Dandra J Davis (NPI# 1134317423, PAC ID# 2062672504) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1134317423 |
| PAC ID by PECOS | 2062672504 |
| Professional Enrollment ID | I20121009000549 |
| Full Name | Dandra J Davis |
| Organization Legal Name | YOUNGS PROFESSIONAL SERVICES LLC |
| Address |
604 N Acadia Rd Suite 300 Thibodaux LA 70301-4897 |
| Phone Number | 9854381088 |
| Gender | F |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2007 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 2163524992 |
| Number of Group Practice Members | 239 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190241 | PHYSICIANS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 218 Corporate Dr, Houma, LA 70360-2768 | 9858531390 | HOLA ANESTHESIA LLC |
| 604 N Acadia Rd, Suite 300, Thibodaux, LA 70301-4897 | 9854381088 | YOUNGS PROFESSIONAL SERVICES LLC |
| Organization Legal Name | YOUNGS PROFESSIONAL SERVICES LLC |
| Physicians | 195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Craig Macintyre | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 3811 Sagebriar Dr, Bryan, TX 77802-6107 |
| Daniel M Bitner | Anesthesiology | Youngs Professional Services LLC | 600 N Lewis St, Anesthesia Dept, New Iberia, LA 70563-2043 |
| Anne C Hlavacek | Anesthesiology | Youngs Professional Services LLC | 2312 E Main St A, Yps Anesthesia Services, New Iberia, LA 70560-4064 |
| Joshua A Long | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 2600 N Hwy 118, Alpine, TX 79830-2002 |
| Lindsey M Smith-dunford | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 600 N Union Ave, New Braunfels, TX 78130-4194 |
| Kara E Bono | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 67252 Industry Ln, Covington, LA 70433-8704 |
| August J Klohn | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 42570 S Airport Rd, Anesthesia Dept Yps Anesthesia Services, Hammond, LA 70403-0946 |
| Meaghan T Pezant | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 989 Robert Blvd, Slidell, LA 70458-2009 |
| Mark Edwin Koepp | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1097 Northwest Blvd, Franklin, LA 70538-3407 |
| Chris L Jacobson | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1767 Troup Hwy, Tyler, TX 75701-5869 |
| Street Address |
604 N ACADIA RD SUITE 300 |
| City | THIBODAUX |
| State | LA |
| Zip | 70301-4897 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James K. Modisette | Nephrology | Kidney Center of South Louisiana, Amc | 604 N Acadia Rd, Suite 405, Thibodaux, LA 70301-4897 |
| Johnny Perez | General Surgery | Advanced Southern Surgical | 604 N Acadia Rd, Suite 406, Thibodaux, LA 70301-4897 |
| Nicole D Prosperie | Obstetrics/gynecology | Thibodaux Regional Network Development Corporation | 604 N Acadia Rd, 500 Thibodaux Regional Women's Clinic, Thibodaux, LA 70301-4743 |
| Justin M Tenney | Otolaryngology | Southern Ent Associates Inc | 604 N Acadia Rd, Suite 101, Thibodaux, LA 70301-4897 |
| Guy P Zeringue Iii | Otolaryngology | Southern Ent Associates Inc | 604 N Acadia Rd, Suite 101, Thibodaux, LA 70301-4897 |
| Gregory C Maidoh | Internal Medicine | 604 N Acadia Rd, Suite 202, Thibodaux, LA 70301-4897 | |
| Kerry E. Shaver | Internal Medicine | Thibodaux Regional Network Development Corporation | 604 N Acadia Rd, Suite 410, Thibodaux, LA 70301-4897 |
| Christopher Z Rodrigue | Obstetrics/gynecology | Thibodaux Regional Network Development Corporation | 604 N Acadia Rd, 500 Thibodaux Regional Women's Clinic, Thibodaux, LA 70301-4743 |
| Anne E Rodrigue | Obstetrics/gynecology | Thibodaux Regional Network Development Corporation | 604 N Acadia Rd, 500 Thibodaux Regional Women's Clinic, Thibodaux, LA 70301-4743 |
| Hali L Lirette | Physician Assistant | Advanced Southern Surgical | 604 N Acadia Rd, Suite 406, Thibodaux, LA 70301-4897 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Kesterson | Physician Assistant | Thibodaux Regional Network Development Corporation | 525 Saint Mary St, Thibodaux, LA 70301-2627 |
| Lisa Mitchell | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| Jenaye M Deroche | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| David Mitchell | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| Jared S Thurston | Ophthalmology | 302 Ridgefield Rd, Thibodaux, LA 70301-2724 | |
| Charles L Seaman | Optometry | 907 Ridgefield Rd, Thibodaux, LA 70301-2843 | |
| Jeffrey Edward Aycock | Oral Surgery | Oral-facial Surgery Center Apc | 923 Ridgefield Rd, Thibodaux, LA 70301-2844 |
| Deidre A Boults | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Kryshonda Y Alleyne | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Melissa Lepine | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Find all physicians in zip 70301 | |||
| City | THIBODAUX |
| Zip Code | 70301 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | THIBODAUX + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Dandra J Davis.
| 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.