Derek G Davis (NPI# 1952563041, PAC ID# 2062586258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1952563041 |
| PAC ID by PECOS | 2062586258 |
| Professional Enrollment ID | I20151107000143 |
| Full Name | Derek G Davis |
| Organization Legal Name | OUR LADY OF THE ANGELS HOSPITAL INC |
| Address |
433 Plaza St Bogalusa LA 70427-3729 |
| Phone Number | 9857306706 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7012144322 |
| Number of Group Practice Members | 86 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041323 | ASHLEY COUNTY MEDICAL CENTER |
| 190312 | OUR LADY OF THE ANGELS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 433 Plaza St, Bogalusa, LA 70427-3729 | 9857306706 | OUR LADY OF THE ANGELS HOSPITAL INC |
| 1015 Unity Rd, Crossett, AR 71635-9443 | 8703641439 | CROSSETT HEALTH FOUNDATION |
| Organization Legal Name | OUR LADY OF THE ANGELS HOSPITAL INC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Kennedy Seale | Nurse Practitioner | Our Lady of The Angels Hospital Inc | 1617 Ave F, Bogalusa, LA 70427-4940 |
| John S Talley | Clinical Social Worker | Our Lady of The Angels Hospital Inc | 420 Ave F, Bogalusa, LA 70427-3634 |
| William L Kuhn Jr. | Certified Registered Nurse Anesthetist (crna) | Our Lady of The Angels Hospital Inc | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Leslie Arceneaux | Nurse Practitioner | Our Lady of The Angels Hospital Inc | 1416 Gobbler Head Dr, Bogalusa, LA 70427-6091 |
| Elizabeth Michelle Fitzgerald | Nurse Practitioner | Our Lady of The Angels Hospital Inc | 420 Ave F, Bogalusa, LA 70427-3634 |
| Gregory P Lanata | Podiatry | Our Lady of The Angels Hospital Inc | 433 Plaza St, Bogalusa, LA 70427-3729 |
| David O. Lanson | Family Medicine | Our Lady of The Angels Hospital Inc | 420 Ave F, Bogalusa, LA 70427-3634 |
| Lisa Herring Mejia | Nurse Practitioner | Our Lady of The Angels Hospital Inc | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Donald Lane Whitney | Certified Registered Nurse Anesthetist (crna) | Our Lady of The Angels Hospital Inc | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Constance M Gistand | Internal Medicine | Our Lady of The Angels Hospital Inc | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Street Address |
433 PLAZA ST |
| City | BOGALUSA |
| State | LA |
| Zip | 70427-3729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William L Kuhn Jr. | Certified Registered Nurse Anesthetist (crna) | Our Lady of The Angels Hospital Inc | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Gregory P Lanata | Podiatry | Our Lady of The Angels Hospital Inc | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Stacy L Fernandez Rodrique | Emergency Medicine | Washington Parish Emergency Physicians Group LLC | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Lisa Herring Mejia | Nurse Practitioner | Our Lady of The Angels Hospital Inc | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Donald Lane Whitney | Certified Registered Nurse Anesthetist (crna) | Our Lady of The Angels Hospital Inc | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Abby E Tausend | Emergency Medicine | Washington Parish Emergency Physicians Group LLC | 433 Plaza St, Bogalusa, LA 70427-3729 |
| John Wesley Smith | Internal Medicine | Washington Parish Emergency Physicians Group LLC | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Constance M Gistand | Internal Medicine | Our Lady of The Angels Hospital Inc | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Raymond J Devlin Iii | Certified Registered Nurse Anesthetist (crna) | Our Lady of The Angels Hospital Inc | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Ross D Daray | Emergency Medicine | Washington Parish Emergency Physicians Group LLC | 433 Plaza St, Bogalusa, LA 70427-3729 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice N Penton | Nurse Practitioner | Onsite Medical Solutions, LLC | 1301 Harrison St, Bogalusa, LA 70427-1700 |
| Gary M Artigue | Optometry | Eye Associates LLC | 409 Ave F, Bogalusa, LA 70427-3633 |
| Anthony J Palazzo | Pediatric Medicine | 405 Ave F, Bogalusa, LA 70427-3633 | |
| John S Talley | Clinical Social Worker | Our Lady of The Angels Hospital Inc | 420 Ave F, Bogalusa, LA 70427-3634 |
| Elizabeth Michelle Fitzgerald | Nurse Practitioner | Our Lady of The Angels Hospital Inc | 420 Ave F, Bogalusa, LA 70427-3634 |
| David O. Lanson | Family Medicine | Our Lady of The Angels Hospital Inc | 420 Ave F, Bogalusa, LA 70427-3634 |
| David J Mohr | Family Medicine | Our Lady of The Angels Hospital Inc | 420 Ave F, Bogalusa, LA 70427-3634 |
| Maria C Buenaflor | Obstetrics/gynecology | Our Lady of The Angels Hospital Inc | 420 Ave F, Bogalusa, LA 70427-3634 |
| Golam Daud Noaz | Family Medicine | Our Lady of The Angels Hospital Inc | 420 Ave F, Bogalusa, LA 70427-3634 |
| Garland E. Anderson II | Family Medicine | Our Lady of The Angels Hospital Inc | 420 Ave F, Bogalusa, LA 70427-3634 |
| Find all physicians in zip 70427 | |||
| City | BOGALUSA |
| Zip Code | 70427 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BOGALUSA + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.