Jason S Mook (NPI# 1104018332, PAC ID# 0244388403) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1104018332 |
| PAC ID by PECOS | 0244388403 |
| Professional Enrollment ID | I20090428000515 |
| Full Name | Jason S Mook |
| Organization Legal Name | CROSS LAKE EMERGENCY GROUP, LLC |
| Address |
8001 Youree Dr Shreveport LA 71115-2302 |
| Phone Number | 3182123000 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2007 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5395096440 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 | 3182125000 | CROSS LAKE EMERGENCY GROUP, LLC |
| 8001 Youree Dr, Shreveport, LA 71115-2302 | 3182123000 | CROSS LAKE EMERGENCY GROUP, LLC |
| Organization Legal Name | CROSS LAKE EMERGENCY GROUP, LLC |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Misty T Wetzel | Emergency Medicine | Cross Lake Emergency Group, LLC | 2400 Hospital Dr, Bossier City, LA 71111-2385 |
| Roy E Brandhurst | Emergency Medicine | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
| Matthew Porter | Emergency Medicine | Cross Lake Emergency Group, LLC | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Craig Florea | Emergency Medicine | Cross Lake Emergency Group, LLC | 2400 Hospital Dr, Bossier City, LA 71111-2385 |
| Brian T Dillon | Emergency Medicine | Cross Lake Emergency Group, LLC | 2600 Greenwood Rd, Shreveport, LA 71103-3908 |
| Carmell Lenert-williams | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Kelly W Lambard | Emergency Medicine | Cross Lake Emergency Group, LLC | 2400 Hospital Dr, Bossier City, LA 71111-2385 |
| John Netterville | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Kolleen C Snyder | Nurse Practitioner | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
| Jerel L Raney | Emergency Medicine | Cross Lake Emergency Group, LLC | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 |
| Street Address |
8001 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip | 71115-2302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Hernandez | Internal Medicine | Wk Moller Cassiere Clinic | 8001 Youree Dr, Suite 400, Shreveport, LA 71115-2340 |
| Antonio R Pizarro | Obstetrics/gynecology | 8001 Youree Dr, Suite 370, Shreveport, LA 71115-2339 | |
| Holly Johnson | Nurse Practitioner | Wk Pierremont Ob-gyn Specialists | 8001 Youree Dr, Suite 600, Shreveport, LA 71115-2345 |
| Jorge Martinez-leyva | Emergency Medicine | 8001 Youree Dr, Suite 850, Shreveport, LA 71115-2327 | |
| Sarah A Lafield | Physician Assistant | Dr. Wen Liu Inc. | 8001 Youree Dr, Suite 880, Shreveport, LA 71115-2331 |
| Hector Brunet Rodriguez | Infectious Disease | Wk Shreveport Infectious Disease | 8001 Youree Dr, Suite 750, Shreveport, LA 71115-2346 |
| Darrell Sandifer | Obstetrics/gynecology | Wk Pierremont Ob-gyn Specialists | 8001 Youree Dr, Suite 600, Shreveport, LA 71115-2345 |
| Guillermo O Padilla-pineda | Infectious Disease | Wk Shreveport Infectious Disease | 8001 Youree Dr, Suite 750, Shreveport, LA 71115-2346 |
| Leocardy Pierre | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Jordan Austin Brice | Anesthesiology | Pierremont Anesthesia Consultants | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmell Lenert-williams | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| John Netterville | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Ganesh S Dhoble | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Eustace Edwards | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Wen Liu | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Kamlesh Jani | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Michael J Lewis | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Jennifer Thomas Prime | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Diane Elizabeth Jamison-blair | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Glenn R. Figueroa | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Find all physicians in zip 71115 | |||
| City | SHREVEPORT |
| Zip Code | 71115 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SHREVEPORT + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.