Martin Joseph Degravelle (NPI# 1457520801, PAC ID# 1759547474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HAND SURGERY.
| Nation Provider ID (NPI) | 1457520801 |
| PAC ID by PECOS | 1759547474 |
| Professional Enrollment ID | I20120725000382 |
| Full Name | Martin Joseph Degravelle |
| Organization Legal Name | ORTHOPAEDIC CLINIC OF MONROE |
| Address |
707 S Vienna St Ruston LA 71270-5845 |
| Phone Number | 3182554212 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2005 |
| Primary Specialty | HAND SURGERY |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 0840252698 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190125 | ST FRANCIS MEDICAL CENTER |
| 190160 | GLENWOOD REGIONAL MEDICAL CENTER |
| 191323 | RICHLAND PARISH HOSPITAL-DELHI |
| 190245 | MONROE SURGICAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 707 S Vienna St, Ruston, LA 71270-5845 | 3182554212 | ORTHOPAEDIC CLINIC OF MONROE |
| Organization Legal Name | ORTHOPAEDIC CLINIC OF MONROE |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria H Hamby | Physical Therapy | Orthopaedic Clinic of Monroe | 1501 Louisville Ave, Monroe, LA 71201-6025 |
| Jose Q Paragas | Physical Therapy | Orthopaedic Clinic of Monroe | 5500 Cypress St, Suite 7, West Monroe, LA 71291-7875 |
| Timothy Spires Jr. | Orthopedic Surgery | Orthopaedic Clinic of Monroe | 309 Mcmillan Rd, West Monroe, LA 71291-5323 |
| White Solomon Graves Iv | Orthopedic Surgery | Orthopaedic Clinic of Monroe | 1501 Louisville Ave, Monroe, LA 71201-6025 |
| Sidney L Bailey | Orthopedic Surgery | Orthopaedic Clinic of Monroe | 1501 Louisville Ave, Monroe, LA 71201-6025 |
| Grant A Dona | Orthopedic Surgery | Orthopaedic Clinic of Monroe | 1501 Louisville Ave, Monroe, LA 71201-6025 |
| Sherry R Canal | Occupational Therapy | Orthopaedic Clinic of Monroe | 1501 Louisville Ave, Monroe, LA 71201-6025 |
| Kristopher Charles Sirmon | Orthopedic Surgery | Orthopaedic Clinic of Monroe | 1501 Louisville Ave, Monroe, LA 71201-6025 |
| Stephanie B Spangler | Physician Assistant | Orthopaedic Clinic of Monroe | 1501 Louisville Ave, Monroe, LA 71201-6025 |
| Robert Brian Bulloch | Orthopedic Surgery | Orthopaedic Clinic of Monroe | 309 Mcmillan Rd, West Monroe, LA 71291-5323 |
| Street Address |
707 S VIENNA ST |
| City | RUSTON |
| State | LA |
| Zip | 71270-5845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Sydney Finley | Orthopedic Surgery | Orthopaedic Clinic of Monroe | 707 S Vienna St, Ruston, LA 71270-5845 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary James Avallone | Optometry | Vision Associates Inc | 911 Tech Dr, Ruston, LA 71270-0701 |
| Sandra Lynn Coleman | Nurse Practitioner | Solutions Medical Consulting, LLC | 1495 Frazier Rd, Ruston, LA 71270-1632 |
| Charles S Simmons | Undersea and Hyperbaric Medicine | Solutions Medical Consulting, LLC | 1495 Frazier Rd, Ruston, LA 71270-1632 |
| Charles Furr | Physician Assistant | Northwood Medical Center | 2916 N Trenton St, Ruston, LA 71270-2444 |
| Benson Grigsby | Family Medicine | Northwood Medical Center | 2916 N Trenton St, Ruston, LA 71270-2444 |
| Robert Bruce Kirton | Podiatry | 105 E Reynolds Dr, Suite D, Ruston, LA 71270-2800 | |
| Joan P Cardin | Nurse Practitioner | Coastal Urgent Care, LLC | 1009 S Service Rd W, Ruston, LA 71270-2915 |
| Jereme Johnson | Physical Therapy | 1102 Cooktown Rd, Suite A, Ruston, LA 71270-3116 | |
| Gary P Higginbotham | Chiropractic | 712 N Trenton St, Ruston, LA 71270-3324 | |
| Lucy A Douglas | Nurse Practitioner | 927 N Trenton St, Ruston, LA 71270-3327 | |
| Find all physicians in zip 71270 | |||
| City | RUSTON |
| Zip Code | 71270 |
| Specialty | HAND SURGERY |
| City + Specialty | RUSTON + HAND SURGERY |
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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.