Mayfair Physician Services, Llc | |
17000 Medical Center Dr Baton Rouge LA 70816-3246 | |
(225) 752-2470 | |
Not Available |
Full Name | Mayfair Physician Services, Llc |
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Speciality | Hospitalist |
Location | 17000 Medical Center Dr, Baton Rouge, Louisiana |
Authorized Official Name and Position | Lisha C Falk (VP OF CONTRACTING) |
Authorized Official Contact | 3376091221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mayfair Physician Services, Llc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Mayfair Physician Services, Llc 17000 Medical Center Dr Baton Rouge LA 70816-3246 Ph: (225) 752-2470 |
NPI Number | 1831688365 |
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Provider Enumeration Date | 05/10/2018 |
Last Update Date | 11/04/2022 |
Medicare PECOS PAC ID | 7618225814 |
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Medicare Enrollment ID | O20180803002194 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831688365 | NPI | - | NPPES |
2475801 | Medicaid | LA |
Provider Name | Majid A Jawad |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558316596 PECOS PAC ID: 5597664417 Enrollment ID: I20040108000629 |
Provider Name | Barbara J Liscum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720084510 PECOS PAC ID: 2961499959 Enrollment ID: I20040430000058 |
Provider Name | Laura Entrekin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518930072 PECOS PAC ID: 1052397866 Enrollment ID: I20040624000618 |
Provider Name | Caxton A Opere |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073614723 PECOS PAC ID: 9931163722 Enrollment ID: I20041111001015 |
Provider Name | Shameem Akhtar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720184328 PECOS PAC ID: 2567469240 Enrollment ID: I20061024000069 |
Provider Name | Fadi Hawawini |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1124236690 PECOS PAC ID: 1254430093 Enrollment ID: I20070620000378 |
Provider Name | Brad David Vincent |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1588747406 PECOS PAC ID: 4183717614 Enrollment ID: I20070829000605 |
Provider Name | Rachel A Aaron |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265636658 PECOS PAC ID: 8426141854 Enrollment ID: I20070830000604 |
Provider Name | Mohammad Z Pirzadah |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1841286077 PECOS PAC ID: 6709975485 Enrollment ID: I20071203000655 |
Provider Name | John E Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609899319 PECOS PAC ID: 7012091770 Enrollment ID: I20080220000253 |
Provider Name | Robyn L Boedefeld |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1467407577 PECOS PAC ID: 5193766996 Enrollment ID: I20080808000279 |
Provider Name | Jared F Collins |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205026143 PECOS PAC ID: 1951450550 Enrollment ID: I20090529000464 |
Provider Name | Ijeoma N Innocent-ituah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184824633 PECOS PAC ID: 4981758638 Enrollment ID: I20090815000013 |
Provider Name | Stephanie M Cook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578796025 PECOS PAC ID: 4688720956 Enrollment ID: I20090929000219 |
Provider Name | Jennifer A Burtch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205074374 PECOS PAC ID: 6901948553 Enrollment ID: I20100121000100 |
Provider Name | Pamela P Tremblay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225058613 PECOS PAC ID: 1658416581 Enrollment ID: I20100303000848 |
Provider Name | Cherie M Bagwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801125448 PECOS PAC ID: 1355477084 Enrollment ID: I20100331001120 |
Provider Name | Rene Yvonne Meadows |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467404681 PECOS PAC ID: 7911034723 Enrollment ID: I20100428000302 |
Provider Name | Erica A Diggs |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033176169 PECOS PAC ID: 1951439553 Enrollment ID: I20100430000672 |
Provider Name | John Nnadi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558506782 PECOS PAC ID: 8921138546 Enrollment ID: I20100608000868 |
Provider Name | James Ratliff |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457594400 PECOS PAC ID: 7517006315 Enrollment ID: I20100610000860 |
Provider Name | William Oren Blalock |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073570479 PECOS PAC ID: 9537290325 Enrollment ID: I20100622000806 |
Provider Name | Gillian Ann Ellis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811196215 PECOS PAC ID: 7719026459 Enrollment ID: I20100706000717 |
Provider Name | Jason B Hill |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891016929 PECOS PAC ID: 5294867230 Enrollment ID: I20100709000608 |
Provider Name | Fiona A. Winterbottom |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1679891808 PECOS PAC ID: 6608908322 Enrollment ID: I20100715000905 |
Provider Name | Ranada Ann Johnson |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1790976140 PECOS PAC ID: 6103959457 Enrollment ID: I20100806000311 |
Provider Name | Melanie Jeanne Mcknight |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1073546149 PECOS PAC ID: 9739096538 Enrollment ID: I20100811000877 |
Provider Name | Vijay Thumma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982895827 PECOS PAC ID: 6002008836 Enrollment ID: I20101012000199 |
Provider Name | Amanda Boudreau Dupre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962719369 PECOS PAC ID: 6002002771 Enrollment ID: I20101119000665 |
Provider Name | Shahed M Jameel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902002850 PECOS PAC ID: 0648466631 Enrollment ID: I20101202000820 |
Provider Name | Lisa Plauche |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538460845 PECOS PAC ID: 9931397817 Enrollment ID: I20101220000057 |
Provider Name | Pallavi Sunkara |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184902348 PECOS PAC ID: 8224207873 Enrollment ID: I20110816000546 |
Provider Name | Heather Shunta Hill |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629240999 PECOS PAC ID: 8729259122 Enrollment ID: I20110915000096 |
Provider Name | Nikhil Sharma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730316522 PECOS PAC ID: 5991960338 Enrollment ID: I20120710000058 |
Provider Name | Mirza K Baig |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346483708 PECOS PAC ID: 8729234620 Enrollment ID: I20120808000830 |
Provider Name | Nicole Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801158886 PECOS PAC ID: 3870743487 Enrollment ID: I20121017000125 |
Provider Name | Charit A Fares |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194952119 PECOS PAC ID: 7113178880 Enrollment ID: I20121107000188 |
Provider Name | Lan Ta |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760619563 PECOS PAC ID: 9234382565 Enrollment ID: I20130116000391 |
Provider Name | Gloria V Peters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972844769 PECOS PAC ID: 7618113200 Enrollment ID: I20130427000043 |
Provider Name | Christine Z Hadeed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750726006 PECOS PAC ID: 8820238959 Enrollment ID: I20130712000288 |
Provider Name | Jeffrey Ryan Mcmahon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518208073 PECOS PAC ID: 5799926358 Enrollment ID: I20130724000070 |
Provider Name | Hassan A Fares |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1114246105 PECOS PAC ID: 2961644752 Enrollment ID: I20130807000297 |
Provider Name | Laura Bateman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316267370 PECOS PAC ID: 0143462994 Enrollment ID: I20130807001011 |
Provider Name | Wesley Todd Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235578212 PECOS PAC ID: 6103069034 Enrollment ID: I20130826000296 |
Provider Name | Nicole Culbert Miles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356771240 PECOS PAC ID: 1052549730 Enrollment ID: I20140103000150 |
Provider Name | Pamela J. Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053734574 PECOS PAC ID: 2860623642 Enrollment ID: I20140319001495 |
Provider Name | Dreshellia Monquellia Hargrave |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235552548 PECOS PAC ID: 8325271703 Enrollment ID: I20140509001178 |
Provider Name | Palvi Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578705620 PECOS PAC ID: 7719143809 Enrollment ID: I20140714000978 |
Provider Name | James C Mckay |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487681169 PECOS PAC ID: 0941202337 Enrollment ID: I20140930003083 |
Provider Name | Celeste Balint Buuck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003215864 PECOS PAC ID: 5799906061 Enrollment ID: I20141030000972 |
Provider Name | Matthew Mcclanahan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609175579 PECOS PAC ID: 2062653389 Enrollment ID: I20150730013475 |
Provider Name | Kiran Garikapati |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508111634 PECOS PAC ID: 0244462117 Enrollment ID: I20150828000281 |
Provider Name | Michael Cassidy Hogan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194100891 PECOS PAC ID: 6901114008 Enrollment ID: I20151008002017 |
Provider Name | Tarek Abdallah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912142761 PECOS PAC ID: 8123171980 Enrollment ID: I20151024000169 |
Provider Name | Edgar Pumarol Castillo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285981183 PECOS PAC ID: 1557502788 Enrollment ID: I20151110002901 |
Provider Name | Ena Jackson Lacy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750754172 PECOS PAC ID: 6709187222 Enrollment ID: I20151228002326 |
Provider Name | Pamela H. Stanley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003273574 PECOS PAC ID: 8426355827 Enrollment ID: I20160330001797 |
Provider Name | Kaysie L Boudreaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598120370 PECOS PAC ID: 1052610243 Enrollment ID: I20160421001719 |
Provider Name | Andrea B Bourque |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861851057 PECOS PAC ID: 0648560227 Enrollment ID: I20160610000179 |
Provider Name | Brandon M Weeks |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366735748 PECOS PAC ID: 8325266604 Enrollment ID: I20160908000062 |
Provider Name | Madeleine T Nguyen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164765285 PECOS PAC ID: 8022308576 Enrollment ID: I20160924000040 |
Provider Name | Andrew John Streicher |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033426846 PECOS PAC ID: 9133363880 Enrollment ID: I20161017000549 |
Provider Name | Kortney Stinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437693751 PECOS PAC ID: 3072895887 Enrollment ID: I20170131000038 |
Provider Name | Manuel Vargas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366838948 PECOS PAC ID: 8527341494 Enrollment ID: I20170306001233 |
Provider Name | Margaret E Browder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134477292 PECOS PAC ID: 5597067694 Enrollment ID: I20170320002084 |
Provider Name | Kassidy Ann Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235675257 PECOS PAC ID: 6901181502 Enrollment ID: I20170322001526 |
Provider Name | Jennifer M Minadeo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093007593 PECOS PAC ID: 8820218134 Enrollment ID: I20170411002695 |
Provider Name | Heather H Chau |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144647298 PECOS PAC ID: 9234435264 Enrollment ID: I20170717001277 |
Provider Name | David Michael Ourso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245771385 PECOS PAC ID: 6709156672 Enrollment ID: I20170726000183 |
Provider Name | Heather P Kahn |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1972920866 PECOS PAC ID: 5496974610 Enrollment ID: I20170803002205 |
Provider Name | Riza E Cruz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174933030 PECOS PAC ID: 6507164878 Enrollment ID: I20171014000047 |
Provider Name | Barbara Denise Franceski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134377187 PECOS PAC ID: 0749342343 Enrollment ID: I20171221000342 |
Provider Name | April Joy Normand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861909525 PECOS PAC ID: 4789945437 Enrollment ID: I20180221001121 |
Provider Name | Aungelle Michelle Lytell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548768856 PECOS PAC ID: 9133482300 Enrollment ID: I20180423000527 |
Provider Name | Ashley G Ingolia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578959631 PECOS PAC ID: 8426377128 Enrollment ID: I20180620001008 |
Provider Name | Clinton Joseph Alombro |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831585553 PECOS PAC ID: 7113229303 Enrollment ID: I20180720002243 |
Provider Name | Arekeva Theodore-selmon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467965228 PECOS PAC ID: 8426305087 Enrollment ID: I20180727001961 |
Provider Name | Molly Beth Delk |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1679967236 PECOS PAC ID: 2365737087 Enrollment ID: I20180801003776 |
Provider Name | Dipti G Munshi |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1699162065 PECOS PAC ID: 5799092656 Enrollment ID: I20180803000541 |
Provider Name | Tyesha Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053800599 PECOS PAC ID: 8820346943 Enrollment ID: I20180807001356 |
Provider Name | Elizabeth King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235621475 PECOS PAC ID: 3870841778 Enrollment ID: I20180809001107 |
Provider Name | Kateryna A Poole |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1144600925 PECOS PAC ID: 3072829712 Enrollment ID: I20180822000374 |
Provider Name | Jennifer Doucet Guidry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629554159 PECOS PAC ID: 8729338413 Enrollment ID: I20180829003728 |
Provider Name | Christopher Mesa |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1598150542 PECOS PAC ID: 2567719883 Enrollment ID: I20180918004008 |
Provider Name | Clayton J Alombro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225510191 PECOS PAC ID: 1557612256 Enrollment ID: I20180919001702 |
Provider Name | Jorge Alberto Morales |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265829956 PECOS PAC ID: 9931452810 Enrollment ID: I20181023000555 |
Provider Name | Brittany Chatman Draper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669891651 PECOS PAC ID: 3971816208 Enrollment ID: I20181025000158 |
Provider Name | Nathan Taillac |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861888992 PECOS PAC ID: 9133493455 Enrollment ID: I20181030001672 |
Provider Name | Manicia Shundreal Liddell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568963866 PECOS PAC ID: 3779829908 Enrollment ID: I20190109001905 |
Provider Name | Faheem Iqbal |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1902165475 PECOS PAC ID: 4981846805 Enrollment ID: I20190411001936 |
Provider Name | Kristen Holmes Hibbard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508329483 PECOS PAC ID: 5092048884 Enrollment ID: I20190611000409 |
Provider Name | David Neil Campbell |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1134562432 PECOS PAC ID: 4981844750 Enrollment ID: I20190731001522 |
Provider Name | Riddhi S Banthia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588019343 PECOS PAC ID: 3375837685 Enrollment ID: I20190917000119 |
Provider Name | Loi Le |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730543232 PECOS PAC ID: 5092009217 Enrollment ID: I20190918002310 |
Provider Name | Shomari Jamal Olden |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356791131 PECOS PAC ID: 3274828975 Enrollment ID: I20191010001105 |
Provider Name | Dina Taarea |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891181061 PECOS PAC ID: 7719275056 Enrollment ID: I20191022000908 |
Provider Name | Haroon Iqbal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407309479 PECOS PAC ID: 5294013306 Enrollment ID: I20191022001809 |
Provider Name | Madhumati Gaddam Reddy |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1083063978 PECOS PAC ID: 1254628654 Enrollment ID: I20191116000080 |
Provider Name | Zachary C Hand |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720441389 PECOS PAC ID: 4789921156 Enrollment ID: I20200221000727 |
Provider Name | Chastity L Boudreaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790324655 PECOS PAC ID: 0143650473 Enrollment ID: I20200428001355 |
Provider Name | Priscilla Givens Becnel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1679919971 PECOS PAC ID: 7719273150 Enrollment ID: I20200625000919 |
Provider Name | Justin Cutrer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720518764 PECOS PAC ID: 1052675899 Enrollment ID: I20200831000433 |
Provider Name | Andrew M Burke |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760915631 PECOS PAC ID: 4981021912 Enrollment ID: I20200903003162 |
Provider Name | Jamie Jones |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174056394 PECOS PAC ID: 2769750140 Enrollment ID: I20200903003719 |
Provider Name | Niraja Bhrugushastri Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780292987 PECOS PAC ID: 0840618799 Enrollment ID: I20200909003413 |
Provider Name | Ethan Alfred Rosenblatt |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1053766014 PECOS PAC ID: 8325467590 Enrollment ID: I20201007003179 |
Provider Name | Ndeke Nyirenda |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1326319088 PECOS PAC ID: 5799924098 Enrollment ID: I20201102001741 |
Provider Name | Rebecca Hentze Varnado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699373613 PECOS PAC ID: 8123439908 Enrollment ID: I20201130001898 |
Provider Name | Brittany Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457952400 PECOS PAC ID: 4587077227 Enrollment ID: I20210119001992 |
Provider Name | Abby Heath Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376134049 PECOS PAC ID: 6709293715 Enrollment ID: I20210318000409 |
Provider Name | Neelay B Patel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1912494667 PECOS PAC ID: 2769732361 Enrollment ID: I20210712000076 |
Provider Name | Katy Schulthess |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023691581 PECOS PAC ID: 0840692059 Enrollment ID: I20210712000367 |
Provider Name | Degian Ghebermicael |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780144642 PECOS PAC ID: 4284031691 Enrollment ID: I20210928003056 |
Provider Name | Louis S Strauss |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1669641155 PECOS PAC ID: 1557417490 Enrollment ID: I20211013000356 |
Provider Name | Ahmad Hallak |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1548765910 PECOS PAC ID: 4486905809 Enrollment ID: I20211022000256 |
Provider Name | Drew M Newberry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689135626 PECOS PAC ID: 1052647203 Enrollment ID: I20211208000577 |
Provider Name | Benjamin Deaton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376803437 PECOS PAC ID: 3870872468 Enrollment ID: I20220422001609 |
Provider Name | Abdulrahman S Museedi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932605110 PECOS PAC ID: 8527469196 Enrollment ID: I20220614000651 |
Provider Name | John M Gaudet |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326543414 PECOS PAC ID: 0345596458 Enrollment ID: I20220804002714 |
Provider Name | Yulanda King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184214132 PECOS PAC ID: 7416366786 Enrollment ID: I20220809000368 |
Provider Name | Janki Yogesh Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750737342 PECOS PAC ID: 6305139056 Enrollment ID: I20220830004044 |
Provider Name | Kantha Ratnam Kolla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255891586 PECOS PAC ID: 9032594908 Enrollment ID: I20220913001213 |
Provider Name | Omar Sallam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548821911 PECOS PAC ID: 7113259557 Enrollment ID: I20220914002527 |
Provider Name | David Nolan Jordan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184182446 PECOS PAC ID: 2163756453 Enrollment ID: I20220915001882 |
Provider Name | George A Samaan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255794756 PECOS PAC ID: 9234400128 Enrollment ID: I20220929003887 |
Provider Name | Mary Katherine Bridges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164072591 PECOS PAC ID: 5799161295 Enrollment ID: I20221006002904 |
Provider Name | Shawn Tredinnick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194456541 PECOS PAC ID: 9436525599 Enrollment ID: I20221014002263 |
Provider Name | Callie Keiuna Mcneil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346968476 PECOS PAC ID: 7517333032 Enrollment ID: I20221024002566 |
Provider Name | Kehinde Moses Ajayi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407343684 PECOS PAC ID: 7911392444 Enrollment ID: I20221208003279 |
Provider Name | Jennifer Brunett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497454888 PECOS PAC ID: 6103285473 Enrollment ID: I20230705001040 |
Provider Name | Lisa Laraine South |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275307472 PECOS PAC ID: 7012353725 Enrollment ID: I20240315001401 |
Provider Name | Kaytlin Taylor Verret |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477336725 PECOS PAC ID: 1254772122 Enrollment ID: I20240509000184 |
Provider Name | Mary A Gabriel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023692696 PECOS PAC ID: 7012311756 Enrollment ID: I20240603004108 |
Charlie H Bridges Md, Facs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd Ste 608, Baton Rouge, LA 70808 Phone: 225-767-0394 Fax: 225-767-3904 | |
Venus/neuropathy Treatment Centers Of La,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 S Sherwood Forest Blvd, Suite110, Baton Rouge, LA 70816 Phone: 225-636-5184 Fax: 225-636-5185 | |
St. Gabriel - Innovation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 Innovation Dr, Baton Rouge, LA 70820 Phone: 225-642-9676 Fax: 225-642-9696 | |
Central Community School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13421 Hooper Rd, Baton Rouge, LA 70818 Phone: 225-262-1919 | |
Deekay Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3923 Convention St, Baton Rouge, LA 70806 Phone: 225-381-6478 | |
Total Family Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4336 North Blvd, Suite 103, Baton Rouge, LA 70806 Phone: 225-383-3187 Fax: 225-383-3190 | |
3c&l Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4720 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809 Phone: 225-256-7219 |