Springhill Medical Center Hospital Based Physicians | |
2001 Doctors Dr Springhill LA 71075-4526 | |
(318) 539-1000 | |
(318) 539-4085 |
Full Name | Springhill Medical Center Hospital Based Physicians |
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Speciality | Family Medicine |
Location | 2001 Doctors Dr, Springhill, Louisiana |
Authorized Official Name and Position | Michael G Patronis (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3185391001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Springhill Medical Center Hospital Based Physicians 2001 Doctors Dr Springhill LA 71075-4526 Ph: (318) 539-1000 | Springhill Medical Center Hospital Based Physicians 2001 Doctors Dr Springhill LA 71075-4526 Ph: (318) 539-1000 |
NPI Number | 1124092481 |
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Provider Enumeration Date | 02/14/2006 |
Last Update Date | 05/19/2021 |
Medicare PECOS PAC ID | 6002728912 |
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Medicare Enrollment ID | O20040224000371 |
Identifier | Type | State | Issuer |
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1124092481 | NPI | - | NPPES |
1441601 | Medicaid | LA |
Provider Name | Vincent B. Lococo |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093745648 PECOS PAC ID: 3173435955 Enrollment ID: I20050125000944 |
Provider Name | Leamon G Torrence |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1063485811 PECOS PAC ID: 8022068261 Enrollment ID: I20050126000382 |
Provider Name | Sanjaykumar B Shah |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740226505 PECOS PAC ID: 3971556127 Enrollment ID: I20050228000591 |
Provider Name | Kelly A Yerger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285661181 PECOS PAC ID: 7315982667 Enrollment ID: I20050627001016 |
Provider Name | Rodney J Gisclair |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1306816525 PECOS PAC ID: 1951331065 Enrollment ID: I20050818000389 |
Provider Name | Michelle Pardue |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295937001 PECOS PAC ID: 2062509912 Enrollment ID: I20071025000020 |
Provider Name | Jagan Mr Beedupalli |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1497956601 PECOS PAC ID: 4789751843 Enrollment ID: I20080916000343 |
Provider Name | Kristen P Dickinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922265560 PECOS PAC ID: 7810055563 Enrollment ID: I20081023000733 |
Provider Name | Tommie A. Cassidy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982861621 PECOS PAC ID: 3577622109 Enrollment ID: I20081111000460 |
Provider Name | John Henry Mclain |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1538308663 PECOS PAC ID: 8123175247 Enrollment ID: I20090407000343 |
Provider Name | Ryan Daniel Lesaicherre |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1699906396 PECOS PAC ID: 5193870897 Enrollment ID: I20090902000037 |
Provider Name | Jerry Sessions |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174596910 PECOS PAC ID: 1759422314 Enrollment ID: I20100105000673 |
Provider Name | Manish Dhawan |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1083618912 PECOS PAC ID: 8820159197 Enrollment ID: I20100106000235 |
Provider Name | Christopher M. Wilson |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1760691752 PECOS PAC ID: 0840322673 Enrollment ID: I20100714000757 |
Provider Name | Kenneth E Byrd |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1629381918 PECOS PAC ID: 4880728583 Enrollment ID: I20100817000974 |
Provider Name | Jason Horn |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1851525877 PECOS PAC ID: 0345395232 Enrollment ID: I20110824000920 |
Provider Name | George King |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760822084 PECOS PAC ID: 2961630496 Enrollment ID: I20140108001367 |
Provider Name | Marsha Stapleton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497138887 PECOS PAC ID: 8123338803 Enrollment ID: I20151109002082 |
Provider Name | Angela D Haynes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376996710 PECOS PAC ID: 9436444130 Enrollment ID: I20160819000748 |
Provider Name | Aubrey Clay Strange |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952830150 PECOS PAC ID: 5890065411 Enrollment ID: I20170714000302 |
Provider Name | Laura Margarita Hart |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063831774 PECOS PAC ID: 8224300900 Enrollment ID: I20170815002567 |
Provider Name | James Avery Rush |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992975841 PECOS PAC ID: 9436223609 Enrollment ID: I20180509000350 |
Provider Name | Kenneth Lance Davenport |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912483132 PECOS PAC ID: 9638427750 Enrollment ID: I20180807001431 |
Provider Name | Alicia Diane Lowery |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275800344 PECOS PAC ID: 3375706229 Enrollment ID: I20191113001362 |
Provider Name | Omar D Gutierrez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396998977 PECOS PAC ID: 0547305500 Enrollment ID: I20200526000973 |
Provider Name | Amanda Jean Ragland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902378334 PECOS PAC ID: 5597003368 Enrollment ID: I20210324000963 |
Provider Name | Vikram Chatrath |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1205264074 PECOS PAC ID: 1254567449 Enrollment ID: I20210607000583 |
Smc Doctors Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 11th St Ne, Springhill, LA 71075 Phone: 318-539-1700 Fax: 318-539-5688 |