861314 PECOS PAC ID: 8426033044 Enrollment ID: I20040618001328 |
| Provider Name | Felton L Winfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093742975 PECOS PAC ID: 6709863202 Enrollment ID: I20040702000001 |
| Provider Name | James M Mccullough |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104803766 PECOS PAC ID: 0446230890 Enrollment ID: I20040726000006 |
| Provider Name | Rade Pejic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982683199 PECOS PAC ID: 9436125416 Enrollment ID: I20040910000013 |
| Provider Name | Brian J Naccari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306805601 PECOS PAC ID: 7618945536 Enrollment ID: I20040920000277 |
| Provider Name | John R Breaux |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760487680 PECOS PAC ID: 1557321775 Enrollment ID: I20041013000011 |
| Provider Name | Philip A Gardner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952375487 PECOS PAC ID: 7618939208 Enrollment ID: I20041105000702 |
| Provider Name | Vernon J Carriere |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013906320 PECOS PAC ID: 5597723965 Enrollment ID: I20050103000001 |
| Provider Name | David J St Germain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124086459 PECOS PAC ID: 2567420805 Enrollment ID: I20050103000632 |
| Provider Name | Susan P Caldwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528055340 PECOS PAC ID: 6709836513 Enrollment ID: I20050129000057 |
| Provider Name | Mark John Wegmann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114095965 PECOS PAC ID: 2961453303 Enrollment ID: I20050203000080 |
| Provider Name | Tod C Engelhardt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568462265 PECOS PAC ID: 6901859974 Enrollment ID: I20050302000345 |
| Provider Name | Vadim R Gelman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891717393 PECOS PAC ID: 8426002346 Enrollment ID: I20050303000550 |
| Provider Name | Chuong H Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023018090 PECOS PAC ID: 6305899964 Enrollment ID: I20050420000047 |
| Provider Name | Laura C Chauvin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1497753842 PECOS PAC ID: 7618998840 Enrollment ID: I20051215000031 |
| Provider Name | Amy E Himel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932149523 PECOS PAC ID: 3971518036 Enrollment ID: I20060209000653 |
| Provider Name | Nicholas Pappas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912079120 PECOS PAC ID: 7517972243 Enrollment ID: I20060216000026 |
| Provider Name | Glenn Kelley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417985813 PECOS PAC ID: 8325043433 Enrollment ID: I20060925000180 |
| Provider Name | Ulrich Starke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114907300 PECOS PAC ID: 7517965072 Enrollment ID: I20061116000129 |
| Provider Name | Fadi Hawawini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124236690 PECOS PAC ID: 1254430093 Enrollment ID: I20070620000378 |
| Provider Name | Harry A Roach |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396745089 PECOS PAC ID: 3274620703 Enrollment ID: I20071031000429 |
| Provider Name | Michael N Brothers |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972503308 PECOS PAC ID: 4981791423 Enrollment ID: I20071031000453 |
| Provider Name | David B Kaplan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558310862 PECOS PAC ID: 2961599055 Enrollment ID: I20071106000825 |
| Provider Name | Thomas M. Cosgriff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750346938 PECOS PAC ID: 5890693733 Enrollment ID: I20080207000604 |
| Provider Name | Ravi Kanagala |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124009220 PECOS PAC ID: 4880778539 Enrollment ID: I20080220000206 |
| Provider Name | Scott A Sonnier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083679468 PECOS PAC ID: 5799763835 Enrollment ID: I20080229000482 |
| Provider Name | Klaus F Koelbel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1336324227 PECOS PAC ID: 1850477530 Enrollment ID: I20080320000275 |
| Provider Name | Adela M Narcisse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891972410 PECOS PAC ID: 3678646312 Enrollment ID: I20080714000560 |
| Provider Name | Cary F Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659467488 PECOS PAC ID: 2860435856 Enrollment ID: I20080808000057 |
| Provider Name | Jay R Silverstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124241203 PECOS PAC ID: 7315849965 Enrollment ID: I20080811000015 |
| Provider Name | Kenneth Byrd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235196122 PECOS PAC ID: 9436217890 Enrollment ID: I20081029000411 |
| Provider Name | Orlando Deffer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588836621 PECOS PAC ID: 3476612193 Enrollment ID: I20081110000271 |
| Provider Name | Eric Andrew Gustafson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023233400 PECOS PAC ID: 6002917572 Enrollment ID: I20090205000250 |
| Provider Name | Luis R Arencibia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528266509 PECOS PAC ID: 6002972726 Enrollment ID: I20090304000813 |
| Provider Name | Monty Glorioso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962467191 PECOS PAC ID: 1254498462 Enrollment ID: I20090316000009 |
| Provider Name | Stephen A Champlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255383147 PECOS PAC ID: 0042367369 Enrollment ID: I20090402000319 |
| Provider Name | Gary D Menszer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275539751 PECOS PAC ID: 6204923428 Enrollment ID: I20090414000025 |
| Provider Name | Lehman K Preis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356346845 PECOS PAC ID: 4587751706 Enrollment ID: I20090414000029 |
| Provider Name | David W Snyder |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184620379 PECOS PAC ID: 9032206255 Enrollment ID: I20090414000033 |
| Provider Name | Curtis D Prowell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598935314 PECOS PAC ID: 5193878544 Enrollment ID: I20090801000062 |
| Provider Name | Archibald L Melcher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578532818 PECOS PAC ID: 7012063084 Enrollment ID: I20090916000105 |
| Provider Name | Rachel D Bezdek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972724698 PECOS PAC ID: 0446306096 Enrollment ID: I20090923000159 |
| Provider Name | Antoine J Faucheaux |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386743870 PECOS PAC ID: 8527104231 Enrollment ID: I20091012000145 |
| Provider Name | Anita Kanagala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962493569 PECOS PAC ID: 6406813591 Enrollment ID: I20091026000390 |
| Provider Name | Anitha Christopher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467642397 PECOS PAC ID: 4183762438 Enrollment ID: I20091106000556 |
| Provider Name | Kenneth B Smith |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356310650 PECOS PAC ID: 0941208581 Enrollment ID: I20100202000943 |
| Provider Name | Anthony Morales |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871576215 PECOS PAC ID: 8325043508 Enrollment ID: I20100415000498 |
| Provider Name | Sarath Bose Battula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023086287 PECOS PAC ID: 6002872843 Enrollment ID: I20100603000075 |
| Provider Name | Philip S Weiss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780878876 PECOS PAC ID: 6305975103 Enrollment ID: I20100603000115 |
| Provider Name | Jim A Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154569283 PECOS PAC ID: 4880724616 Enrollment ID: I20100604000823 |
| Provider Name | Carol Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699719070 PECOS PAC ID: 4789695669 Enrollment ID: I20100707000545 |
| Provider Name | Thomas Nuttli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356310783 PECOS PAC ID: 0244375426 Enrollment ID: I20100712000311 |
| Provider Name | Christina L Moll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912198243 PECOS PAC ID: 8022140912 Enrollment ID: I20100712000537 |
| Provider Name | David R Silvers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316052087 PECOS PAC ID: 6002913274 Enrollment ID: I20100719000068 |
| Provider Name | Robert C Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811940588 PECOS PAC ID: 0749313666 Enrollment ID: I20100729000264 |
| Provider Name | Georges Elie Catinis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861495285 PECOS PAC ID: 1951407964 Enrollment ID: I20100729000365 |
| Provider Name | Howard Ira Brenner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992708317 PECOS PAC ID: 8426957440 Enrollment ID: I20100730000802 |
| Provider Name | Yuri Simonian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689831299 PECOS PAC ID: 1759414345 Enrollment ID: I20100803000764 |
| Provider Name | Robert W Veith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750384921 PECOS PAC ID: 3971632100 Enrollment ID: I20100803001121 |
| Provider Name | George Richard Puente |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821090192 PECOS PAC ID: 0345149365 Enrollment ID: I20100804000260 |
| Provider Name | Stephen M Layne |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669448825 PECOS PAC ID: 5698821007 Enrollment ID: I20100805000722 |
| Provider Name | Wei Guo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396934428 PECOS PAC ID: 2769526185 Enrollment ID: I20100812001007 |
| Provider Name | Robert Mccord |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730264920 PECOS PAC ID: 5890819767 Enrollment ID: I20100830000171 |
| Provider Name | Geraldine A St Germain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144354473 PECOS PAC ID: 0840381158 Enrollment ID: I20100901000443 |
| Provider Name | Louise Gautreaux |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962442285 PECOS PAC ID: 4082730510 Enrollment ID: I20100922000144 |
| Provider Name | John Kevin Russ |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750333704 PECOS PAC ID: 8921290040 Enrollment ID: I20101007001082 |
| Provider Name | Michael W Dupre |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902961071 PECOS PAC ID: 6103018064 Enrollment ID: I20101011000290 |
| Provider Name | Arshed Malik |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487659595 PECOS PAC ID: 1658563267 Enrollment ID: I20101013001250 |
| Provider Name | Julie C Morial |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235309196 PECOS PAC ID: 9931392719 Enrollment ID: I20101025001227 |
| Provider Name | Gabriel P Lasala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477534295 PECOS PAC ID: 8527960178 Enrollment ID: I20101227000312 |
| Provider Name | Richard S Witzig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659465698 PECOS PAC ID: 8022207182 Enrollment ID: I20110105001104 |
| Provider Name | Enrique Segura |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508036195 PECOS PAC ID: 1456537786 Enrollment ID: I20110520000143 |
| Provider Name | Jennifer L Meyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922271188 PECOS PAC ID: 3779751508 Enrollment ID: I20110722000216 |
| Provider Name | John D Marker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942477583 PECOS PAC ID: 2365611126 Enrollment ID: I20110811000558 |
| Provider Name | Jameel Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326094996 PECOS PAC ID: 4880699685 Enrollment ID: I20111101000104 |
| Provider Name | David A Dionne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689962730 PECOS PAC ID: 1850565391 Enrollment ID: I20111121000059 |
| Provider Name | Michael E Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083776868 PECOS PAC ID: 7113956871 Enrollment ID: I20120213000060 |
| Provider Name | Vernon Carriere |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619180734 PECOS PAC ID: 4688837560 Enrollment ID: I20120514000470 |
| Provider Name | Varun S Choudry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073740015 PECOS PAC ID: 6305095878 Enrollment ID: I20120927000719 |
| Provider Name | Robert C Mcmyne |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1588825160 PECOS PAC ID: 2365680360 Enrollment ID: I20130604000129 |
| Provider Name | Melissa A Lumpkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306181466 PECOS PAC ID: 3779721675 Enrollment ID: I20130605000367 |
| Provider Name | Marco Esteban Hidalgo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629248497 PECOS PAC ID: 8022264787 Enrollment ID: I20130606000542 |
| Provider Name | Philip Jordan Putnam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255575494 PECOS PAC ID: 3173789245 Enrollment ID: I20130827000535 |
| Provider Name | Canh M Hoang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770894305 PECOS PAC ID: 5698919645 Enrollment ID: I20130913000301 |
| Provider Name | Pamela A Pourciau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053672691 PECOS PAC ID: 8820232796 Enrollment ID: I20130913000744 |
| Provider Name | Wesley Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225220551 PECOS PAC ID: 3577719640 Enrollment ID: I20130918000261 |
| Provider Name | Alison Stewart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407903925 PECOS PAC ID: 0648220566 Enrollment ID: I20131018000793 |
| Provider Name | David A Pollet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457675415 PECOS PAC ID: 4385871037 Enrollment ID: I20131230000721 |
| Provider Name | Ahmed Mohiuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316264229 PECOS PAC ID: 4385872977 Enrollment ID: I20140103001043 |
| Provider Name | Brian W Peterson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639330996 PECOS PAC ID: 9638307176 Enrollment ID: I20140108001572 |
| Provider Name | Paul A Blomkalns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245663624 PECOS PAC ID: 0345479234 Enrollment ID: I20140219001234 |
| Provider Name | Tracy D Garrett-reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760744783 PECOS PAC ID: 6507013257 Enrollment ID: I20140220000113 |
| Provider Name | Lance J Wehrly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699966549 PECOS PAC ID: 9133313398 Enrollment ID: I20140306001623 |
| Provider Name | Lindsay E Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053554840 PECOS PAC ID: 9032340542 Enrollment ID: I20140326001945 |
| Provider Name | Jeannine F Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356611339 PECOS PAC ID: 1153582317 Enrollment ID: I20140409000937 |
| Provider Name | Bipasha Nath |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447579438 PECOS PAC ID: 0749418549 Enrollment ID: I20140505001027 |
| Provider Name | Ruben Juarbe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336310481 PECOS PAC ID: 6103041926 Enrollment ID: I20140710000515 |
| Provider Name | Dorothy A Kora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962692475 PECOS PAC ID: 2466670005 Enrollment ID: I20140825000177 |
| Provider Name | Brett Michael Hymel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134396773 PECOS PAC ID: 2961620968 Enrollment ID: I20140904002759 |
| Provider Name | James L Perrien |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902099286 PECOS PAC ID: 5890983423 Enrollment ID: I20140923000567 |
| Provider Name | Clare E Farrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710252069 PECOS PAC ID: 0648490615 Enrollment ID: I20140926000185 |
| Provider Name | Angela N Graebert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366741175 PECOS PAC ID: 8729208970 Enrollment ID: I20141009002631 |
| Provider Name | Richard Edward Bridges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063703924 PECOS PAC ID: 4688896046 Enrollment ID: I20141119001990 |
| Provider Name | Sneha Samant |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770873275 PECOS PAC ID: 6406079169 Enrollment ID: I20141121000643 |
| Provider Name | Jessica L Gills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174929277 PECOS PAC ID: 7315269750 Enrollment ID: I20141215000181 |
| Provider Name | Rachell T Lobell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992947675 PECOS PAC ID: 9638492168 Enrollment ID: I20150108000321 |
| Provider Name | Emilie L Patron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063842722 PECOS PAC ID: 5193040558 Enrollment ID: I20150206001917 |
| Provider Name | David J Bateman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871852301 PECOS PAC ID: 9830419001 Enrollment ID: I20150529001009 |
| Provider Name | Louise Ann Gombako Witherspoon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568562742 PECOS PAC ID: 4981638830 Enrollment ID: I20150805007520 |
| Provider Name | James N Mansfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275808529 PECOS PAC ID: 7618292442 Enrollment ID: I20150810001537 |
| Provider Name | Patricia G Harlan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154696490 PECOS PAC ID: 7517272362 Enrollment ID: I20150824000234 |
| Provider Name | Sandra F Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063682060 PECOS PAC ID: 9537475561 Enrollment ID: I20150904001180 |
| Provider Name | Brandon James Mauldin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558655670 PECOS PAC ID: 9638486012 Enrollment ID: I20150917000446 |
| Provider Name | Lenito J Sinay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225047632 PECOS PAC ID: 2961440854 Enrollment ID: I20151029001303 |
| Provider Name | Valerie E Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861859761 PECOS PAC ID: 4688970502 Enrollment ID: I20160302002068 |
| Provider Name | Frank J Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780974774 PECOS PAC ID: 6709175185 Enrollment ID: I20160525002304 |
| Provider Name | Clayton C Eiswirth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639307861 PECOS PAC ID: 7517115470 Enrollment ID: I20160629002391 |
| Provider Name | Kristin T Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174971394 PECOS PAC ID: 8628366820 Enrollment ID: I20161004000113 |
| Provider Name | Rosanne M Zeringue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437506979 PECOS PAC ID: 6507144102 Enrollment ID: I20161102002068 |
| Provider Name | John B Imms |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114366812 PECOS PAC ID: 0840579975 Enrollment ID: I20161114001307 |
| Provider Name | Nga T Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750838454 PECOS PAC ID: 0244519395 Enrollment ID: I20161114001933 |
| Provider Name | Allison P Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033668736 PECOS PAC ID: 9032498092 Enrollment ID: I20161115000284 |
| Provider Name | Diana V Dang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073870986 PECOS PAC ID: 2567741390 Enrollment ID: I20161117001873 |
| Provider Name | Matthew Oglesbee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366861528 PECOS PAC ID: 1254620776 Enrollment ID: I20170209001375 |
| Provider Name | Janet Manalac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306106315 PECOS PAC ID: 0840596722 Enrollment ID: I20170517002711 |
| Provider Name | Ashik S Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780094482 PECOS PAC ID: 8921396706 Enrollment ID: I20170717000778 |
| Provider Name | Jessica L Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144633017 PECOS PAC ID: 9739477506 Enrollment ID: I20170718000265 |
| Provider Name | Olivia Cornu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144671538 PECOS PAC ID: 8022304120 Enrollment ID: I20170810003625 |
| Provider Name | Kirsten Gambrell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730476367 PECOS PAC ID: 6709102882 Enrollment ID: I20170830001207 |
| Provider Name | Ronald Andrew Slipman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710397542 PECOS PAC ID: 2668760455 Enrollment ID: I20170926001493 |
| Provider Name | Britta Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205352242 PECOS PAC ID: 7719251842 Enrollment ID: I20170927003891 |
| Provider Name | Deanna S Elsea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619966900 PECOS PAC ID: 0345268108 Enrollment ID: I20171129000218 |
| Provider Name | Janet Hood Merriman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841720984 PECOS PAC ID: 9739446501 Enrollment ID: I20171204000402 |
| Provider Name | Anthony K Woodall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184981847 PECOS PAC ID: 0648571885 Enrollment ID: I20180329002271 |
| Provider Name | Lindsay Dowdle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851709968 PECOS PAC ID: 5294098521 Enrollment ID: I20180418002399 |
| Provider Name | Kendra Marie Harris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508031493 PECOS PAC ID: 5597915546 Enrollment ID: I20180522002725 |
| Provider Name | Maerin Joan Laskey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992123681 PECOS PAC ID: 3779885264 Enrollment ID: I20180619003264 |
| Provider Name | Derek Joseph Naccari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871980128 PECOS PAC ID: 9931490695 Enrollment ID: I20180625001412 |
| Provider Name | Brittany L Tav |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871970988 PECOS PAC ID: 0446533699 Enrollment ID: I20180703001539 |
| Provider Name | Julie Clerc Guider |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477843761 PECOS PAC ID: 2264661099 Enrollment ID: I20180716000968 |
| Provider Name | Christopher Mesa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598150542 PECOS PAC ID: 2567719883 Enrollment ID: I20180918004008 |
| Provider Name | Brandi M Ray Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134607484 PECOS PAC ID: 8426309543 Enrollment ID: I20180927003122 |
| Provider Name | Aida Gabrielle Orgeron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114401551 PECOS PAC ID: 2365796570 Enrollment ID: I20181106002532 |
| Provider Name | Ali Khoobehi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225234651 PECOS PAC ID: 0244426583 Enrollment ID: I20190307002184 |
| Provider Name | Scott C Laura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871868166 PECOS PAC ID: 2961793377 Enrollment ID: I20190717002974 |
| Provider Name | Audrey Dang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235557000 PECOS PAC ID: 3678792801 Enrollment ID: I20190807003448 |
| Provider Name | Laura T Mansfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093169039 PECOS PAC ID: 3375831035 Enrollment ID: I20190816000423 |
| Provider Name | Imran Muhammad Shuja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922493030 PECOS PAC ID: 8022307560 Enrollment ID: I20190821001962 |
| Provider Name | Amber Plymale Fleischman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831623370 PECOS PAC ID: 8729317623 Enrollment ID: I20190830002226 |
| Provider Name | Britta Nicole Haydel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902250103 PECOS PAC ID: 9335437193 Enrollment ID: I20190909002459 |
| Provider Name | Mary E Holzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437546116 PECOS PAC ID: 2466736749 Enrollment ID: I20190917001102 |
| Provider Name | Mary Catherine Gaston |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467846428 PECOS PAC ID: 2961703558 Enrollment ID: I20190927001235 |
| Provider Name | Haroon Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407309479 PECOS PAC ID: 5294013306 Enrollment ID: I20191022001809 |
| Provider Name | Jey'dah Ranele Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720620057 PECOS PAC ID: 2668704172 Enrollment ID: I20191104000968 |
| Provider Name | Jaden M Kifer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245763192 PECOS PAC ID: 7719236702 Enrollment ID: I20191230002178 |
| Provider Name | Ala Mohsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336580133 PECOS PAC ID: 8325265382 Enrollment ID: I20200226001599 |
| Provider Name | David B Newsome |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932634813 PECOS PAC ID: 5092079822 Enrollment ID: I20200508002039 |
| Provider Name | Derek Palmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407290372 PECOS PAC ID: 2769788736 Enrollment ID: I20200602001042 |
| Provider Name | Mindy Manzella Quaintance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225652902 PECOS PAC ID: 2668894429 Enrollment ID: I20200624000981 |
| Provider Name | Charles Garreth Clines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316478357 PECOS PAC ID: 7012284235 Enrollment ID: I20200701003186 |
| Provider Name | Omer Iftikhar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861832073 PECOS PAC ID: 2264654987 Enrollment ID: I20200730000699 |
| Provider Name | Lily Hanna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295935930 PECOS PAC ID: 7517044308 Enrollment ID: I20200818000160 |
| Provider Name | Patricia O'brien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922499284 PECOS PAC ID: 9931527272 Enrollment ID: I20200917002540 |
| Provider Name | Abhinav Saxena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417397506 PECOS PAC ID: 1153665021 Enrollment ID: I20201001000430 |
| Provider Name | Hope Oddo Moise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548764368 PECOS PAC ID: 3971850264 Enrollment ID: I20201028000021 |
| Provider Name | George Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871021279 PECOS PAC ID: 0143596205 Enrollment ID: I20210422001360 |
| Provider Name | Rachel Shepard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982108502 PECOS PAC ID: 2668873019 Enrollment ID: I20210623002315 |
| Provider Name | Melissa J Donovan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912115411 PECOS PAC ID: 2365666427 Enrollment ID: I20210719000449 |
| Provider Name | Leigh-ann M Naccari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538663976 PECOS PAC ID: 9436406543 Enrollment ID: I20210813001891 |
| Provider Name | Leigh Victoria Deshotels |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003311895 PECOS PAC ID: 9638574312 Enrollment ID: I20210818001219 |
| Provider Name | Rachel Clark Caldwell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871910927 PECOS PAC ID: 5395030746 Enrollment ID: I20210818001912 |
| Provider Name | Sam James Seyler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376923615 PECOS PAC ID: 1850603127 Enrollment ID: I20210914001679 |
| Provider Name | Stacey Marie Barrois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760152490 PECOS PAC ID: 0648677989 Enrollment ID: I20210929000521 |
| Provider Name | James Michael Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134611502 PECOS PAC ID: 5193072395 Enrollment ID: I20211001001579 |
| Provider Name | Lisa Thi Tran-laurent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548832587 PECOS PAC ID: 3870983042 Enrollment ID: I20211201002521 |
| Provider Name | Amy Sandridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215412598 PECOS PAC ID: 7113319047 Enrollment ID: I20220126001301 |
| Provider Name | Ali Ayoub |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740656099 PECOS PAC ID: 2163728148 Enrollment ID: I20220325001831 |
| Provider Name | Corry J Kucik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679559637 PECOS PAC ID: 7911152962 Enrollment ID: I20220629001490 |
| Provider Name | Amy Katherine Galiano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780247841 PECOS PAC ID: 4880075043 Enrollment ID: I20220719002001 |
| Provider Name | Joni Kay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710448360 PECOS PAC ID: 6002297926 Enrollment ID: I20220722001731 |
| Provider Name | Jared Y Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316406572 PECOS PAC ID: 5395071112 Enrollment ID: I20220728002748 |
| Provider Name | Vidda Moussavi Simpson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801391776 PECOS PAC ID: 2860874278 Enrollment ID: I20220802001404 |
| Provider Name | Kristen Nicole Muhoberac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568109593 PECOS PAC ID: 4486036423 Enrollment ID: I20220808000982 |
| Provider Name | Yeilene Ashley Schower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376157180 PECOS PAC ID: 0840605366 Enrollment ID: I20220922000483 |
| Provider Name | Sophia Collette Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417683277 PECOS PAC ID: 8426434630 Enrollment ID: I20220926001238 |
| Provider Name | Hayden Elizabeth Fryery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891449278 PECOS PAC ID: 3678949724 Enrollment ID: I20221014001964 |
| Provider Name | Christine Talley Robert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124587381 PECOS PAC ID: 7911374269 Enrollment ID: I20221031001010 |
| Provider Name | Sierra G Vilmar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922727627 PECOS PAC ID: 1153798095 Enrollment ID: I20221104001478 |
| Provider Name | Katie Hollingsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053016188 PECOS PAC ID: 4981069879 Enrollment ID: I20230427003016 |
| Provider Name | Kathryn Germeraad |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1649830498 PECOS PAC ID: 4385975804 Enrollment ID: I20230517002722 |
| Provider Name | Joshua B Campo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790289577 PECOS PAC ID: 3870840218 Enrollment ID: I20230622002050 |
| Provider Name | Elizabeth Brinkley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164913745 PECOS PAC ID: 6406104967 Enrollment ID: I20230623003125 |
| Provider Name | William Read Founds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578182671 PECOS PAC ID: 1658732433 Enrollment ID: I20230726001034 |
| Provider Name | Brooks Jared Culotta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063944494 PECOS PAC ID: 4284096066 Enrollment ID: I20230810001527 |
| Provider Name | Nina Leigh Mimbs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528529179 PECOS PAC ID: 4688036015 Enrollment ID: I20230816001880 |
| Provider Name | Oluremi O Omotayo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467912865 PECOS PAC ID: 4688900731 Enrollment ID: I20230817002682 |
| Provider Name | Lamia Abisamra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912562489 PECOS PAC ID: 1153707542 Enrollment ID: I20230901002139 |
| Provider Name | Joshua P Wells |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700345758 PECOS PAC ID: 8224364666 Enrollment ID: I20230915002453 |
| Provider Name | Shruti Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942654207 PECOS PAC ID: 0648568410 Enrollment ID: I20230919003512 |
| Provider Name | Asha U Khachane |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699160341 PECOS PAC ID: 5294070538 Enrollment ID: I20231127003001 |
| Provider Name | Lorene B Wiley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104270255 PECOS PAC ID: 5294023388 Enrollment ID: I20240203000587 |
| Provider Name | Jayaraman Chandrasekhar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134233851 PECOS PAC ID: 2062459134 Enrollment ID: I20240216000153 |
| Provider Name | Israel Villanueva |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134297161 PECOS PAC ID: 7214022672 Enrollment ID: I20240216001398 |
| Provider Name | Darshan R Dhingani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053547968 PECOS PAC ID: 3274797196 Enrollment ID: I20240228000530 |
| Provider Name | Alex E Morizio |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851585293 PECOS PAC ID: 7810069911 Enrollment ID: I20240307000450 |
| Provider Name | Yoosif Mohamed Ali Abdalla |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679851760 PECOS PAC ID: 6103059803 Enrollment ID: I20240307000829 |
| Provider Name | Choua Thao |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053653576 PECOS PAC ID: 6901128081 Enrollment ID: I20240307000954 |
| Provider Name | Leslie K Hale |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861890972 PECOS PAC ID: 0143540062 Enrollment ID: I20240311003138 |
| Provider Name | Carolyn M Shover |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528440526 PECOS PAC ID: 3476826561 Enrollment ID: I20240312002413 |
| Provider Name | Roman Bernstein |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669600607 PECOS PAC ID: 8426392135 Enrollment ID: I20240312003172 |
| Provider Name | Qassam Jabbar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528334646 PECOS PAC ID: 0840583514 Enrollment ID: I20240313000919 |
| Provider Name | Beverly P Chang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306166731 PECOS PAC ID: 0042458549 Enrollment ID: I20240313003750 |
| Provider Name | Kelly C Grady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932981891 PECOS PAC ID: 5193162162 Enrollment ID: I20240326002641 |
| Provider Name | Garrett Wax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013777242 PECOS PAC ID: 1850732652 Enrollment ID: I20240510001776 |
| Provider Name | Christopher A Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669748489 PECOS PAC ID: 6608169123 Enrollment ID: I20240614000023 |
St. Thomas Community Health Center Erwin Bldg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1936 Magazine St, New Orleans, LA 70130 Phone: 504-529-5558 Fax: 504-595-5020 | |
Ochsner Health Center - Napoleon At Magnolia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2633 Napoleon Ave, New Orleans, LA 70115 Phone: 504-842-7444 | |
Baptist Community Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1616 Fats Domino Ave, New Orleans, LA 70117 Phone: 504-533-4999 | |
Ochsner Urgent Care - French Quarter Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Decatur St, New Orleans, LA 70130 Phone: 504-609-3833 | |
Depaul Community Health Centers-harriet Tubman Charter School-2nd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2013 General Meyer Ave, New Orleans, LA 70114 Phone: 504-207-3060 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Poydras St Ste 107, New Orleans, LA 70139 Phone: 504-703-1355 | |
Marillac Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12000 Hayne Blvd, New Orleans, LA 70128 Phone: 504-267-3882 |