Robert D Spencer (NPI# 1104161025, PAC ID# 2365689668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104161025 |
| PAC ID by PECOS | 2365689668 |
| Professional Enrollment ID | I20130503000526 |
| Full Name | Robert D Spencer |
| Organization Legal Name | LAKE CHARLES URGENT CARE |
| Address |
1905 Country Club Rd Lake Charles LA 70605-5203 |
| Phone Number | 3379908000 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1052580644 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190027 | CHRISTUS ST PATRICK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1905 Country Club Rd, Lake Charles, LA 70605-5203 | 3379908000 | LAKE CHARLES URGENT CARE |
| 4150 Nelson Rd, A3, Lake Charles, LA 70605-4169 | 3374747290 | IMPERIAL HEALTH LLP |
| 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 | 3374338400 | IMPERIAL HEALTH LLP |
| Organization Legal Name | LAKE CHARLES URGENT CARE |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Ann Lominac | Nurse Practitioner | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Melvin J Marque Iii | Emergency Medicine | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Kristen H Hannaman | Physician Assistant | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Kevin J Murphy | Physician Assistant | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Michael J Stowell | Nurse Practitioner | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Anne C Griepsma | Nurse Practitioner | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Jane Ann Smeck | Emergency Medicine | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Kevin P Dibenedetto | Family Medicine | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Lacey Millet Cavanaugh | Family Medicine | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Gerard M Victoriano Jr. | Physician Assistant | Lake Charles Urgent Care | 2400 Ryan St, Lake Charles, LA 70601-7322 |
| Street Address |
1905 COUNTRY CLUB RD |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70605-5203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Ann Lominac | Nurse Practitioner | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Michael J Stowell | Nurse Practitioner | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Lacey Millet Cavanaugh | Family Medicine | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Lori L Grundy | Physician Assistant | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Pike Pickett | Nurse Practitioner | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Noelle R Leger | Physician Assistant | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Isha Juanelle Lang | Nurse Practitioner | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Adam Thomas Huval | Nurse Practitioner | Lake Charles Urgent Care | 1905 Country Club Rd, Lake Charles, LA 70605-5203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shondra L Smith | Dermatology | Shondra L. Smith, Md | 3635 Nelson Rd, Dermatology and Advanced Aesthetics, Lake Charles, LA 70605-1213 |
| Jill A Conner | Nurse Practitioner | Shondra L. Smith, Md | 3635 Nelson Rd, Dermatology and Advanced Aesthetics, Lake Charles, LA 70605-1213 |
| Savannah Guidry | Physician Assistant | Shondra L. Smith, Md | 3635 Nelson Rd, Lake Charles, LA 70605-1213 |
| Lisa J Brune | Clinical Social Worker | 900 Contraband Ln, Lake Charles, LA 70605-1435 | |
| Shaine E Rider | Chiropractic | 601 W College St, Lake Charles, LA 70605-1521 | |
| Kara A Headington | Qualified Audiologist | Imperial Health LLP | 1615 Wolf Circle, Lake Charles, LA 70605-2348 |
| Tara Barnes | Nurse Practitioner | Center for Neurosurgical and Spine Disorders, LLC | 1614 Wolf Circle, Lake Charles, LA 70605-2348 |
| Charles Speights | Emergency Medicine | 1615 Wolf Cir, Suite B, Lake Charles, LA 70605-2348 | |
| Geoffrey J Collins | Orthopedic Surgery | Collins Orthopaedics LLC | 1625 Wolf Circle, Lake Charles, LA 70605-2348 |
| Kimberly Ann Belanger | Nurse Practitioner | Center for Neurosurgical and Spine Disorders, LLC | 1614 Wolf Circle, Lake Charles, LA 70605-2348 |
| Find all physicians in zip 70605 | |||
| City | LAKE CHARLES |
| Zip Code | 70605 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAKE CHARLES + PHYSICIAN ASSISTANT |
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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.