Gregory Henkelmann (NPI# 1639264237, PAC ID# 1850480906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
Nation Provider ID (NPI) | 1639264237 |
PAC ID by PECOS | 1850480906 |
Professional Enrollment ID | I20081215000001 |
Full Name | Gregory Henkelmann |
Organization Legal Name | MARY BIRD PERKINS CANCER CENTER |
Address |
4950 Essen Ln Baton Rouge LA 70809-3738 |
Phone Number | 2257670847 |
Gender | M |
Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1984 |
Primary Specialty | RADIATION ONCOLOGY |
Group Practice PAC ID | 4385646280 |
Number of Group Practice Members | 15 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190045 | ST TAMMANY PARISH HOSPITAL |
190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
190036 | OCHSNER MEDICAL CENTER NEW ORLEANS |
Address | Phone | Organization |
---|---|---|
4950 Essen Ln, Baton Rouge, LA 70809-3738 | 2257670847 | MARY BIRD PERKINS CANCER CENTER |
1104 W Hwy 30, Gonzales, LA 70737-5003 | 2256441205 | ST ELIZABETH MARY BIRD PERKINS CANCER CENTER LLC |
Organization Legal Name | MARY BIRD PERKINS CANCER CENTER |
Physicians | 16 |
Name | Specialty | Organization | Address |
---|---|---|---|
Suchit H Patel | Radiation Oncology | Mary Bird Perkins Cancer Center | 15728 Paul Vega Md Dr, Hammond, LA 70403-1434 |
Gregory William Cotter | Radiation Oncology | Mary Bird Perkins Cancer Center | 133 Jefferson Davis Blvd, Natchez, MS 39120-5103 |
Renee A Levine | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Lane, Baton Rouge, LA 70809-3482 |
Daniel J Bourgeois Iii | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Jingya Wang | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Maurice L King | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Katherine O Castle | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Konstantin A Kovtun | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Sheldon A Johnson | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Jeffrey P Long | Radiation Oncology | Mary Bird Perkins Cancer Center | 8166 Main St, Suite 101, Houma, LA 70360-3404 |
Street Address |
4950 ESSEN LN |
City | BATON ROUGE |
State | LA |
Zip | 70809-3738 |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel Kevin Lavie | Hematology/oncology | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
Daniel J Bourgeois Iii | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
David S Hanson | Hematology/oncology | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
Dustin David Denicola | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
Sonia Vidrine Normand | Physical Therapy | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
Jingya Wang | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Maurice L King | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Lauren A Zatarain | Hematology/oncology | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
Katherine O Castle | Radiation Oncology | Mary Bird Perkins Cancer Center | 4950 Essen Ln, Baton Rouge, LA 70809-3738 |
Ghenet Ghebretatios | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael W Dupre | General Surgery | 8595 Picardy Ave, Suite 235, Baton Rouge, LA 70809-0610 | |
Shaban Faruqui | Gastroenterology | Baton Rouge General Medical Center | 8595 Picardy Ave, Suite 235, Baton Rouge, LA 70809-0610 |
Jill H Fruge | Internal Medicine | Our Lady of The Lake Physician Group LLC | 7855 Jefferson Hwy, Baton Rouge, LA 70809-1206 |
Mark C Shoptaugh Jr. | Psychiatry | 7865 Jefferson Hwy, Suite D, Baton Rouge, LA 70809-1384 | |
David E Thomas | Sleep Medicine | 2355 Drusilla Ln, Baton Rouge, LA 70809-1443 | |
Richard Gaynor | Internal Medicine | 2320 Drusilla Ln, Suite B, Baton Rouge, LA 70809-1495 | |
Betty Armstrong | Clinical Social Worker | 8017 Jefferson Hwy B1, Baton Rouge, LA 70809-1681 | |
Steven K Bordelon | Clinical Social Worker | 8017 Jefferson Hwy, Suite B4, Baton Rouge, LA 70809-1681 | |
Patricia A Godfrey | Clinical Social Worker | 8017 Jefferson Hwy, Suite B1, Baton Rouge, LA 70809-1681 | |
Adrian A Agosta | Clinical Social Worker | 7940 Wrenwood Blvd, Apt G, Baton Rouge, LA 70809-1766 | |
Find all physicians in zip 70809 |
City | BATON ROUGE |
Zip Code | 70809 |
Specialty | RADIATION ONCOLOGY |
City + Specialty | BATON ROUGE + RADIATION ONCOLOGY |
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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.