Physician Group Of Louisiana Inc | |
503 Mcmillan Rd West Monroe LA 71291-5327 | |
(318) 329-4200 | |
(318) 329-4710 |
Full Name | Physician Group Of Louisiana Inc |
---|---|
Speciality | General Practice |
Location | 503 Mcmillan Rd, West Monroe, Louisiana |
Authorized Official Name and Position | Ashley Koch (CFO) |
Authorized Official Contact | 6175627070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Physician Group Of Louisiana Inc Po Box 281796 Atlanta GA 30384-1796 Ph: (866) 243-7107 | Physician Group Of Louisiana Inc 503 Mcmillan Rd West Monroe LA 71291-5327 Ph: (318) 329-4200 |
NPI Number | 1316188998 |
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Provider Enumeration Date | 03/12/2009 |
Last Update Date | 03/06/2020 |
Medicare PECOS PAC ID | 8921147067 |
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Medicare Enrollment ID | O20091202000287 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316188998 | NPI | - | NPPES |
1818593 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Shaun L Mcintire |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619965340 PECOS PAC ID: 3779497177 Enrollment ID: I20031119000200 |
Provider Name | Anthony Mitchell |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1013968080 PECOS PAC ID: 3173426913 Enrollment ID: I20040129000766 |
Provider Name | Cindy F Dollar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346357308 PECOS PAC ID: 1355235524 Enrollment ID: I20040217001005 |
Provider Name | William C Alexander |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194736447 PECOS PAC ID: 5890770689 Enrollment ID: I20040624000381 |
Provider Name | Ronald Fredrick Hammett |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1295746634 PECOS PAC ID: 2062476963 Enrollment ID: I20041118001025 |
Provider Name | Karen H Sinclair |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881604015 PECOS PAC ID: 9931121563 Enrollment ID: I20051227000094 |
Provider Name | Carrie G Genusa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710928643 PECOS PAC ID: 8628081510 Enrollment ID: I20060718000365 |
Provider Name | Victoria T Durkee |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1760584502 PECOS PAC ID: 7214939024 Enrollment ID: I20070207000598 |
Provider Name | Alice J Fautheree |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457426348 PECOS PAC ID: 5092808170 Enrollment ID: I20070905000641 |
Provider Name | Roland Ponarski |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104921741 PECOS PAC ID: 0941305023 Enrollment ID: I20080116000374 |
Provider Name | Chukuemeka Odita |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1962613497 PECOS PAC ID: 9830276849 Enrollment ID: I20080401000645 |
Provider Name | Mark F Dollar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508824970 PECOS PAC ID: 1254493182 Enrollment ID: I20081230000551 |
Provider Name | Nilgun C Frengell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497781660 PECOS PAC ID: 5294627824 Enrollment ID: I20090212000403 |
Provider Name | David A Coburn |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1487674875 PECOS PAC ID: 5294768842 Enrollment ID: I20090312000445 |
Provider Name | Mark Edward Boersma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518104439 PECOS PAC ID: 3274663497 Enrollment ID: I20100615000771 |
Provider Name | William Edward Beebe |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1740382498 PECOS PAC ID: 3072596113 Enrollment ID: I20100626000170 |
Provider Name | Harry W Donias |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1568440394 PECOS PAC ID: 9032134481 Enrollment ID: I20100708001022 |
Provider Name | Steven Howard Mcmahan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497799456 PECOS PAC ID: 2062567571 Enrollment ID: I20100723000416 |
Provider Name | Howard N Murray |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1972633303 PECOS PAC ID: 8426158155 Enrollment ID: I20100819000595 |
Provider Name | Joe B Henry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184810392 PECOS PAC ID: 0648467696 Enrollment ID: I20101203000283 |
Provider Name | David Gardner |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1811965916 PECOS PAC ID: 6406066539 Enrollment ID: I20110218000723 |
Provider Name | Raman Saharan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801081245 PECOS PAC ID: 1254421563 Enrollment ID: I20110308000939 |
Provider Name | Edward H Rutland |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1124051248 PECOS PAC ID: 6709807332 Enrollment ID: I20110824000112 |
Provider Name | Craig Scott Turner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598738049 PECOS PAC ID: 6800062571 Enrollment ID: I20111229000672 |
Provider Name | Jennifer E. Creel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073801635 PECOS PAC ID: 2163699976 Enrollment ID: I20120119000417 |
Provider Name | Amber L Jeansonne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952699514 PECOS PAC ID: 8820265655 Enrollment ID: I20120119000610 |
Provider Name | Deanna Roark Mckee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215282215 PECOS PAC ID: 6002066677 Enrollment ID: I20121017000794 |
Provider Name | Dustin Gross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124377049 PECOS PAC ID: 9931350675 Enrollment ID: I20121106000536 |
Provider Name | Shane M. Mcvay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700222379 PECOS PAC ID: 5991946733 Enrollment ID: I20130722000064 |
Provider Name | Subodh Uprety |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114159399 PECOS PAC ID: 3173752383 Enrollment ID: I20140211001492 |
Provider Name | Jed Christopher Robinson |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1164730917 PECOS PAC ID: 9133346935 Enrollment ID: I20140818001701 |
Provider Name | Trishna Thapa |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710266077 PECOS PAC ID: 7618197229 Enrollment ID: I20141002001795 |
Provider Name | Tommy Glenn Banks |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952693830 PECOS PAC ID: 2961624796 Enrollment ID: I20141112000513 |
Provider Name | Kulvinder Jeet Singh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750786703 PECOS PAC ID: 9032432737 Enrollment ID: I20150105001867 |
Provider Name | Lynne M Talley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720419203 PECOS PAC ID: 2769708312 Enrollment ID: I20150226000885 |
Provider Name | Billy G Branch |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780975565 PECOS PAC ID: 4082921127 Enrollment ID: I20150922001293 |
Provider Name | Jenny Guerre |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1063559789 PECOS PAC ID: 0345563441 Enrollment ID: I20151023001935 |
Provider Name | Kimberly A Kornegay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417328824 PECOS PAC ID: 3476722661 Enrollment ID: I20160209000416 |
Provider Name | Erin Robinson Breard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982048237 PECOS PAC ID: 7810289972 Enrollment ID: I20160711000413 |
Provider Name | Daniel Todd Griffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245687748 PECOS PAC ID: 9739473182 Enrollment ID: I20160808000757 |
Provider Name | David W Norman |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1417063181 PECOS PAC ID: 5294786745 Enrollment ID: I20161018000018 |
Provider Name | Oliver R Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538689260 PECOS PAC ID: 6608147905 Enrollment ID: I20170804001465 |
Provider Name | Sherri L Drake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891225025 PECOS PAC ID: 0244501567 Enrollment ID: I20170804002379 |
Provider Name | Jacob M Hebert |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1063772556 PECOS PAC ID: 6608090717 Enrollment ID: I20170818000355 |
Provider Name | Kristin Sills Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568957819 PECOS PAC ID: 0749539427 Enrollment ID: I20180814003897 |
Provider Name | Ladolpha P Hopkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407363880 PECOS PAC ID: 5991057697 Enrollment ID: I20181008002302 |
Provider Name | Mallarie Toms |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124594171 PECOS PAC ID: 3476807421 Enrollment ID: I20181112000563 |
Provider Name | Trevor Kyle Kitchens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629377825 PECOS PAC ID: 5193951424 Enrollment ID: I20181128002636 |
Provider Name | Lindsey White Morrow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386138295 PECOS PAC ID: 7719221985 Enrollment ID: I20181129002216 |
Provider Name | Rajiv Doddamani |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1003202946 PECOS PAC ID: 6305151325 Enrollment ID: I20181205000773 |
Provider Name | Kristen Coles Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396239224 PECOS PAC ID: 8022354935 Enrollment ID: I20190115000792 |
Provider Name | Christy M Shelton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619534864 PECOS PAC ID: 6204162522 Enrollment ID: I20190724003191 |
Provider Name | Charla N Poole |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740642172 PECOS PAC ID: 9032405485 Enrollment ID: I20191223000116 |
Provider Name | Christopher L Valencia |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649305608 PECOS PAC ID: 1254360480 Enrollment ID: I20200605000371 |
Provider Name | Christopher Bernadas |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1649632050 PECOS PAC ID: 3274827597 Enrollment ID: I20200611001792 |
Provider Name | Joy Garbarino Regan |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1760821177 PECOS PAC ID: 3476973710 Enrollment ID: I20201026002000 |
Provider Name | Glenda Sherry Peveto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700484680 PECOS PAC ID: 7315355310 Enrollment ID: I20210412001629 |
Provider Name | Chatura Davanmini Jayasinghepatirane |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427549005 PECOS PAC ID: 6204239957 Enrollment ID: I20210719003648 |
Provider Name | Nipur Patel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710410865 PECOS PAC ID: 1850794256 Enrollment ID: I20210722002571 |
Provider Name | Harry Hawthorne |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245734813 PECOS PAC ID: 8022368836 Enrollment ID: I20210802000738 |
Provider Name | Howsiya Sethukavalan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295397230 PECOS PAC ID: 3870972227 Enrollment ID: I20220615002305 |
Provider Name | Marisol Jobe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902537426 PECOS PAC ID: 2365811908 Enrollment ID: I20221203000314 |
Provider Name | Shivani Naik |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1619472735 PECOS PAC ID: 0648603217 Enrollment ID: I20230927000583 |
Provider Name | Sharon Denise Sallie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831882901 PECOS PAC ID: 7214379908 Enrollment ID: I20240528000026 |
Pinnacle Family Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 Crosley St, West Monroe, LA 71291 Phone: 318-325-1092 Fax: 318-325-1222 | |
Drew Outpatient Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1117 Cheniere Drew Rd, West Monroe, LA 71291 Phone: 318-329-4370 Fax: 318-329-4356 | |
Physician Group Of Louisiana Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 N 7th St, West Monroe, LA 71291 Phone: 318-651-7000 | |
Mark F. Dollar, M.d. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Professional Dr, West Monroe, LA 71291 Phone: 318-322-0058 Fax: 318-362-0081 | |
Family Convenience Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2933 Cypress St Ste 1, Hall B, West Monroe, LA 71291 Phone: 318-322-3637 | |
All Kids R Us Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2933 Cypress Street, Suite 1 Hall A, West Monroe, LA 71291 Phone: 318-388-5030 Fax: 318-388-7134 | |
Phsc West Monroe Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Mcmillan Rd, West Monroe, LA 71291 Phone: 318-737-7616 Fax: 318-855-5158 |