Jacques L Guillot (NPI# 1881706778, PAC ID# 0446238554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1881706778 |
| PAC ID by PECOS | 0446238554 |
| Professional Enrollment ID | I20040714001500 |
| Full Name | Jacques L Guillot |
| Organization Legal Name | NORTHLAKE NEPHROLOGY, INC |
| Address |
1970 N Hwy 190 Covington LA 70433-5158 |
| Phone Number | 9858678585 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 9931000213 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190176 | TULANE MEDICAL CENTER |
| 190177 | LAKEVIEW REGIONAL MEDICAL CENTER |
| 191313 | RIVERSIDE MEDICAL CENTER |
| 190312 | OUR LADY OF THE ANGELS HOSPITAL |
| 190040 | SLIDELL MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1970 N Hwy 190, Covington, LA 70433-5158 | 9858678585 | NORTHLAKE NEPHROLOGY, INC |
| Organization Legal Name | NORTHLAKE NEPHROLOGY, INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Georgi Kovachev | Nephrology | Northlake Nephrology, Inc | 664 Robert Blvd, Slidell, LA 70458-1648 |
| Sumitha Ganji | Nephrology | Northlake Nephrology, Inc | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Joyce P Peterson | Nurse Practitioner | Northlake Nephrology, Inc | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Daniel P Tveit | Nephrology | Northlake Nephrology, Inc | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Dionne M Stein | Nurse Practitioner | Northlake Nephrology, Inc | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Street Address |
1970 N HWY 190 |
| City | COVINGTON |
| State | LA |
| Zip | 70433-5158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Jaide Wood | Nurse Practitioner | Nni Covington LLC | 1970 N Hwy 190, Covington, LA 70433-5364 |
| Brittany Loupe | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Ashley M Mossbarger | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Kassidy Blaine Bynum | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Elise Guidry | Nurse Practitioner | Slr Holdings LLC | 1970 N Hwy 190, Covington, LA 70433-5364 |
| Sumitha Ganji | Nephrology | Northlake Nephrology, Inc | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Melannie D White | Podiatry | 1970 N Hwy 190, Covington, LA 70433-5158 | |
| Elizabeth King | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Molly J Broom | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Lisa G Melek | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy Pechon | Clinical Social Worker | 5001 U S Hwy 190 D4, Covington, LA 70433 | |
| Richard B Drude | Gastroenterology | Richard B. Drude, Jr., M.d., Apmc | 69150 Hwy 190, Covington, LA 70433 |
| Bruce S Samuels | Internal Medicine | 189 Greenbriar Blvd, Suite C, Covington, LA 70433 | |
| Nicholas J Viviano | Dermatology | 7031 Hwy 190, Covington, LA 70433 | |
| Thomas W Nielsen Jr. | Clinical Social Worker | 5001 Hwy 190, Suite B 1, Covington, LA 70433 | |
| Glenn D Hedgpeth | Gastroenterology | Dr. Bruce S. Samuels, LLC | 189 Greenbriar Blvd, Covington, LA 70433 |
| Brian C Cochran | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
| Jonathan S Mitchell | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
| Charles Balette | Family Medicine | 1119 S Tyler St, Covington, LA 70433-2327 | |
| Roy C Saguiguit | Internal Medicine | 1113 S Tyler St, Covington, LA 70433-2327 | |
| Find all physicians in zip 70433 | |||
| City | COVINGTON |
| Zip Code | 70433 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COVINGTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jacques L Guillot.
| 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.