Ch Mssp Services La Llc | |
100 Kingston Rd Sulphur LA 70663-4016 | |
(737) 226-6700 | |
Not Available |
Full Name | Ch Mssp Services La Llc |
---|---|
Speciality | Internal Medicine |
Location | 100 Kingston Rd, Sulphur, Louisiana |
Authorized Official Name and Position | Nicole Howard (SVP OF ADMINISTRATIVE SERVICES) |
Authorized Official Contact | 3379919276 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ch Mssp Services La Llc 5750 Johnston St Ste 205 Lafayette LA 70503-5334 Ph: (337) 991-9276 | Ch Mssp Services La Llc 100 Kingston Rd Sulphur LA 70663-4016 Ph: (737) 226-6700 |
NPI Number | 1982285060 |
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Provider Enumeration Date | 04/20/2021 |
Last Update Date | 02/19/2024 |
Medicare PECOS PAC ID | 6901206416 |
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Medicare Enrollment ID | O20210621000338 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982285060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Brian C Wilder |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558455733 PECOS PAC ID: 6709782089 Enrollment ID: I20031209000070 |
Provider Name | Parimal J Parikh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871552133 PECOS PAC ID: 3678471034 Enrollment ID: I20031223000301 |
Provider Name | Laura B Perkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982635892 PECOS PAC ID: 5092796409 Enrollment ID: I20040601000020 |
Provider Name | Robert Hernandez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043247745 PECOS PAC ID: 2062302037 Enrollment ID: I20050308000207 |
Provider Name | Janice W Hollier |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1679542773 PECOS PAC ID: 5890737894 Enrollment ID: I20050601000116 |
Provider Name | Merrill J Laurent |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083673917 PECOS PAC ID: 7113826322 Enrollment ID: I20060314000261 |
Provider Name | David Colvin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023010592 PECOS PAC ID: 5496855793 Enrollment ID: I20070716000713 |
Provider Name | Linda K Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376588335 PECOS PAC ID: 3870663313 Enrollment ID: I20080610000321 |
Provider Name | Allyson M Delaune |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023200987 PECOS PAC ID: 3577637941 Enrollment ID: I20080801000599 |
Provider Name | Tammy Bretey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649445115 PECOS PAC ID: 8224192232 Enrollment ID: I20090205000195 |
Provider Name | Martha K Andries |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922240340 PECOS PAC ID: 0749338028 Enrollment ID: I20090424000033 |
Provider Name | Cesar Augusto Ramirez Astacio |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336359033 PECOS PAC ID: 7012062011 Enrollment ID: I20090826000929 |
Provider Name | Donna R Hewitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588867485 PECOS PAC ID: 1658417654 Enrollment ID: I20091005000748 |
Provider Name | Christene N Wooden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114152931 PECOS PAC ID: 4082752993 Enrollment ID: I20091113000443 |
Provider Name | Dillon H Hart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457681850 PECOS PAC ID: 8224003397 Enrollment ID: I20100517000574 |
Provider Name | Pat Bass |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952321820 PECOS PAC ID: 2163614488 Enrollment ID: I20101005001001 |
Provider Name | Shahed M Jameel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902002850 PECOS PAC ID: 0648466631 Enrollment ID: I20101202000820 |
Provider Name | Katherine Rains |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487954608 PECOS PAC ID: 1456548791 Enrollment ID: I20101213000189 |
Provider Name | Adriona L Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215225677 PECOS PAC ID: 1456520071 Enrollment ID: I20110816000092 |
Provider Name | Byron Kendall Herpich |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20110825000648 |
Provider Name | June Roderick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356669519 PECOS PAC ID: 5597895631 Enrollment ID: I20120423000469 |
Provider Name | Ashley N Carrier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073825311 PECOS PAC ID: 6002004355 Enrollment ID: I20130722000098 |
Provider Name | Bonnie Dupre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285802744 PECOS PAC ID: 4880820109 Enrollment ID: I20131115000159 |
Provider Name | Kawander L Parquet |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154634111 PECOS PAC ID: 0840426417 Enrollment ID: I20131204001255 |
Provider Name | Constance E Thompson-fly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205184348 PECOS PAC ID: 0941430367 Enrollment ID: I20140305000533 |
Provider Name | Brittany A Procell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366874695 PECOS PAC ID: 1355573940 Enrollment ID: I20140414001413 |
Provider Name | Loryn C Matthews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205199643 PECOS PAC ID: 8729202817 Enrollment ID: I20140611000554 |
Provider Name | Alicia P Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437445913 PECOS PAC ID: 9537326814 Enrollment ID: I20140811002082 |
Provider Name | April Patton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386887842 PECOS PAC ID: 2769636141 Enrollment ID: I20140916000986 |
Provider Name | Monica R Tracy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134500820 PECOS PAC ID: 1850605528 Enrollment ID: I20150810000367 |
Provider Name | Megan Miranda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003285057 PECOS PAC ID: 2668782236 Enrollment ID: I20151111000381 |
Provider Name | Nicole Saenz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548547094 PECOS PAC ID: 6608099874 Enrollment ID: I20151217001489 |
Provider Name | Briana West |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932565173 PECOS PAC ID: 9335443258 Enrollment ID: I20160212000440 |
Provider Name | David A Reed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518214923 PECOS PAC ID: 7416179056 Enrollment ID: I20160324002152 |
Provider Name | Kristin Kennedy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164801965 PECOS PAC ID: 2365742160 Enrollment ID: I20160330002030 |
Provider Name | Alanna Hebert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477927689 PECOS PAC ID: 9234436411 Enrollment ID: I20160404000375 |
Provider Name | Susila Shanmuganathan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447510300 PECOS PAC ID: 1355589961 Enrollment ID: I20160622000442 |
Provider Name | Cynthia Chapman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588013486 PECOS PAC ID: 4486945409 Enrollment ID: I20160622002395 |
Provider Name | Kimberly C Forcinel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124406400 PECOS PAC ID: 5890086672 Enrollment ID: I20160628000382 |
Provider Name | Paul T Guidry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700143237 PECOS PAC ID: 0345488482 Enrollment ID: I20160629001185 |
Provider Name | Brittany F Meche |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972959062 PECOS PAC ID: 7517251127 Enrollment ID: I20160804001244 |
Provider Name | Jean Nicole Webb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629421177 PECOS PAC ID: 4587959812 Enrollment ID: I20160825000082 |
Provider Name | Icela Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659826683 PECOS PAC ID: 2567758808 Enrollment ID: I20160913000378 |
Provider Name | Timothy Andrew Rhinehart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477094142 PECOS PAC ID: 0345525663 Enrollment ID: I20170328001376 |
Provider Name | Ashley M Caire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285173344 PECOS PAC ID: 9436436326 Enrollment ID: I20170502001139 |
Provider Name | Corey Andras |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184163248 PECOS PAC ID: 8729356894 Enrollment ID: I20170613002110 |
Provider Name | Robert Emon Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114455409 PECOS PAC ID: 6608144498 Enrollment ID: I20170620002269 |
Provider Name | Ashley Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477075992 PECOS PAC ID: 2769754209 Enrollment ID: I20170818000739 |
Provider Name | Ioana Miinea |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487177390 PECOS PAC ID: 9638444532 Enrollment ID: I20171003005175 |
Provider Name | Leanna M Tyler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285149401 PECOS PAC ID: 2466711361 Enrollment ID: I20180123001748 |
Provider Name | Joy Fletcher Chairs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184138653 PECOS PAC ID: 2062774367 Enrollment ID: I20180327000783 |
Provider Name | Mary Katherine Cantrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063908135 PECOS PAC ID: 1153670260 Enrollment ID: I20180823000445 |
Provider Name | Teri Lynn Duggan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992282719 PECOS PAC ID: 3577813732 Enrollment ID: I20180910000749 |
Provider Name | Megan Ray O'neal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659807980 PECOS PAC ID: 5890045918 Enrollment ID: I20180911000058 |
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 | Kenneth G Sehon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215422324 PECOS PAC ID: 6406108893 Enrollment ID: I20181012001498 |
Provider Name | Kyrean Cierra Bowens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306329263 PECOS PAC ID: 4688918204 Enrollment ID: I20181207000640 |
Provider Name | Hayley E Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114402013 PECOS PAC ID: 7012255292 Enrollment ID: I20190213001934 |
Provider Name | Misty Sherlock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972089779 PECOS PAC ID: 9234477340 Enrollment ID: I20190215000917 |
Provider Name | Angell Luter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013485887 PECOS PAC ID: 2769720689 Enrollment ID: I20190219000103 |
Provider Name | Julie Gatto Smahaj |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366643330 PECOS PAC ID: 2567624398 Enrollment ID: I20190313000756 |
Provider Name | Lindsey Henderson Champagne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689139628 PECOS PAC ID: 4688916620 Enrollment ID: I20190423002522 |
Provider Name | Caitlin Copes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326578600 PECOS PAC ID: 8527324946 Enrollment ID: I20190529000954 |
Provider Name | Ema-chanel Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457912800 PECOS PAC ID: 5597091355 Enrollment ID: I20190731003386 |
Provider Name | Tarcariyunn Shantay Caldwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922653443 PECOS PAC ID: 8820326994 Enrollment ID: I20190827003827 |
Provider Name | Mary S Inman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780237701 PECOS PAC ID: 3072842954 Enrollment ID: I20190903002216 |
Provider Name | Rikki Elizabeth Judice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770043937 PECOS PAC ID: 3779812094 Enrollment ID: I20190912000770 |
Provider Name | Kennetha L Simien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013550433 PECOS PAC ID: 3476885740 Enrollment ID: I20191106001383 |
Provider Name | Stephanie Knight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750630364 PECOS PAC ID: 0042574436 Enrollment ID: I20200210001615 |
Provider Name | Michael Lysek |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265968853 PECOS PAC ID: 3173874823 Enrollment ID: I20200520001325 |
Provider Name | Thomas G Greer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275142325 PECOS PAC ID: 3870919319 Enrollment ID: I20200814001385 |
Provider Name | Lauren B Butcher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124636683 PECOS PAC ID: 2163848565 Enrollment ID: I20200817001152 |
Provider Name | Amy Lou Devine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871105593 PECOS PAC ID: 4082034152 Enrollment ID: I20201013000199 |
Provider Name | Ashley L Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417565664 PECOS PAC ID: 8820409238 Enrollment ID: I20201116000888 |
Provider Name | Leah Hamilton Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063024198 PECOS PAC ID: 0244641132 Enrollment ID: I20201125001154 |
Provider Name | Sarah M. Haines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346842499 PECOS PAC ID: 7012329295 Enrollment ID: I20201211000990 |
Provider Name | Kristen Joy Shumate Ducote |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538721527 PECOS PAC ID: 4284047630 Enrollment ID: I20210105000225 |
Provider Name | Lisa Torrey Monteverde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437740248 PECOS PAC ID: 5496160921 Enrollment ID: I20210216001327 |
Provider Name | Jennifer Efferson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790397586 PECOS PAC ID: 7315353091 Enrollment ID: I20210303002450 |
Provider Name | Lauren Herron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922692599 PECOS PAC ID: 3274949375 Enrollment ID: I20210316001783 |
Provider Name | Chastity Layne Houghton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952982472 PECOS PAC ID: 2769890219 Enrollment ID: I20210421002028 |
Provider Name | Tera Rachal Cooke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932717576 PECOS PAC ID: 3072887066 Enrollment ID: I20210423000607 |
Provider Name | Paula Requeijo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427084763 PECOS PAC ID: 8325003742 Enrollment ID: I20210621000629 |
Provider Name | Emily Henigman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568023281 PECOS PAC ID: 8325374796 Enrollment ID: I20210708003437 |
Provider Name | Gina Desanto |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871656298 PECOS PAC ID: 1052370616 Enrollment ID: I20210804002590 |
Provider Name | Lindsay L. Jameel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629640107 PECOS PAC ID: 1658775978 Enrollment ID: I20210810000111 |
Provider Name | Diamond C. George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780358754 PECOS PAC ID: 6709281629 Enrollment ID: I20210816002205 |
Provider Name | Meagan W. Forrest |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295409290 PECOS PAC ID: 3173928868 Enrollment ID: I20210818001757 |
Provider Name | Stormy Tullis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396417184 PECOS PAC ID: 9638577406 Enrollment ID: I20211007003508 |
Provider Name | Monica Hunter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912674953 PECOS PAC ID: 5092104950 Enrollment ID: I20211115001268 |
Provider Name | Bailey Elizabeth Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942685300 PECOS PAC ID: 8820308869 Enrollment ID: I20211201002013 |
Provider Name | Alicia Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598427999 PECOS PAC ID: 8426440397 Enrollment ID: I20220126003105 |
Provider Name | Amy Ables |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649919986 PECOS PAC ID: 2769862838 Enrollment ID: I20220707000363 |
Provider Name | Shaun Inman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144969478 PECOS PAC ID: 4688054778 Enrollment ID: I20220707000951 |
Provider Name | Amber Mote |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407588627 PECOS PAC ID: 1456731330 Enrollment ID: I20220708003655 |
Provider Name | Kaycie Posey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932831500 PECOS PAC ID: 3072994979 Enrollment ID: I20220725000995 |
Provider Name | Victoria L Orr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396478830 PECOS PAC ID: 2466834023 Enrollment ID: I20220729001742 |
Provider Name | Christie Mcdearmont |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881327674 PECOS PAC ID: 8022490929 Enrollment ID: I20220809000074 |
Provider Name | Marjorie Torres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710425004 PECOS PAC ID: 0446520043 Enrollment ID: I20221013000980 |
Provider Name | Kaylie Elizabeth Buras |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184350852 PECOS PAC ID: 9133598352 Enrollment ID: I20221210000539 |
Provider Name | Dani Leigh Prest |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467905299 PECOS PAC ID: 6608143839 Enrollment ID: I20230203000977 |
Provider Name | Jeffrey Scott Norcross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912632852 PECOS PAC ID: 8325411291 Enrollment ID: I20230224001209 |
Provider Name | Zachary B Fussell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861114407 PECOS PAC ID: 0648645812 Enrollment ID: I20230401000058 |
Provider Name | Raquel Ortelli Morrow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316638539 PECOS PAC ID: 7719347764 Enrollment ID: I20230721002044 |
Provider Name | Emily Christine Neal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780369108 PECOS PAC ID: 8820458771 Enrollment ID: I20230724002868 |
Provider Name | Kenberly K Baughman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275248536 PECOS PAC ID: 4587018064 Enrollment ID: I20231003000410 |
Provider Name | Brian Cooper |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366678963 PECOS PAC ID: 0547426223 Enrollment ID: I20240220002128 |
Provider Name | Ruth Seeley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295392421 PECOS PAC ID: 3779818737 Enrollment ID: I20240411005009 |
Davies Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1114 Stelly Ln, Sulphur, LA 70663 Phone: 337-528-7316 Fax: 337-528-7884 | |
Maplewood Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3702 Maplewood Dr, Sulphur, LA 70663 Phone: 337-625-5459 Fax: 337-626-2045 | |
Calcasieu Family Physicians, Apmc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 1st Ave, Sulphur, LA 70663 Phone: 337-527-6530 Fax: 337-527-7337 | |
Sulphur Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3924 Maplewood Dr, Sulphur, LA 70663 Phone: 337-626-0078 Fax: 337-626-0330 | |
Grimball & Richert Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 1st Ave, Sulphur, LA 70663 Phone: 337-527-6301 Fax: 337-527-9194 | |
Community Health Center Of West Calcasieu Cameron Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Cypress St Ste A, Sulphur, LA 70663 Phone: 337-310-0395 Fax: 337-310-0392 | |
Imperial Health, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1327 Stelly Lane, Suite 3, Sulphur, LA 70663 Phone: 337-310-3670 Fax: 337-421-1408 |