GERARD M. VICTORIANO JR. (NPI# 1447585583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447585583 |
| Entity Type | Individual |
| Full Name | GERARD M. VICTORIANO JR. |
| Credential | PA |
| Practice Address |
524 Dr Michael Debakey Dr Lake Charles LA 70601-5725 |
| Mailing Address |
14050 Nw 14th St Suite 190 Sunrise FL 33323-2865 |
| Practice Telephone | 3374917709 |
| Practice Fax Number | 3374917157 |
| Mailing Telephone | 8004243672 |
| Mailing Fax Number | 9543773042 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.200317 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
524 DR MICHAEL DEBAKEY DR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076468 | Christus Health Southwestern Louisiana | General Acute Care Hospital | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2005-07-13 |
| 1992318331 | Renee Marie Juneau | Nurse Practitioner | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2020-08-25 |
| 1154943397 | Karen Nicole Anderson | Nurse Practitioner | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2020-05-11 |
| 1982223087 | Wade Gillard | Nurse Practitioner | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2020-04-09 |
| 1467071472 | Emily Shannon Hunt | Nurse Practitioner | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2020-04-09 |
| 1871158378 | Ochsner Clinic LLC | Internal Medicine | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2019-05-09 |
| 1548732332 | Mary Virginia Disante | Registered Nurse | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2018-12-18 |
| 1841779097 | Selisa Malvo Valyan | Nurse Practitioner | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2018-08-08 |
| 1659868172 | Tyler Mulkey | Student in an Organized Health Care Education/Training Program | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2018-04-19 |
| 1396253407 | Sound Physicians Emergency Medicine of Louisiana Inc | Emergency Medicine | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2018-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821506726 | Jessica Danielle Casey | Physician Assistant | 1467 Hickory Ridge Dr, Lake Charles, LA 70611-3747 | 2018-01-14 |
| 1194243220 | Kayla Jeanne Dansby | Physician Assistant | 4345 Nelson Rd Ste 201, Lake Charles, LA 70605-4183 | 2017-09-08 |
| 1588947956 | Savannah Guidry Burnett | Physician Assistant | 3635 Nelson Rd, Lake Charles, LA 70605-1213 | 2011-09-22 |
| 1740577998 | Jeffrey John Daigle | Physician Assistant | 1615 Wolf Cir, Lake Charles, LA 70605-2348 | 2011-07-07 |
| 1487649091 | Staci Simon Boudreaux | Physician Assistant | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2005-09-20 |
| 1255939344 | Alexis Griffin | Physician Assistant | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2020-10-12 |
| 1699323964 | Lindsay Vincent Quebodeaux | Physician Assistant | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2019-08-29 |
| 1912560541 | Haley Cook Cart | Physician Assistant | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-04-18 |
| 1659884385 | Kathryn Olivia Zimmerman | Physician Assistant | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2017-11-16 |
| 1831639897 | Paul Joseph Leger | Physician Assistant | 1701 Oak Park Blvd., Lake Charles, LA 70601 | 2017-02-24 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.