Jena Ess LLC
Organization Active NPI Emergency Medicine Physician · Jena, LA
NPI 1235544115 · NPPES record last updated Oct 10, 2019
Key facts
- NPI
- 1235544115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- JENA ESS LLC
- Practice address
- 187 9TH Street
Jena, LA 71342-2439 - Phone
- (318) 992-9200
- NPI assigned
- Jun 30, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Ron Weiss
- Title
- Ceo
- Phone
- (866) 931-8882
Member of 1
Practitioners 73
-
Daniel Estes Crook, M.D.
-
Robert Babson Fresh, M.D.
-
Hatem Fikry Ahmed Hamed, M.D.,M.B.,CH.B.,M.S.
-
Theodore A. Irra, MD
-
Brian M. Smith, M.D.
-
Christopher Robert Smith, M.D.
-
Gary Lane Wease, M.D.
-
Brandon Coats, MD
-
Leland C Lenahan III, M.D.
-
Maureen A Muecke, MD
-
Shelby T White, MD
-
David Barnard, MD
-
Gary Baskin Jr., MD
-
Chantel K. Burns, MD
-
Mathew C Erickson, M.D.
-
John H Fairbanks, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140916002675 | LA | Part B Supplier - Clinic/Group Practice | 7810116258 |
Receives reassigned benefits from 72 practitioners Practice locations: Jena, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
187 9TH Street
Jena, LA 71342-2439
Mailing address
17304 Preston Rd
Suite 1400
Dallas, TX 75252-5618
Phone (866) 931-8882
Other providers in Jena, LA
- Hospital Service District 2 of Lasalle
- Madelyn Lynn Hudnall
- Ihsc @ Lasalle Detention Facility
- Matthew Jackson
- Jena Ess Hospitalist LLC
- Jena Nursing and Rehabilitation Center LLC
- Jena Pharmacy LLC
- Ingrid Elizabeth Jennings
- Jereme Brian Johnson
- John Derek Johnson
All providers in Jena, LA · Emergency Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.