Ty G. Hargroder Sr. (NPI# 1093761645, PAC ID# 0749376606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPICE/PALLIATIVE CARE.
| Nation Provider ID (NPI) | 1093761645 |
| PAC ID by PECOS | 0749376606 |
| Professional Enrollment ID | I20071106000710 |
| Full Name | Ty G. Hargroder Sr. |
| Organization Legal Name | ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT |
| Address |
810 S Broadway Church Point LA 70525-4402 |
| Phone Number | 3376845435 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1989 |
| Primary Specialty | HOSPICE/PALLIATIVE CARE |
| Group Practice PAC ID | 3476458092 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191319 | ACADIA ST LANDRY |
| 190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
| 190002 | LAFAYETTE GENERAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 810 S Broadway, Church Point, LA 70525-4402 | 3376845435 | ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT |
| 820 S Broadway St, Church Point, LA 70525-4402 | 3376845232 | HARGRODER MEDICAL, INC. |
| Organization Legal Name | ACADIA-ST. LANDRY HOSPITAL SERVICE DISTRICT |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tom D Price | Emergency Medicine | Acadia-st. Landry Hospital Service District | 810 S Broadway, Church Point, LA 70525-4402 |
| William M Gaar | General Practice | Acadia-st. Landry Hospital Service District | 810 S Broadway, Church Point, LA 70525-4402 |
| Ronald D Menard | Emergency Medicine | Acadia-st. Landry Hospital Service District | 810 S Broadway, Church Point, LA 70525-4402 |
| Street Address |
810 S BROADWAY |
| City | CHURCH POINT |
| State | LA |
| Zip | 70525-4402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tom D Price | Emergency Medicine | Acadia-st. Landry Hospital Service District | 810 S Broadway, Church Point, LA 70525-4402 |
| William M Gaar | General Practice | Acadia-st. Landry Hospital Service District | 810 S Broadway, Church Point, LA 70525-4402 |
| Ronald D Menard | Emergency Medicine | Acadia-st. Landry Hospital Service District | 810 S Broadway, Church Point, LA 70525-4402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claudette Smith-boudreaux | Optometry | Bec Vision, LLC | 315 N Broadway St, Church Point, LA 70525-2914 |
| Eric Boudreaux | Optometry | Bec Vision, LLC | 315 N Broadway St, Church Point, LA 70525-2914 |
| Sandy F Reiners | Nurse Practitioner | 202 W Murrell St, Church Point, LA 70525-2950 | |
| Braden K Guidry | Physical Therapy | 221 S Main St, Church Point, LA 70525-3115 | |
| John L Guillory Jr. | Chiropractic | 337 W Canal St, Church Point, LA 70525-3515 | |
| Jimmy Legros Iii | Nurse Practitioner | 731 S Main St, Suite A, Church Point, LA 70525-4109 | |
| Megan L Fisher | Optometry | Lyndon Graves Enterprise LLC | 830 S Broadway St, Acadia St Landry Guest House, Church Point, LA 70525-4402 |
| Michael A Felton | Family Medicine | 814 S Broadway St, Church Point, LA 70525-4402 | |
| Lisa A Jaubert | Nurse Practitioner | Hargroder Medical, Inc. | 820 S Broadway St, Church Point, LA 70525-4402 |
| Michael Williams | Emergency Medicine | 810 S Broadway St, Church Point, LA 70525-4402 | |
| Find all physicians in zip 70525 | |||
| City | CHURCH POINT |
| Zip Code | 70525 |
| Specialty | HOSPICE/PALLIATIVE CARE |
| City + Specialty | CHURCH POINT + HOSPICE/PALLIATIVE CARE |
Please comment or provide details below to improve the information on Ty G. Hargroder Sr..
| 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.