St Tammany Physicians Network-folsom | |
82525 Highway 25 Folsom LA 70437-3116 | |
(985) 839-9895 | |
(985) 839-9884 |
Full Name | St Tammany Physicians Network-folsom |
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Speciality | Family Medicine |
Location | 82525 Highway 25, Folsom, Louisiana |
Authorized Official Name and Position | Joan Coffman (PRESIDENT/CEO) |
Authorized Official Contact | 9858984000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St Tammany Physicians Network-folsom Po Box 669379 Dallas TX 75266-9379 Ph: (985) 898-4493 | St Tammany Physicians Network-folsom 82525 Highway 25 Folsom LA 70437-3116 Ph: (985) 839-9895 |
NPI Number | 1275539363 |
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Provider Enumeration Date | 06/22/2005 |
Last Update Date | 12/06/2022 |
Medicare PECOS PAC ID | 0749273761 |
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Medicare Enrollment ID | O20040406000728 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275539363 | NPI | - | NPPES |
1446017 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Lasandra Barton |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1699777615 PECOS PAC ID: 8628977063 Enrollment ID: I20040106000128 |
Provider Name | Hamid Salam |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1346287737 PECOS PAC ID: 3173413481 Enrollment ID: I20040319000047 |
Provider Name | Christopher M Foret |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245251602 PECOS PAC ID: 2466445499 Enrollment ID: I20040406000828 |
Provider Name | Libeau J Berthelot |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023039476 PECOS PAC ID: 7618960642 Enrollment ID: I20040406000844 |
Provider Name | Mark L James |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821019282 PECOS PAC ID: 3577556513 Enrollment ID: I20040406000890 |
Provider Name | Leslie Copeland Dominguez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124059639 PECOS PAC ID: 8628044914 Enrollment ID: I20040908000867 |
Provider Name | Stephen G Mixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386610608 PECOS PAC ID: 5496710667 Enrollment ID: I20041130000207 |
Provider Name | Michael W Carpenter |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1053312231 PECOS PAC ID: 6709839368 Enrollment ID: I20050224000027 |
Provider Name | Ludwig C Heintz |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1295736411 PECOS PAC ID: 2163475724 Enrollment ID: I20050224000031 |
Provider Name | Vernon K Palmisano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851347710 PECOS PAC ID: 0345270914 Enrollment ID: I20050815000398 |
Provider Name | George F Isa |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1588627533 PECOS PAC ID: 5890881478 Enrollment ID: I20071011000597 |
Provider Name | David S Cressy |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437108321 PECOS PAC ID: 1355243874 Enrollment ID: I20071031000139 |
Provider Name | Donald A Kuebel |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1669421772 PECOS PAC ID: 2466351556 Enrollment ID: I20080222000483 |
Provider Name | Ricardo E Blanco |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1356390371 PECOS PAC ID: 1456253970 Enrollment ID: I20080410000774 |
Provider Name | Paul Foster Stahls |
---|---|
Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1508057530 PECOS PAC ID: 7315011681 Enrollment ID: I20080805000147 |
Provider Name | John H Verhulst |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1053312223 PECOS PAC ID: 5294801437 Enrollment ID: I20080911000461 |
Provider Name | Sandra R Almerico |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558502237 PECOS PAC ID: 3678624921 Enrollment ID: I20090625000520 |
Provider Name | Robert Brinkman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881614865 PECOS PAC ID: 9830225572 Enrollment ID: I20100405000003 |
Provider Name | Richard Casey |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1326097759 PECOS PAC ID: 6800798323 Enrollment ID: I20100706000254 |
Provider Name | Roch Hontas |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1659466845 PECOS PAC ID: 1153493903 Enrollment ID: I20100805000976 |
Provider Name | Mark James Hontas |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1417042706 PECOS PAC ID: 1153366349 Enrollment ID: I20100805001039 |
Provider Name | Wendy A Pratt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225021207 PECOS PAC ID: 4587652730 Enrollment ID: I20101124000492 |
Provider Name | Mary M Scheyd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144415605 PECOS PAC ID: 4486743150 Enrollment ID: I20110426000744 |
Provider Name | Melissa A Varnado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649551292 PECOS PAC ID: 9234301292 Enrollment ID: I20111017000629 |
Provider Name | Anne K Thiel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083990139 PECOS PAC ID: 4284800608 Enrollment ID: I20120105000548 |
Provider Name | Bekir Melek |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1114033917 PECOS PAC ID: 1658460886 Enrollment ID: I20120828000643 |
Provider Name | Maximino Nmi Martell |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1598049785 PECOS PAC ID: 6002052610 Enrollment ID: I20130425000647 |
Provider Name | Irene S Caillouet |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1740440585 PECOS PAC ID: 6800036138 Enrollment ID: I20131216000822 |
Provider Name | Kara E Ward |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073756227 PECOS PAC ID: 1951534866 Enrollment ID: I20140430000997 |
Provider Name | Chad Benjamin Vanasselberg |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1265630826 PECOS PAC ID: 3173746583 Enrollment ID: I20140603000496 |
Provider Name | Georges El Khoury Antoun |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265621130 PECOS PAC ID: 3971735275 Enrollment ID: I20140805000402 |
Provider Name | Jacob B Daigle |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1306071469 PECOS PAC ID: 7012134083 Enrollment ID: I20140814002153 |
Provider Name | Mark Gregory Jones |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1215165303 PECOS PAC ID: 7113175803 Enrollment ID: I20141201001798 |
Provider Name | Mccall Guyton Mcdaniel |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1760706782 PECOS PAC ID: 7719205350 Enrollment ID: I20160701000090 |
Provider Name | Patrick Henderson Wainright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871809004 PECOS PAC ID: 5294013413 Enrollment ID: I20161024000072 |
Provider Name | Joey Lamartina |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1962723049 PECOS PAC ID: 3678706124 Enrollment ID: I20170103001062 |
Provider Name | Nicole Sesser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912451139 PECOS PAC ID: 0547541617 Enrollment ID: I20170103001649 |
Provider Name | Caroline H Barkerding |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225578313 PECOS PAC ID: 2668759614 Enrollment ID: I20170501001709 |
Provider Name | Gregory Jacob |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629430269 PECOS PAC ID: 6608165956 Enrollment ID: I20180801001794 |
Provider Name | Russell Joseph Reed |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1487852034 PECOS PAC ID: 9638347214 Enrollment ID: I20180801002489 |
Provider Name | Rachele A Gibson |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1932344116 PECOS PAC ID: 0244417772 Enrollment ID: I20181017000248 |
Provider Name | Laura Read |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619431830 PECOS PAC ID: 1557601911 Enrollment ID: I20190321000164 |
Provider Name | Karmynah M Helaire |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1205254158 PECOS PAC ID: 7810116035 Enrollment ID: I20190605000274 |
Provider Name | Karolina Diana Ruthner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205486644 PECOS PAC ID: 8022443746 Enrollment ID: I20200127000853 |
Provider Name | Kira Gilmore Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013553577 PECOS PAC ID: 7911328018 Enrollment ID: I20200527002840 |
Provider Name | Kelly Crim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841838125 PECOS PAC ID: 9739506155 Enrollment ID: I20200831003392 |
Provider Name | Paula Rene Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588294995 PECOS PAC ID: 0941620694 Enrollment ID: I20201019000652 |
Provider Name | Angela Buonagura |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1780676841 PECOS PAC ID: 3072637024 Enrollment ID: I20210111001274 |
Provider Name | Molly Marie Peck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548849680 PECOS PAC ID: 2668880287 Enrollment ID: I20210421000332 |
Provider Name | Clifford E Coile |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1881073062 PECOS PAC ID: 9739494600 Enrollment ID: I20210614001630 |
Provider Name | Sarah H Bourgeois |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598410482 PECOS PAC ID: 1759776065 Enrollment ID: I20220324000522 |
Provider Name | Taylor K Brooks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447906037 PECOS PAC ID: 0648667725 Enrollment ID: I20220419001948 |
Provider Name | Victoria R Blossman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073075008 PECOS PAC ID: 7719213636 Enrollment ID: I20220619000022 |
Provider Name | Hafiz Ghafoor |
---|---|
Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1497049852 PECOS PAC ID: 5890915706 Enrollment ID: I20220904000092 |
Provider Name | Stefan Sicinschi |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1942663331 PECOS PAC ID: 0244526341 Enrollment ID: I20220906001718 |
Provider Name | James Matthew Noel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467178681 PECOS PAC ID: 2365810454 Enrollment ID: I20221121002584 |
Provider Name | Jonathan Brent Moss |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1447784103 PECOS PAC ID: 7416224035 Enrollment ID: I20230818000561 |
Provider Name | Christine Fields |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669259032 PECOS PAC ID: 1052761699 Enrollment ID: I20231222001905 |
Provider Name | Matthew Webb |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1033564687 PECOS PAC ID: 9133412307 Enrollment ID: I20240213002501 |
Provider Name | Breanna L Shenk |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659051621 PECOS PAC ID: 0941647432 Enrollment ID: I20240416003641 |