Gastroenterology Clinic, A Professional Medical Corporation | |
611 Grammont St Monroe LA 71201-7516 | |
(318) 325-2634 | |
(318) 812-1205 |
Full Name | Gastroenterology Clinic, A Professional Medical Corporation |
---|---|
Speciality | Internal Medicine |
Location | 611 Grammont St, Monroe, Louisiana |
Authorized Official Name and Position | Andrew W. Waldo (ADMINISTRATOR) |
Authorized Official Contact | 3183252634 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gastroenterology Clinic, A Professional Medical Corporation 611 Grammont St Monroe LA 71201-7516 Ph: (318) 325-2634 | Gastroenterology Clinic, A Professional Medical Corporation 611 Grammont St Monroe LA 71201-7516 Ph: (318) 325-2634 |
NPI Number | 1366442642 |
---|---|
Provider Enumeration Date | 07/28/2005 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 9234180803 |
---|---|
Medicare Enrollment ID | O20050201000943 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366442642 | NPI | - | NPPES |
23704 | Other | BLUE CROSS OF LOUISIANA | |
1798240 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (Louisiana) | Primary |
Provider Name | Henry H Hinkle |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1730147786 PECOS PAC ID: 5193749646 Enrollment ID: I20060123000983 |
Provider Name | Arthur E. Richert |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1013127935 PECOS PAC ID: 1153410055 Enrollment ID: I20071129000605 |
Provider Name | Clayton C Coon |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1538138763 PECOS PAC ID: 5991835316 Enrollment ID: I20100830001063 |
Provider Name | John S Smiarowski |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1568462851 PECOS PAC ID: 9931398245 Enrollment ID: I20110118000547 |
Provider Name | Kathryn R. Laborde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932455011 PECOS PAC ID: 5395995013 Enrollment ID: I20121015000573 |
Provider Name | Brian T Levatino |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1740473925 PECOS PAC ID: 2062652027 Enrollment ID: I20130716000243 |
Provider Name | Har Pratap Rai |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1184788747 PECOS PAC ID: 9830267442 Enrollment ID: I20150924000447 |
Provider Name | Morgan L O'neal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306293436 PECOS PAC ID: 5294029401 Enrollment ID: I20160811000662 |
Provider Name | Andrew C Rymill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487107744 PECOS PAC ID: 7911295605 Enrollment ID: I20161012002187 |
Provider Name | Nicholas C Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003473695 PECOS PAC ID: 5799010849 Enrollment ID: I20190711000510 |
Provider Name | Vincent C. Herlevic |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1194111518 PECOS PAC ID: 1951609247 Enrollment ID: I20210512001290 |
Provider Name | Christopher M Oglesby |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1184155129 PECOS PAC ID: 1850669805 Enrollment ID: I20230601003191 |
Affinity Central Lab Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 920 Oliver Rd, Suite C, Monroe, LA 71201 Phone: 318-812-7050 Fax: 318-812-7053 | |
Integrated Health Services Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Tower Dr, Monroe, LA 71201 Phone: 318-410-1044 | |
South Ouachita Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4310 S Grand St Ste 1, Monroe, LA 71202 Phone: 318-746-0420 Fax: 318-752-1940 | |
Phsc Desiard Street Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2913 Desiard St, Monroe, LA 71201 Phone: 318-651-9914 Fax: 318-410-0688 | |
David L. Barnes, Md, Apmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3400 Medical Park Dr, Suite C, Monroe, LA 71203 Phone: 318-325-6078 Fax: 318-324-9694 | |
J Dean Stockstill Md, A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3510 Magnolia Cv, Suite 190, Monroe, LA 71203 Phone: 318-323-7576 Fax: 318-322-7131 | |
Affinity Health Group Ulm Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1140 University Ave, Monroe, LA 71209 Phone: 318-342-1651 Fax: 318-342-3280 |