| St Elizabeth Physicians | |
|
2647 S St. Elizabeth Blvd Suite 100 Gonzales LA 70737-5021 | |
| (225) 647-8511 | |
| (225) 644-5213 |
| Full Name | St Elizabeth Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 2647 S St. Elizabeth Blvd, Gonzales, Louisiana |
| Authorized Official Name and Position | John F. Fraiche (PRESIDENT) |
| Authorized Official Contact | 2256478511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Elizabeth Physicians 2647 S St. Elizabeth Blvd Suite 100 Gonzales LA 70737-5021 Ph: (225) 647-8511 | St Elizabeth Physicians 2647 S St. Elizabeth Blvd Suite 100 Gonzales LA 70737-5021 Ph: (225) 647-8511 |
| NPI Number | 1306899067 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 03/04/2015 |
| Medicare PECOS PAC ID | 3577452259 |
|---|---|
| Medicare Enrollment ID | O20040311000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306899067 | NPI | - | NPPES |
| 1949892 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 013784 (Louisiana) | Primary |
| Provider Name | Shawn K Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306844147 PECOS PAC ID: 3971590472 Enrollment ID: I20040427001284 |
| Provider Name | Dwayne P Labatut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760462782 PECOS PAC ID: 8022008390 Enrollment ID: I20040518000004 |
| Provider Name | James V Dantoni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922007491 PECOS PAC ID: 2860472065 Enrollment ID: I20040720000965 |
| Provider Name | Srivalli Donthineni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609981166 PECOS PAC ID: 8820036593 Enrollment ID: I20050422000212 |
| Provider Name | Paul C Aguillard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871591982 PECOS PAC ID: 6305882945 Enrollment ID: I20050705000697 |
| Provider Name | Steven N Abramson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720086820 PECOS PAC ID: 0749218113 Enrollment ID: I20050728000193 |
| Provider Name | Stephen B Manale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861497026 PECOS PAC ID: 7719916337 Enrollment ID: I20050805000092 |
| Provider Name | Jeannie Y Jo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851339477 PECOS PAC ID: 1254351315 Enrollment ID: I20060612000296 |
| Provider Name | Chad A Beeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700884830 PECOS PAC ID: 9931112158 Enrollment ID: I20060711000032 |
| Provider Name | Kimberly A Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740203041 PECOS PAC ID: 4587669304 Enrollment ID: I20060928000363 |
| Provider Name | Jannaiah C Tripuraneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821088709 PECOS PAC ID: 4183620982 Enrollment ID: I20070710000115 |
| Provider Name | Rachel A Aaron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265636658 PECOS PAC ID: 8426141854 Enrollment ID: I20070830000604 |
| Provider Name | Bernard B Brach |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437115037 PECOS PAC ID: 7012090343 Enrollment ID: I20080211000274 |
| Provider Name | Michael S Bodin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376743427 PECOS PAC ID: 8123105194 Enrollment ID: I20080402000147 |
| Provider Name | Leslie Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972754208 PECOS PAC ID: 5496802142 Enrollment ID: I20090415000185 |
| Provider Name | James Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649467580 PECOS PAC ID: 3274684162 Enrollment ID: I20090707000166 |
| Provider Name | Jean J Saunders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396735270 PECOS PAC ID: 4880749365 Enrollment ID: I20090904000443 |
| Provider Name | Trevor C Richard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588875017 PECOS PAC ID: 2668510918 Enrollment ID: I20091106000542 |
| Provider Name | Bunnie Jo Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316946023 PECOS PAC ID: 2466594494 Enrollment ID: I20100128000555 |
| Provider Name | Mary Stringfellow |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194743849 PECOS PAC ID: 9739214594 Enrollment ID: I20100318000133 |
| Provider Name | Margaret Mahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891018867 PECOS PAC ID: 5092841239 Enrollment ID: I20100327000055 |
| Provider Name | Dawn B Sharp |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215146477 PECOS PAC ID: 8628100559 Enrollment ID: I20100713000246 |
| Provider Name | Michel I Hirsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659370377 PECOS PAC ID: 5799819298 Enrollment ID: I20100819000647 |
| Provider Name | Marta H Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487845285 PECOS PAC ID: 2264556422 Enrollment ID: I20100825000851 |
| Provider Name | Lakisha Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548489875 PECOS PAC ID: 3173697380 Enrollment ID: I20100831000814 |
| Provider Name | Glenn Schexnayder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841280633 PECOS PAC ID: 6901920339 Enrollment ID: I20100907000974 |
| Provider Name | John F Fraiche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043218886 PECOS PAC ID: 5395733554 Enrollment ID: I20100920000814 |
| Provider Name | Amer M Awad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275735037 PECOS PAC ID: 3274720081 Enrollment ID: I20101206001035 |
| Provider Name | Robert P St Amant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104822774 PECOS PAC ID: 6608064837 Enrollment ID: I20110103000548 |
| Provider Name | Rahil Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235172651 PECOS PAC ID: 5193767051 Enrollment ID: I20110707000649 |
| Provider Name | William B Kimbrough |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871772202 PECOS PAC ID: 1951571561 Enrollment ID: I20110908001898 |
| Provider Name | Kelli C Corkern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629353990 PECOS PAC ID: 3870767171 Enrollment ID: I20111123000275 |
| Provider Name | Mandy Lynn Templet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407137128 PECOS PAC ID: 6002082013 Enrollment ID: I20111221000664 |
| Provider Name | Gretchen M Yandle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124211099 PECOS PAC ID: 2567638513 Enrollment ID: I20111222000307 |
| Provider Name | Rodney E Hillis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336138494 PECOS PAC ID: 5698739779 Enrollment ID: I20120206000513 |
| Provider Name | Jessica F Coffee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548525165 PECOS PAC ID: 9931358975 Enrollment ID: I20121005000538 |
| Provider Name | Gina M Ragusa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144575432 PECOS PAC ID: 1759531395 Enrollment ID: I20121017000393 |
| Provider Name | Stephanie C Weselak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356681761 PECOS PAC ID: 7810138005 Enrollment ID: I20130731000344 |
| Provider Name | May N Milazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154615904 PECOS PAC ID: 2860648375 Enrollment ID: I20130823000308 |
| Provider Name | Holly G Schiele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225378649 PECOS PAC ID: 5294962460 Enrollment ID: I20131213000831 |
| Provider Name | Sheri A Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306287263 PECOS PAC ID: 4385871201 Enrollment ID: I20131220000128 |
| Provider Name | Cammie A Hilliard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023250222 PECOS PAC ID: 7113157652 Enrollment ID: I20140303001661 |
| Provider Name | Hollie B Ortis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528224425 PECOS PAC ID: 1557593324 Enrollment ID: I20140409001174 |
| Provider Name | Tracy P Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720306558 PECOS PAC ID: 3971736539 Enrollment ID: I20140506000776 |
| Provider Name | Sarah M Wilks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497912521 PECOS PAC ID: 9638392210 Enrollment ID: I20140529001169 |
| Provider Name | Elena M Campbell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932376332 PECOS PAC ID: 9234378209 Enrollment ID: I20141008002353 |
| Provider Name | Brandi J Fontenot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770882656 PECOS PAC ID: 1254552169 Enrollment ID: I20141017001506 |
| Provider Name | Shetila C Burrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194142075 PECOS PAC ID: 4183845357 Enrollment ID: I20141103000191 |
| Provider Name | Sean N Debarros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669763496 PECOS PAC ID: 2860714672 Enrollment ID: I20141205001522 |
| Provider Name | Sharon D Lobell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164812608 PECOS PAC ID: 4789905878 Enrollment ID: I20150601002209 |
| Provider Name | Lisa K Le |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770581381 PECOS PAC ID: 8426360801 Enrollment ID: I20150629001519 |
| Provider Name | Elizabeth A Bollinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861635609 PECOS PAC ID: 0143533448 Enrollment ID: I20150715001945 |
| Provider Name | Lacy M Millet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538543509 PECOS PAC ID: 9739496845 Enrollment ID: I20150922000274 |
| Provider Name | Travis Steven Currie |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1558658211 PECOS PAC ID: 7719115773 Enrollment ID: I20151013002113 |
| Provider Name | Michelle Duplantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457742199 PECOS PAC ID: 2365752136 Enrollment ID: I20151106000155 |
| Provider Name | Darlene J Bonadona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891179982 PECOS PAC ID: 3375845647 Enrollment ID: I20160104000548 |
| Provider Name | Allison Dupuis Prevost |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184069346 PECOS PAC ID: 5698063667 Enrollment ID: I20161006000396 |
| Provider Name | Jordan Brignac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528410594 PECOS PAC ID: 4880976174 Enrollment ID: I20170121000032 |
| Provider Name | Paula D Julian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821382631 PECOS PAC ID: 3072758143 Enrollment ID: I20170207001497 |
| Provider Name | Allan Edmunds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669912689 PECOS PAC ID: 9931485398 Enrollment ID: I20170419001295 |
| Provider Name | Jamie B Lobell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164961751 PECOS PAC ID: 1951679067 Enrollment ID: I20170614001020 |
| Provider Name | Karen Ovide Skidmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568903326 PECOS PAC ID: 8921373671 Enrollment ID: I20171005000303 |
| Provider Name | Andrew Matthew Robichaux |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346680758 PECOS PAC ID: 7517283906 Enrollment ID: I20180808002856 |
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St Elizabeth Physicians Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2647 S Riverview Blvd, Gonzales, LA 70737 Phone: 225-647-8511 Fax: 225-644-5213 | |
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Healthy Stats Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 N Burnside Ave, Gonzales, LA 70737 Phone: 225-416-7518 Fax: 225-433-0809 | |
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