Jonathan J Gisclair (NPI# 1922020775, PAC ID# 0345261103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1922020775 |
PAC ID by PECOS | 0345261103 |
Professional Enrollment ID | I20051208000789 |
Full Name | Jonathan J Gisclair |
Address |
128 W 163rd St Galliano LA 70354-3606 |
Gender | M |
Credential | DPM |
Graduation Year | 2000 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190036 | OCHSNER MEDICAL CENTER NEW ORLEANS |
191325 | LADY OF THE SEA GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
128 W 163rd St, Galliano, LA 70354-3606 | ||
4500 10th St B C, Marrero, LA 70072-3122 | 5044121960 | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G |
Street Address |
128 W 163RD ST |
City | GALLIANO |
State | LA |
Zip | 70354-3606 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rutgerus F Jongbloets | Physical Therapy | Physiofit Physical Therapy, LLC | 18641 Hwy 3235, Galliano, LA 70354-3936 |
Kaleb David Adams | Physical Therapy | Physiofit Physical Therapy, LLC | 18641 Hwy 3235, Galliano, LA 70354-3936 |
Anna Stuivenberg | Physical Therapy | Physiofit Physical Therapy, LLC | 18641 Hwy 3235, Galliano, LA 70354-3936 |
Joshua Joseph Aleman | Physical Therapy | Physiofit Physical Therapy, LLC | 18641 Hwy 3235, Galliano, LA 70354-3936 |
City | GALLIANO |
Zip Code | 70354 |
Specialty | PODIATRY |
City + Specialty | GALLIANO + PODIATRY |
Please comment or provide details below to improve the information on Jonathan J Gisclair.
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.