East Carroll Parish Hospital
A Medicare group practice based in Lake Providence, LA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 1153216619), with 78 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1153216619
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- AR, LA
- Enrollments
- 5
- Group size
- 36 clinicians
- Medicare assignment
- May accept Medicare assignment
- Practice locations
- 5
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040216000563 | LA | Part B Supplier - Clinic/Group Practice | 1982695441 |
| O20231020000044 | LA | Part A Provider - Federally Qualified Health Center (FQHC) | 1932889276 |
| O20241203002791 | LA | Part A Provider - Federally Qualified Health Center (FQHC) | 1508603168 |
| O20100526000466 | LA | Part A Provider - Hospital | 1982695441 |
| O20100506000580 | AR | Part A Provider - Rural Health Clinic | 1902885650 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
East Carroll Parish Hospital
- Federally Qualified Health Center (FQHC)
- Lake Providence, LA
- NPI 1508603168
-
East Carroll Parish Hospital
- Rural Health Clinic/Center
- Lake Providence, LA
- NPI 1902885650
-
East Carroll Parish Hospital
- Federally Qualified Health Center (FQHC)
- Lake Providence, LA
- NPI 1932889276
-
East Carroll Parish Hospital
- General Acute Care Hospital
- Lake Providence, LA
- NPI 1982695441
-
East Carroll Parish Hospital
- Rural Health Clinic/Center
- Lake Providence, LA
- NPI 1710966478
Practice locations
- Lake Providence, LA5
Clinicians 78
Clinicians who reassign their Medicare benefits to this group (78) or whom Care Compare lists as members (36).
-
David Abdehou, MD
- Internal Medicine Physician
- Shreveport, LA
- NPI 1568471993
-
Ralph Abraham III, MD
- Diagnostic Radiology Physician
- Winnsboro, LA
- NPI 1639346174
-
Ginger Auer-Baker, M.D.
- Diagnostic Radiology Physician
- Shreveport, LA
- NPI 1174569412
-
Joseph D. Awotwi, M.D.
- Pediatric Pulmonology Physician
- Alexandria, LA
- NPI 1265545701
-
Joshua Benjamin Bacon, MD
- Family Medicine Physician
- Lake Charles, LA
- NPI 1396274551
-
Tommy Glenn Banks III, MD
- Family Medicine Physician
- West Monroe, LA
- NPI 1952693830
-
Jennifer Benjamin, D.O.
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1255473310
-
Shannon Gammill Berry, M.D.
- Emergency Medicine Physician
- Coushatta, LA
- NPI 1770719668
-
Bernard George Boka, M.D.
- Family Medicine Physician
- Brookhaven, MS
- NPI 1487761854
-
Grant Breeland, MD
- Diagnostic Radiology Physician
- Vivian, LA
- NPI 1174151369
-
Robert W. Calhoun, MD
- Family Medicine Physician
- Monroe, LA
- NPI 1952680423
-
Jessica Caraway, MD
- Vascular & Interventional Radiology Physician
- Shreveport, LA
- NPI 1710120274
-
Douglas Matthew Casey, MD
- Diagnostic Radiology Physician
- Hammond, LA
- NPI 1942498613
-
Mark Edward Clawson, MD PMC
- Family Medicine Physician
- Jennings, LA
- NPI 1073600086
-
Carla C Costello, FNP
- Family Nurse Practitioner
- Lake Providence, LA
- NPI 1356657746
-
Matthew K Dang, M.D.
- Diagnostic Radiology Physician
- Tucson, AZ
- NPI 1588848857
-
Sarah Thorne Flanagan, MD
- Diagnostic Radiology Physician
- Shreveport, LA
- NPI 1760988067
-
Terry D. Ford, M.D.
- Emergency Medicine Physician
- Bay Springs, MS
- NPI 1912922949
-
Savannah Fortenberry, APRN, FNP-C
- Family Nurse Practitioner
- Lake Providence, LA
- NPI 1427732783
-
Patrick Carl Grayson, MD
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1720029275
-
Omar De Jesus Gutierrez, M.D.
- Family Medicine Physician
- Pensacola, FL
- NPI 1396998977
-
Stacey Hackler, APRN, FNP-C
- Family Nurse Practitioner
- Lake Providence, LA
- NPI 1477000529
-
Morgan Haile, M.D.
- Diagnostic Radiology Physician
- Hartford, CT
- NPI 1760655500
-
Amy Garrett Hale, RN,FNP
- Family Nurse Practitioner
- Lake Providence, LA
- NPI 1710142864
-
Gehrig Leonard Harris Jr., M.D.
- Family Medicine Physician
- Columbus, GA
- NPI 1114142270
-
Vikram Mysore Hatti, M.D.
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1447202460
-
Sean E Hays, MD
- Family Medicine Physician
- Jonesboro, LA
- NPI 1912174244
-
Michael K. Herron, M. D.
- Diagnostic Radiology Physician
- Homosassa, FL
- NPI 1700867207
-
Menoni Ize-Iyamu, M.D.
- Family Medicine Physician
- Delhi, LA
- NPI 1538133210
-
Stephen Shepherd Johnston, MD
- Diagnostic Radiology Physician
- Tucson, AZ
- NPI 1730525841
-
Terry Glen Jordan, MS, LPC
- Mental Health Counselor
- Lake Providence, LA
- NPI 1063008712
-
Aaron Scott Klepper, MD
- Emergency Medicine Physician
- Monroe, LA
- NPI 1083624514
-
Kay B Kovac
- Family Medicine Physician
- Lake Providence, LA
- NPI 1326159450
-
Nicholas Kramer
- Diagnostic Radiology Physician
- Ft Polk, LA
- NPI 1780118026
-
Kevin M Langlois, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Shreveport, LA
- NPI 1184997264
-
Vanessa Lee, M.D.
- Family Medicine Physician
- Acworth, GA
- NPI 1497716377
-
Brenda M Mahon-Deri, MD
- Emergency Medicine Physician
- Metairie, LA
- NPI 1821187873
-
Taylor Maloney, MD, RPVI
- Vascular & Interventional Radiology Physician
- Austin, TX
- NPI 1144753658
-
Terrence Lenoir Mathers, M.D.
- Internal Medicine Physician
- Mandeville, LA
- NPI 1386670891
-
Brenton Wayne McDonald, M.D.
- Diagnostic Radiology Physician
- Monroe, LA
- NPI 1528094455
-
James Norman McNamara, D.O., PH.D.
- Family Medicine Physician
- Hopkinsville, KY
- NPI 1861925497
-
Kasimu Senghor Moody, M.D.
- Family Medicine Physician
- Covington, LA
- NPI 1245275536
-
Chukuemeka N Odita, M.D.
- Internal Medicine Physician
- Lakeway, TX
- NPI 1962613497
-
Caxton Aderemi Opere, MD
- Internal Medicine Physician
- Mandeville, LA
- NPI 1073614723
-
Justin Hung Pham, M.D.
- Diagnostic Radiology Physician
- Rockford, IL
- NPI 1821040866
-
Dana Easterling Pippin, DO
- Family Medicine Physician
- Lake Providence, LA
- NPI 1245856053
-
Charla Poole, M.D., PH.D.
- Family Medicine Physician
- Monroe, LA
- NPI 1740642172
-
Chad Thomas Porter, M.D.
- Diagnostic Radiology Physician
- Winnsboro, LA
- NPI 1669652665
-
Rolando Ernesto Prieto, MD
- Vascular & Interventional Radiology Physician
- Ocala, FL
- NPI 1578551321
-
Salman Rahim, MD
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1306377619
-
Kelly Catherine Ratliff, FNP-C
- Family Nurse Practitioner
- Lake Providence, LA
- NPI 1386212603
-
Lowery Rogers Reiland, MD
- Diagnostic Radiology Physician
- Shreveport, LA
- NPI 1487884730
-
Trevor C. Richard, MD
- Internal Medicine Physician
- Gonzales, LA
- NPI 1588875017
-
James Thomas Rittelmeyer, MD
- Cardiovascular Disease Physician
- Monroe, LA
- NPI 1023070711
-
Caleb Ruben Rivera, MD
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1164410916
-
Michael Fitzgerald Rolen, MD
- Diagnostic Radiology Physician
- Charlottesville, VA
- NPI 1730316118
-
Sameh Adel Sakla, M.D.
- Diagnostic Radiology Physician
- Sanford, FL
- NPI 1518250307
-
Manash K Sarcar, MD
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1346297553
-
Huey August Seyfarth Jr., MD
- Emergency Medical Services (Emergency Medicine) Physician
- Baton Rouge, LA
- NPI 1720014392
-
Justin W. Seymour, MD
- Internal Medicine Physician
- New Orleans, LA
- NPI 1699949644
-
Christopher Timothy Sherman, MD
- Diagnostic Radiology Physician
- Greenville, TX
- NPI 1689719338
-
Llewellyn Simon, M.D.
- Internal Medicine Physician
- Lake Providence, LA
- NPI 1063494128
-
Matthew H. Smith, MD
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1275869729
-
Mark A. St. Cyr, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Lafayette, LA
- NPI 1184678997
-
Marcus Villery Stelly, M.D.
- Diagnostic Radiology Physician
- Lafayette, LA
- NPI 1225206212
-
Toni Stephens, NP
- Family Nurse Practitioner
- Eudora, AR
- NPI 1790137867
-
Jeffrey Alton Stirnemann, MD
- Emergency Medicine Physician
- Sewanee, TN
- NPI 1871532564
-
Jeffrey Tanita, M.D.
- Family Medicine Physician
- Olla, LA
- NPI 1922040443
-
Ryan K Tompkins, MD
- Diagnostic Radiology Physician
- Ocala, FL
- NPI 1619064623
-
Arthur H Toups, M.D.
- Family Medicine Physician
- Big Stone Gap, VA
- NPI 1124339882
-
Brett Robert Travis, MD
- Diagnostic Radiology Physician
- Hammond, LA
- NPI 1700082682
-
George Thomas Waterfallen, MD
- General Practice Physician
- Bastrop, LA
- NPI 1831123132
-
Erica Powell Watson, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Lake Providence, LA
- NPI 1942016779
-
Victor J. Weaver, MD
- Family Medicine Physician
- Tucson, AZ
- NPI 1316914872
-
W Mitchell Wilder, MD
- Diagnostic Radiology Physician
- West Monroe, LA
- NPI 1730120312
-
Ronald R Winters, M.D.
- Diagnostic Radiology Physician
- Fort Smith, AR
- NPI 1437593779
-
Ryan M Wolfort, MD
- Surgery Physician
- Shreveport, LA
- NPI 1578622619
-
Edmond E. Wood, M.D.
- Emergency Medicine Physician
- New Orleans, LA
- NPI 1356321004
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.