Gentry Lee Haughton (NPI# 1316171358, PAC ID# 1153592852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1316171358 |
PAC ID by PECOS | 1153592852 |
Professional Enrollment ID | I20110928000471 |
Full Name | Gentry Lee Haughton |
Address |
1635 Marvel St Coushatta LA 71019-9022 |
Gender | F |
Graduation Year | 2008 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
191312 | CHRISTUS COUSHATTA HEALTH CARE CENTER |
190118 | DESOTO REGIONAL HEALTH SYSTEM |
190090 | WINN PARISH MEDICAL CENTER |
190160 | GLENWOOD REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
340 Webb Smith Dr, Grant Community Health Center, Colfax, LA 71417-1910 | 3186275021 | WINN COMMUNITY HEALTH CENTER, INC. |
1635 Marvel St, Coushatta, LA 71019-9022 | ||
207 Jefferson St, Mansfield, LA 71052-2603 | ||
635 Schley St, Mansfield, LA 71052-3820 | ||
1505 E Bert Koun Loop, 101 Christus Schumpert Wound Care Cente, Shreveport, LA 71105-5723 | ||
2269 Arkansas Rd, West Monroe, LA 71291-7818 | 3183971574 | THE FOOT AND ANKLE CLINIC OF WEST MONROE LLC |
431 W Lafayette St, Winnfield, LA 71483-3463 | 3186480375 | WINN COMMUNITY HEALTH CENTER, INC. |
Street Address |
1635 MARVEL ST |
City | COUSHATTA |
State | LA |
Zip | 71019-9022 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joshua R Cason | Family Medicine | Christus Health Central Louisiana | 1635 Marvel St, Coushatta, LA 71019-9022 |
Denise Rote-hintz | Certified Registered Nurse Anesthetist (crna) | Tandem Anesthesia LLC | 1635 Marvel St, Coushatta, LA 71019-9022 |
Sean J Hintz | Certified Registered Nurse Anesthetist (crna) | Tandem Anesthesia LLC | 1635 Marvel St, Coushatta, LA 71019-9022 |
William R Wise | Emergency Medicine | Coushatta Er Physicians | 1635 Marvel St, Coushatta, LA 71019-9022 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gavin F Chico | Internal Medicine | 1110 Ringgold Ave, Coushatta, LA 71019-9000 | |
Lavora C Babers Wilson | Nurse Practitioner | Christus Health Central Louisiana | 1633 Marvel St, Coushatta, LA 71019-9022 |
Pamela T Gates | Nurse Practitioner | D Gregory Bell Md and Willis-knighton Medical Center | 1633 Marvel St, Coushatta, LA 71019-9022 |
Wyche T Coleman Jr. | General Practice | 1633 Marvel St, Coushatta, LA 71019-9022 | |
Sean K Troxclair | Critical Care (intensivists) | Christus Health Central Louisiana | 1633 Marvel St, Coushatta, LA 71019-9022 |
Christopher S Snead | Hematology/oncology | C H Wilkinson Physician Network | 1633 Marvel St, Coushatta, LA 71019-9022 |
Don Bell | Family Medicine | D Gregory Bell Md and Willis-knighton Medical Center | 1633 Marvel St, Coushatta, LA 71019-9022 |
Jeanette Tilley | Nurse Practitioner | Christus Health Central Louisiana | 1633 Marvel St, Coushatta, LA 71019-9022 |
Durward J Thomas | Optometry | 1902 Ringgold Ave, Coushatta, LA 71019-9089 |
City | COUSHATTA |
Zip Code | 71019 |
Specialty | PODIATRY |
City + Specialty | COUSHATTA + PODIATRY |
Please comment or provide details below to improve the information on Gentry Lee Haughton.
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.