Mahlon P Poche Jr. (NPI# 1992772263, PAC ID# 2466424213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1992772263 |
| PAC ID by PECOS | 2466424213 |
| Professional Enrollment ID | I20040811000822 |
| Full Name | Mahlon P Poche Jr. |
| Organization Legal Name | THIBODAUX EMERGENCY PHYSICIANS GROUP LLC |
| Address |
602 N Acadia Rd Er Dept Thibodaux Medical Center Thibodaux LA 70301-4823 |
| Phone Number | 9854475500 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY PRACTICE |
| Group Practice PAC ID | 2769760537 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190004 | THIBODAUX REGIONAL MEDICAL CENTER |
| 190013 | WEST CALCASIEU CAMERON HOSPITAL |
| 061314 | MEMORIAL HOSPITAL, THE |
| Address | Phone | Organization |
|---|---|---|
| 701 E Cypress St Emergency Dept, West Calcasieu Cameron Hospital, Sulphur, LA 70663-5053 | 3375277034 | CALCASIEU CAMERON EMERGENCY PHYSICIAN GROUP LLC |
| 701 E Cypress St Emergency Dept, Sulphur, LA 70663-5053 | 3375277034 | CALCASIEU CAMERON EMERGENCY PHYSICIAN GROUP LLC |
| 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 | 9854475500 | THIBODAUX EMERGENCY PHYSICIANS GROUP LLC |
| 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 9854475500 | THIBODAUX EMERGENCY PHYSICIANS GROUP LLC |
| Organization Legal Name | THIBODAUX EMERGENCY PHYSICIANS GROUP LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher H Alexander | Nurse Practitioner | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Jeremy J Benoit | Emergency Medicine | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Brent C Tatford | Emergency Medicine | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Jennifer R Poche | Nurse Practitioner | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Ernest C Hansen Iii | Emergency Medicine | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Brady D Malbrough | Nurse Practitioner | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Kyle Patrick Pfefferle | Emergency Medicine | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Michael D Owens | Emergency Medicine | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Kevin R Kammel | Emergency Medicine | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Duncan Andrew Hansing | Emergency Medicine | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Street Address |
602 N ACADIA RD ER DEPT THIBODAUX MEDICAL CENTER |
| City | THIBODAUX |
| State | LA |
| Zip | 70301-4823 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard D Demoss | Pathology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Christopher H Alexander | Nurse Practitioner | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Jeremy J Benoit | Emergency Medicine | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Brent C Tatford | Emergency Medicine | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Tatyana V Kalinicheva | Pathology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Gregory F Dobard | Diagnostic Radiology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux, LA 70301-4847 |
| Vicky L Vilcan | Certified Registered Nurse Anesthetist (crna) | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux, LA 70301-4847 |
| John B Imms | Internal Medicine | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Jennifer R Poche | Nurse Practitioner | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| Ernest C Hansen Iii | Emergency Medicine | Thibodaux Emergency Physicians Group LLC | 602 N Acadia Rd, Er Dept Thibodaux Medical Center, Thibodaux, LA 70301-4823 |
| 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 | EMERGENCY MEDICINE |
| City + Specialty | THIBODAUX + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mahlon P Poche Jr..
| 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.