| Lourdes Physician Group Llc | |
|
4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 | |
| (337) 470-2000 | |
| (337) 470-2019 |
| Full Name | Lourdes Physician Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4801 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| Authorized Official Name and Position | William F Barrow (CEO) |
| Authorized Official Contact | 3374702999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lourdes Physician Group Llc 4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 Ph: (337) 470-2000 | Lourdes Physician Group Llc 4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 Ph: (337) 470-2000 |
| NPI Number | 1437405883 |
|---|---|
| Provider Enumeration Date | 08/02/2012 |
| Last Update Date | 08/14/2012 |
| Medicare PECOS PAC ID | 7214177757 |
|---|---|
| Medicare Enrollment ID | O20130705000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437405883 | NPI | - | NPPES |
| Provider Name | Lisa M Colon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275695017 PECOS PAC ID: 1951299973 Enrollment ID: I20040310000186 |
| Provider Name | James M Mwatibo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710975487 PECOS PAC ID: 3274522388 Enrollment ID: I20040512000182 |
| Provider Name | Ralph Joseph Fernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740365311 PECOS PAC ID: 8921085317 Enrollment ID: I20040702000749 |
| Provider Name | Andree B Caillet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700888005 PECOS PAC ID: 3678553724 Enrollment ID: I20040721000374 |
| Provider Name | David T Booher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346250511 PECOS PAC ID: 8729068572 Enrollment ID: I20040723000011 |
| Provider Name | Brian Bailey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265430656 PECOS PAC ID: 5698740611 Enrollment ID: I20040901000565 |
| Provider Name | Lanny Turkewitz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871629931 PECOS PAC ID: 1254381064 Enrollment ID: I20050129000064 |
| Provider Name | Ariadne A Gauthier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134216518 PECOS PAC ID: 0547215923 Enrollment ID: I20050318000113 |
| Provider Name | Henry Joseph Kaufman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831142090 PECOS PAC ID: 7618941675 Enrollment ID: I20050616000353 |
| Provider Name | Norris P Guidry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942248919 PECOS PAC ID: 8628013885 Enrollment ID: I20050628000465 |
| Provider Name | Michael H Vanderlick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598791691 PECOS PAC ID: 6507801776 Enrollment ID: I20050628000500 |
| Provider Name | Marshall S St Amant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649279969 PECOS PAC ID: 7315975257 Enrollment ID: I20050801000989 |
| Provider Name | Michael S Rabalais |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821096561 PECOS PAC ID: 8224067319 Enrollment ID: I20050809000746 |
| Provider Name | Moses M Kitakule |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588602056 PECOS PAC ID: 3678596459 Enrollment ID: I20060106000650 |
| Provider Name | Robert C Dewitt |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1023009263 PECOS PAC ID: 9234143579 Enrollment ID: I20060126000124 |
| Provider Name | Steven J Snatic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184670127 PECOS PAC ID: 8022037167 Enrollment ID: I20060127000122 |
| Provider Name | Chad A Vincent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437104619 PECOS PAC ID: 3779592621 Enrollment ID: I20060420000442 |
| Provider Name | Joan Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932258456 PECOS PAC ID: 4183728041 Enrollment ID: I20070402000636 |
| Provider Name | Fabian Lugo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538190798 PECOS PAC ID: 6406956085 Enrollment ID: I20070711000800 |
| Provider Name | Kathryn G Strother |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467595181 PECOS PAC ID: 9436240322 Enrollment ID: I20070807000448 |
| Provider Name | Michelle R Stutes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588869309 PECOS PAC ID: 3173615705 Enrollment ID: I20070827000672 |
| Provider Name | Wartelle J Castille |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649488008 PECOS PAC ID: 8022102268 Enrollment ID: I20070919000711 |
| Provider Name | Uyen B Chu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467459156 PECOS PAC ID: 8123112265 Enrollment ID: I20070919000796 |
| Provider Name | Kelly T Cahill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982732061 PECOS PAC ID: 0749362424 Enrollment ID: I20080204000241 |
| Provider Name | Dean S Edell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568458073 PECOS PAC ID: 1052495926 Enrollment ID: I20080303000107 |
| Provider Name | Francis J Cardinale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104826627 PECOS PAC ID: 6002811429 Enrollment ID: I20080425000343 |
| Provider Name | Virginia A Singleton-alfred |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124191598 PECOS PAC ID: 2961581863 Enrollment ID: I20080505000026 |
| Provider Name | Gabriel L Dersam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487844650 PECOS PAC ID: 2860585213 Enrollment ID: I20080506000465 |
| Provider Name | Stephen Douglas Seymour |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316044605 PECOS PAC ID: 6800994849 Enrollment ID: I20080506000604 |
| Provider Name | Donna M Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104847128 PECOS PAC ID: 6800965039 Enrollment ID: I20080514000508 |
| Provider Name | Craig Manzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013114164 PECOS PAC ID: 9032281647 Enrollment ID: I20080626000256 |
| Provider Name | Judy Broussard Trahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891962437 PECOS PAC ID: 3870665276 Enrollment ID: I20080630000429 |
| Provider Name | Tracy L Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376578963 PECOS PAC ID: 8921170135 Enrollment ID: I20080703000302 |
| Provider Name | Kenneth Falterman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427080738 PECOS PAC ID: 6507935780 Enrollment ID: I20080819000240 |
| Provider Name | Reatha M Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740236504 PECOS PAC ID: 2668435223 Enrollment ID: I20081110000054 |
| Provider Name | Kenneth Spiller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043220239 PECOS PAC ID: 4880614320 Enrollment ID: I20081211000346 |
| Provider Name | Edgar L Feinberg |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1851311195 PECOS PAC ID: 6204733751 Enrollment ID: I20090421000458 |
| Provider Name | Richard M Dearman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942220280 PECOS PAC ID: 8123114584 Enrollment ID: I20090520000253 |
| Provider Name | Hans C Andersson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801987664 PECOS PAC ID: 1254480981 Enrollment ID: I20090528000439 |
| Provider Name | Matthew B Boudreaux |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1245440577 PECOS PAC ID: 4385796366 Enrollment ID: I20090722000546 |
| Provider Name | Erinn W Olivier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023208337 PECOS PAC ID: 3375698269 Enrollment ID: I20090827000868 |
| Provider Name | Brian C Jobe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922018472 PECOS PAC ID: 0648325373 Enrollment ID: I20090902000339 |
| Provider Name | Timothy Viator |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659369916 PECOS PAC ID: 4082659800 Enrollment ID: I20091007000460 |
| Provider Name | Erin T Lasseigne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053533075 PECOS PAC ID: 7618078064 Enrollment ID: I20091009000355 |
| Provider Name | Justin M Ardoin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962610360 PECOS PAC ID: 0749328102 Enrollment ID: I20091105000419 |
| Provider Name | Sunshine A Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881803138 PECOS PAC ID: 7012056161 Enrollment ID: I20091202000392 |
| Provider Name | Kenneth J Champagne |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1740284454 PECOS PAC ID: 1052453891 Enrollment ID: I20100118000000 |
| Provider Name | Mark L Kantrow |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1093716920 PECOS PAC ID: 1658416656 Enrollment ID: I20100302000436 |
| Provider Name | Sydney Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679896955 PECOS PAC ID: 2567597271 Enrollment ID: I20100319000782 |
| Provider Name | Charmaine L. Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225341019 PECOS PAC ID: 6507980646 Enrollment ID: I20100827000602 |
| Provider Name | Floyd T Carey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225051808 PECOS PAC ID: 2567553837 Enrollment ID: I20100902000057 |
| Provider Name | Virasith Rajapho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497951446 PECOS PAC ID: 8325237050 Enrollment ID: I20110112000390 |
| Provider Name | Derek B Baumbouree |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265430995 PECOS PAC ID: 0547359465 Enrollment ID: I20110304000033 |
| Provider Name | Amanda J Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811292584 PECOS PAC ID: 7517149446 Enrollment ID: I20110314000358 |
| Provider Name | Breigh L Foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437349214 PECOS PAC ID: 3173796943 Enrollment ID: I20111024000691 |
| Provider Name | Anna K Prejean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316294671 PECOS PAC ID: 9739338765 Enrollment ID: I20121005000436 |
| Provider Name | Richard W Pratt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558539973 PECOS PAC ID: 2365691144 Enrollment ID: I20121011000604 |
| Provider Name | Jessica A Rinaldo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558535708 PECOS PAC ID: 8022262294 Enrollment ID: I20130218000217 |
| Provider Name | Deiadra J Garrett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144397472 PECOS PAC ID: 8527161892 Enrollment ID: I20130308000445 |
| Provider Name | Kathryn B Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699974832 PECOS PAC ID: 3476634270 Enrollment ID: I20130402000043 |
| Provider Name | Kristin Elizabeth Tauzin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093053522 PECOS PAC ID: 3375789597 Enrollment ID: I20130413000006 |
| Provider Name | Jon C Liprie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528130481 PECOS PAC ID: 8426124405 Enrollment ID: I20130708000182 |
| Provider Name | Sara B Doguet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396010690 PECOS PAC ID: 8022259134 Enrollment ID: I20130829000635 |
| Provider Name | Jennifer R Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245672120 PECOS PAC ID: 0143463646 Enrollment ID: I20130903000219 |
| Provider Name | Frank W Courmier |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700082039 PECOS PAC ID: 0941434245 Enrollment ID: I20130927000308 |
| Provider Name | Dana C Dicharry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588981864 PECOS PAC ID: 9638316169 Enrollment ID: I20131031001383 |
| Provider Name | Abigail T Pelafigue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821421538 PECOS PAC ID: 6800024712 Enrollment ID: I20140122000220 |
| Provider Name | Ashley A Guy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851615876 PECOS PAC ID: 9638309495 Enrollment ID: I20140224001417 |
| Provider Name | Kelly L Spurgeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285906016 PECOS PAC ID: 1557584109 Enrollment ID: I20140529000048 |
| Provider Name | Ashley M Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558788232 PECOS PAC ID: 2264655638 Enrollment ID: I20140604000092 |
| Provider Name | Gregory M Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518256262 PECOS PAC ID: 9234358862 Enrollment ID: I20140915000634 |
| Provider Name | Mehandi Haran |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114103694 PECOS PAC ID: 3072754993 Enrollment ID: I20140917001529 |
| Provider Name | Gene Thomas Callais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528315280 PECOS PAC ID: 4385863521 Enrollment ID: I20140919001586 |
| Provider Name | Ann Marie Flannery |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558465161 PECOS PAC ID: 5092873844 Enrollment ID: I20150102001157 |
| Provider Name | Nicole M Lavergne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811319114 PECOS PAC ID: 0749503498 Enrollment ID: I20150105000047 |
| Provider Name | May S Thomassee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235333725 PECOS PAC ID: 7214115807 Enrollment ID: I20150413001665 |
| Provider Name | Joshua D Dahlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154711786 PECOS PAC ID: 8325366305 Enrollment ID: I20150423001874 |
| Provider Name | Edgar Pumarol Castillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285981183 PECOS PAC ID: 1557502788 Enrollment ID: I20151110002901 |
| Provider Name | Kandice M Thibodeaux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740541309 PECOS PAC ID: 1850694126 Enrollment ID: I20160120000836 |
| Provider Name | Amanda Babineaux Duplantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891153813 PECOS PAC ID: 8426354606 Enrollment ID: I20160315000784 |
| Provider Name | Bhavya H Gopalagowda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114114162 PECOS PAC ID: 3375737828 Enrollment ID: I20160418002137 |
| Provider Name | Abigail Hart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821354036 PECOS PAC ID: 0345531950 Enrollment ID: I20160628002617 |
| Provider Name | Janci B Detwiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144673344 PECOS PAC ID: 5799063301 Enrollment ID: I20161102002416 |
| Provider Name | Russell T Phelps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356337422 PECOS PAC ID: 5193883635 Enrollment ID: I20161203000094 |
| Provider Name | Jennifer Veazie Navarre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518406644 PECOS PAC ID: 0143504266 Enrollment ID: I20170308001762 |
| Provider Name | Jacob Edward Landry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235495813 PECOS PAC ID: 9234361064 Enrollment ID: I20170629000006 |
| Provider Name | Mario L Cardinale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639512437 PECOS PAC ID: 7012213663 Enrollment ID: I20170727002136 |
| Provider Name | Megan A Dupre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851821326 PECOS PAC ID: 6608149430 Enrollment ID: I20170830001481 |
| Provider Name | Bradley P Champagne |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1578858288 PECOS PAC ID: 4587880505 Enrollment ID: I20171013001910 |
| Provider Name | Jacqueline Marie Judice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891216321 PECOS PAC ID: 5991061624 Enrollment ID: I20171113000731 |
| Provider Name | Lauren Joy Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316440373 PECOS PAC ID: 4082976311 Enrollment ID: I20180326000314 |
| Provider Name | Srikanth Vemulapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952784381 PECOS PAC ID: 0446551931 Enrollment ID: I20180904001872 |
| Provider Name | Adria C Dubose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194246595 PECOS PAC ID: 1759633431 Enrollment ID: I20181008001606 |
| Provider Name | Nuria Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467662171 PECOS PAC ID: 2668510611 Enrollment ID: I20181109002114 |
| Provider Name | Taylor Till |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679042147 PECOS PAC ID: 8022356534 Enrollment ID: I20190207002169 |
| Provider Name | Tara D Benjamin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427222413 PECOS PAC ID: 8325210529 Enrollment ID: I20190312000199 |
| Provider Name | Cory J Lemoine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760836597 PECOS PAC ID: 6406149327 Enrollment ID: I20190730003424 |
| Provider Name | Michael B Mciver |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912386814 PECOS PAC ID: 5799083093 Enrollment ID: I20190808000665 |
| Provider Name | Oliver Y Achi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841684263 PECOS PAC ID: 5799014023 Enrollment ID: I20190911001045 |
| Provider Name | Ray Anthony Quebedeaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346508777 PECOS PAC ID: 8628377884 Enrollment ID: I20190930000822 |
| Provider Name | Shomari Jamal Olden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356791131 PECOS PAC ID: 3274828975 Enrollment ID: I20191010001105 |
| Provider Name | Terry Chris Stelly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1356349195 PECOS PAC ID: 9830177047 Enrollment ID: I20191108001388 |
| Provider Name | Vasanth K Nalam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093779654 PECOS PAC ID: 3274968052 Enrollment ID: I20200124001924 |
| Provider Name | Kristen Cannon Godeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467093237 PECOS PAC ID: 9032545066 Enrollment ID: I20200211000060 |
| Provider Name | Rebecca Lynn Currier Curran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003278854 PECOS PAC ID: 0244506772 Enrollment ID: I20200630001258 |
| Provider Name | Richard J Luneau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558802983 PECOS PAC ID: 1951675032 Enrollment ID: I20200727001531 |
| Provider Name | Deborah Ann Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992328967 PECOS PAC ID: 2961827829 Enrollment ID: I20200810001246 |
| Provider Name | John P Bercier |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588168199 PECOS PAC ID: 5597012682 Enrollment ID: I20200812001080 |
| Provider Name | Aimee Elizabeth Hymel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689093700 PECOS PAC ID: 7810229770 Enrollment ID: I20200827002554 |
| Provider Name | Bader Kfoury |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518349919 PECOS PAC ID: 9335567296 Enrollment ID: I20200910000055 |
| Provider Name | Payal Daya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033649348 PECOS PAC ID: 5698031847 Enrollment ID: I20200922002670 |
| Provider Name | Charise Fashho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376800987 PECOS PAC ID: 9436471224 Enrollment ID: I20201007001753 |
| Provider Name | Jeremy S Knott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841724507 PECOS PAC ID: 2062783541 Enrollment ID: I20201020001872 |
| Provider Name | Nidaullah Mian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700295953 PECOS PAC ID: 0749570091 Enrollment ID: I20201020004530 |
| Provider Name | Emre Bucak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841640166 PECOS PAC ID: 0244644375 Enrollment ID: I20210201000063 |
| Provider Name | Elva Natasha Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114518685 PECOS PAC ID: 9234544453 Enrollment ID: I20210222002353 |
| Provider Name | Stephanie Annette Barrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144780164 PECOS PAC ID: 5698181089 Enrollment ID: I20210310000310 |
| Provider Name | Kristen Gilbert Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538753926 PECOS PAC ID: 6103232517 Enrollment ID: I20210310000929 |
| Provider Name | Brody James Leblanc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578058699 PECOS PAC ID: 7911306469 Enrollment ID: I20210603000550 |
| Provider Name | Kristen F Sandoz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992201628 PECOS PAC ID: 4587915186 Enrollment ID: I20210708001352 |
| Provider Name | Margaret Hebert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073018024 PECOS PAC ID: 9739596164 Enrollment ID: I20210712001361 |
| Provider Name | Christie Marie Duronslet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487151932 PECOS PAC ID: 5799036364 Enrollment ID: I20210714002464 |
| Provider Name | Natalie Reneee Derouen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881190510 PECOS PAC ID: 0042612939 Enrollment ID: I20210715000026 |
| Provider Name | Jessica C Gary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538730601 PECOS PAC ID: 4486057346 Enrollment ID: I20210729001876 |
| Provider Name | Ria Itty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770967275 PECOS PAC ID: 8325387400 Enrollment ID: I20210805000224 |
| Provider Name | Tasia Bradley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720583834 PECOS PAC ID: 6103235304 Enrollment ID: I20210805000494 |
| Provider Name | Elise Camile Sonnier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942872460 PECOS PAC ID: 8921403676 Enrollment ID: I20210819000202 |
| Provider Name | Yogeeta Varadarajalu Naidu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821406323 PECOS PAC ID: 1951706373 Enrollment ID: I20210824001455 |
| Provider Name | Thomas Allen Privett |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285632638 PECOS PAC ID: 1557336203 Enrollment ID: I20211022000884 |
| Provider Name | Megan Fontenot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144991043 PECOS PAC ID: 7315335916 Enrollment ID: I20211101003139 |
| Provider Name | Carmen Alexis Miller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003403171 PECOS PAC ID: 8426447749 Enrollment ID: I20211108001561 |
| Provider Name | Katherine Louise Greene |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356709992 PECOS PAC ID: 1254622061 Enrollment ID: I20220103000923 |
| Provider Name | Randy Jacob Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689061798 PECOS PAC ID: 5698082683 Enrollment ID: I20220114001712 |
| Provider Name | Allahyar Jazayeri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508845231 PECOS PAC ID: 8426044330 Enrollment ID: I20220310000727 |
| Provider Name | Mary Koziej Jazayeri |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518943836 PECOS PAC ID: 1658367560 Enrollment ID: I20220315000005 |
| Provider Name | Shalini Reyna Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871702225 PECOS PAC ID: 4284787888 Enrollment ID: I20220420003157 |
| Provider Name | Michael K Judice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851447593 PECOS PAC ID: 1557758596 Enrollment ID: I20220421002564 |
| Provider Name | Joshua Paul Lejeune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881335149 PECOS PAC ID: 6709273550 Enrollment ID: I20220425001914 |
| Provider Name | Jessica M Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447903695 PECOS PAC ID: 8527447077 Enrollment ID: I20220614001537 |
| Provider Name | Saad Karim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730600321 PECOS PAC ID: 1850646902 Enrollment ID: I20220628001562 |
| Provider Name | Hannah Godeaux Chachere |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275092462 PECOS PAC ID: 1456734243 Enrollment ID: I20220811000319 |
| Provider Name | Nicholas Taylor George |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851898506 PECOS PAC ID: 5496139222 Enrollment ID: I20220829001416 |
| Provider Name | Mikki Saltzman Royston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184356511 PECOS PAC ID: 0244614915 Enrollment ID: I20220829003614 |
| Provider Name | Claire F Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932358660 PECOS PAC ID: 3779968631 Enrollment ID: I20220914001097 |
| Provider Name | Virginia B Coreil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053319780 PECOS PAC ID: 1456440379 Enrollment ID: I20220923002987 |
| Provider Name | Safi Ul Haq |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144662651 PECOS PAC ID: 4688971872 Enrollment ID: I20221012001985 |
| Provider Name | Tyler Bartholomew Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578277646 PECOS PAC ID: 8921472549 Enrollment ID: I20230322002748 |
| Provider Name | Jared C Campbell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215322631 PECOS PAC ID: 3173868080 Enrollment ID: I20230508001831 |
| Provider Name | Katie Domingue Doggett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821776907 PECOS PAC ID: 0042671604 Enrollment ID: I20230728001217 |
| Provider Name | Kali A Broussard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023549409 PECOS PAC ID: 8325317803 Enrollment ID: I20230807002008 |
| Provider Name | Terrence James Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164081329 PECOS PAC ID: 0648502773 Enrollment ID: I20230824004295 |
| Provider Name | Aileen Danko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326003443 PECOS PAC ID: 5799677233 Enrollment ID: I20230905000393 |
| Provider Name | Brianna L Shaffer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285262782 PECOS PAC ID: 8123472800 Enrollment ID: I20230928003041 |
| Provider Name | Dylan Paul Camardelle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972380699 PECOS PAC ID: 3678929049 Enrollment ID: I20231023000782 |
| Provider Name | Ashley Robert Begnaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235913393 PECOS PAC ID: 0749636611 Enrollment ID: I20231029000010 |
| Provider Name | John Jacob Novotny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164983250 PECOS PAC ID: 8123353521 Enrollment ID: I20231116000536 |
| Provider Name | Elizabeth Freeman Savoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760256820 PECOS PAC ID: 5496106817 Enrollment ID: I20240110003493 |
| Provider Name | Julianna Jude Toranto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588397442 PECOS PAC ID: 2466804182 Enrollment ID: I20240118002215 |
| Provider Name | Dan Webster Parrish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215256441 PECOS PAC ID: 9931349263 Enrollment ID: I20240216003426 |
| Provider Name | Caroline Kristine Prather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801665898 PECOS PAC ID: 2466899190 Enrollment ID: I20240318001614 |
| Provider Name | Zuleima M. Haskins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164106837 PECOS PAC ID: 4284074568 Enrollment ID: I20240503000782 |
| Provider Name | Cesar Abraham Santillana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063974889 PECOS PAC ID: 9133508146 Enrollment ID: I20240523003619 |
| Provider Name | Joann Joy Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790555472 PECOS PAC ID: 7113369760 Enrollment ID: I20240528002506 |
Priority Access Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2912 Johnston St, Lafayette, LA 70503 Phone: 337-446-0555 | |
Telehealth Services Of Georgia, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Corporate Blvd, Lafayette, LA 70508 Phone: 800-893-9698 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Coolidge Blvd Ste 401, Lafayette, LA 70503 Phone: 337-769-8960 Fax: 337-769-8961 | |
Doctors Testing Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4414 Johnston Street, Suite D, Lafayette, LA 70503 Phone: 337-989-4327 Fax: 337-989-4609 | |
Stiel Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4630 Ambassador Caffery Pkwy, Ste 412, Lafayette, LA 70508 Phone: 337-993-3933 | |
Lourdes Hospital Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2147 Fax: 337-470-4204 | |
Katie Dennis, M.d. A.p.m.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4809 Ambassador Caffery Pkwy Ste 410, Lafayette, LA 70508 Phone: 337-504-3335 Fax: 337-504-4735 |