Gabriel L Dersam (NPI# 1487844650, PAC ID# 2860585213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1487844650 |
| PAC ID by PECOS | 2860585213 |
| Professional Enrollment ID | I20080506000465 |
| Full Name | Gabriel L Dersam |
| Address |
4704 Ambassador Caffery Pkwy Suite 3 Lafayette LA 70508-6908 |
| Gender | M |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4704 Ambassador Caffery Pkwy, Suite 3, Lafayette, LA 70508-6908 | ||
| 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 |
| Street Address |
4704 AMBASSADOR CAFFERY PKWY SUITE 3 |
| City | LAFAYETTE |
| State | LA |
| Zip | 70508-6908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janna F Wilson | Pediatric Medicine | Lourdes Physician Group LLC | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 |
| George J Haag | Psychologist, Clinical | Administrators of The Tulane Educational Fund | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 |
| Tori Anne Perrodin | Nurse Practitioner | Lourdes Physician Group LLC | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 |
| Karen B Roden | Hematology/oncology | Womens Multi-specialty Group LLC | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason W Prevost | Chiropractic | 2111 W Pinhook Rd A, Integrated Health, Lafayette, LA 70508-1504 | |
| Kimberly V Hull | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Roseanna Laporte | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Mia H Rabalais | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Simone L Babineaux | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Jayson A Thornhill | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Casey A Robinson | Clinical Social Worker | 200 La Rue France, Suite 101, Lafayette, LA 70508-3104 | |
| Rachel Lacy Broussard | Clinical Social Worker | 200 La Rue France, Lafayette, LA 70508-3104 | |
| Joshua G Bailey | Chiropractic | Pinhook Chiropractic Clinic LLC | 100 La Rue France, Lafayette, LA 70508-3112 |
| Brad A Grizzaffi | Chiropractic | Pinhook Chiropractic Clinic LLC | 100 La Rue France, Lafayette, LA 70508-3112 |
| Find all physicians in zip 70508 | |||
| City | LAFAYETTE |
| Zip Code | 70508 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | LAFAYETTE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Gabriel L Dersam.
| 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.