C&M Medical Services-St Charles LLC

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

017058 Issued in LA

Legal business name

C&M MEDICAL SERVICES-ST CHARLES LLC

Practice address

1057 Paul Maillard Rd
Luling, LA 70070-4349

Phone

(985) 785-6242

NPI assigned

May 13, 2011

Last updated

May 13, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cris Mandry

Title

President

Phone

(504) 833-7770

Specialties & licenses 1

Addresses

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie W Broussard, MD

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1306935499
  NPD (past)
• Douglas K Clement, MD

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1700967262
  NPD (past)
• Rusty S Cook, MD

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1437244266
  NPD (past)
• William J Curran, MD

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1619066719
  NPD (past)
• Ruth Ellen Foster

  • Emergency Medicine Physician
  • Marrero, LA
  • NPI 1851535389
  NPD (past)
• William Troy Freeman, MD

  • Emergency Medicine Physician
  • Prairieville, LA
  • NPI 1689698102
  NPD (past)
• Joshua P Gaspard, M.D.

  • Emergency Medicine Physician
  • Bossier City, LA
  • NPI 1982815411
  NPD (past)
• Jacqueline Kirby, MD

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1538259056
  NPD (past)
• Brent Mazoch, MD

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1205938511
  NPD (past)
• Lisa A Mazoch, MD

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1861594178
  NPD (past)
• Michael L Odinet, M.D.

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1306861646
  NPD (past)
• Mahlon Paul Poche Jr., MD

  • Emergency Medicine Physician
  • Metairie, LA
  • NPI 1992772263
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1407148133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 8TH ST",
            "address_2": "SUITE 300",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021623",
            "telephone_number": "504-833-7770",
            "fax_number": "504-833-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&M MEDICAL SERVICES-ST CHARLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "MANDRY",
        "authorized_official_first_name": "CRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-833-7770"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "LA",
            "license": "017058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Ellis Brouillette, CRNA
• Kimberly Brown
• Allie Buckwalter
• Jennifer Matthews Burns, CCC-SLP
• C & B Transit, LLC
• Cynthia L Caldwell, D.D.S.
• Abigail Calico, M.S., LPC
• Bridget Marie Cameron, M.S.W.
• Raymond G Campbell, PTA
• Nathaly Carrion

• Emergency Medical Services (Emergency Medicine) Physician in Luling, LA
• Providers in Luling, LA by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.