Degha N Fongod (NPI# 1780029140, PAC ID# 2961706163) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1780029140 |
| PAC ID by PECOS | 2961706163 |
| Professional Enrollment ID | I20160929002112 |
| Full Name | Degha N Fongod |
| Organization Legal Name | LMCHH PCP LLC |
| Address |
1150 Robert Blvd Suite 190 Slidell LA 70458-2064 |
| Phone Number | 9856464415 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1456410406 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190040 | SLIDELL MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1150 Robert Blvd, Suite 190, Slidell, LA 70458-2064 | 9856464415 | LMCHH PCP LLC |
| 1150 Robert Blvd, Slidell, LA 70458-2064 | 9856464415 | LMCHH PCP LLC |
| Organization Legal Name | LMCHH PCP LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph E Tusa | Family Practice | Lmchh PCp LLC | 2190 N Causeway Blvd, Mandeville, LA 70471-1807 |
| David A Levy | Nurse Practitioner | Lmchh PCp LLC | 2190 N Causeway Blvd, Suite 150, Mandeville, LA 70471-1807 |
| Street Address |
1150 ROBERT BLVD SUITE 190 |
| City | SLIDELL |
| State | LA |
| Zip | 70458-2064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Beninato | Physician Assistant | Slidell Memorial Hospital | 1150 Robert Blvd, Slidell, LA 70458-2005 |
| Melissa Welch Smith | Obstetrics/gynecology | 1150 Robert Blvd, Suite 360, Slidell, LA 70458-2008 | |
| Jodi T Powell | Nurse Practitioner | Slidell Memorial Hospital | 1150 Robert Blvd, Slidell, LA 70458-2005 |
| Tyler P Mancil | Podiatry | Slidell Memorial Hospital | 1150 Robert Blvd, Suite 190, Slidell, LA 70458-2064 |
| Miyoshi Henry | Family Medicine | Slidell Memorial Hospital | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2005 |
| Aunjel M Faucheux | Nurse Practitioner | Slidell Memorial Hospital | 1150 Robert Blvd, Suite 190, Slidell, LA 70458-2064 |
| Ingrid K Roskos | Obstetrics/gynecology | 1150 Robert Blvd, Suite 360, Slidell, LA 70458-2008 | |
| Michael David Casey | Family Medicine | Slidell Memorial Hospital | 1150 Robert Blvd, Slidell, LA 70458-2005 |
| Zohreh Mancil | Podiatry | Slidell Memorial Hospital | 1150 Robert Blvd, Suite 190, Slidell, LA 70458-2064 |
| Safeer Ahmad | Internal Medicine | Northlake Cardiology Associates, Inc. | 1150 Robert Blvd, Suite 340, Slidell, LA 70458-2008 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Guzman | Nurse Practitioner | Ochsner Clinic LLC | 2750 Gause Blvd, Slidell, LA 70458 |
| Brandy M Kuhn | Nurse Practitioner | Ks Family Medical Clinic | 550 Brownswitch Rd, Slidell, LA 70458-1104 |
| Marie L Delvalle-mahoney | Hospitalist | 85 Whisperwood Blvd, Suite 2b, Slidell, LA 70458-1136 | |
| Melissa Ann Watson | Nurse Practitioner | 659 Brownswitch Rd, Slidell, LA 70458-1233 | |
| Mindy Elizabeth Mcgee | Nurse Practitioner | One Direction Healthcare LLC | 659 Brownswitch Rd, Slidell, LA 70458-1233 |
| Georgi Kovachev | Nephrology | Northlake Nephrology, Inc | 664 Robert Blvd, Slidell, LA 70458-1648 |
| Ryan S Spano | Physical Therapy | 1290 Front St, Suite 1b, Slidell, LA 70458-2000 | |
| Chequita S Williams | Family Medicine | Slidell Memorial Hospital | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2005 |
| Simon Finger | Orthopedic Surgery | Slidell Memorial Hospital | 1150 Robert Blvd, Slidell, LA 70458-2005 |
| James C Butler | Orthopedic Surgery | Slidell Memorial Hospital | 1150 Robert Blvd, Slidell, LA 70458-2005 |
| Find all physicians in zip 70458 | |||
| City | SLIDELL |
| Zip Code | 70458 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SLIDELL + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Degha N Fongod.
| 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.