James M Mwatibo (NPI# 1710975487, PAC ID# 3274522388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1710975487 |
| PAC ID by PECOS | 3274522388 |
| Professional Enrollment ID | I20040512000182 |
| Full Name | James M Mwatibo |
| Organization Legal Name | LOURDES PHYSICIAN GROUP LLC |
| Address |
850 N Pierce St B Lourdes Physician Group Lafayette LA 70501-2848 |
| Phone Number | 3374703100 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7214177757 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| 190002 | LAFAYETTE GENERAL MEDICAL CENTER |
| 191302 | ST MARTIN HOSPITAL |
| 190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 3374702990 | LOURDES PHYSICIAN GROUP LLC |
| 501 W Saint Mary Blvd, Suite 320, Lafayette, LA 70506-4693 | 3374704801 | LOURDES PHYSICIAN GROUP LLC |
| 850 N Pierce St B, Lourdes Physician Group, Lafayette, LA 70501-2848 | 3374703100 | LOURDES PHYSICIAN GROUP LLC |
| 850 N Pierce St D, Lourdes Physician Group, Lafayette, LA 70501-2848 | 3374703120 | LOURDES PHYSICIAN GROUP LLC |
| Organization Legal Name | LOURDES PHYSICIAN GROUP LLC |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tate J Perque | Physician Assistant | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Sunshine A Little | Family Medicine | Lourdes Physician Group LLC | 3824 Ne Evangeline Trwy, Suite B, Carencro, LA 70520-5966 |
| Janna F Wilson | Pediatric Medicine | Lourdes Physician Group LLC | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 |
| Kelly T Cahill Jr. | Family Medicine | Lourdes Physician Group LLC | 3220 Kaliste Saloom Rd, Suite A, Lafayette, LA 70508-7422 |
| Steven J Snatic | Neurology | Lourdes Physician Group LLC | 4811 Ambassador Caffery Pkwy, Suite 305, Lafayette, LA 70508-7266 |
| Kenneth Spiller | Internal Medicine | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Erin T Lasseigne | Internal Medicine | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Mehandi Haran | Pulmonary Disease | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Bhavya H Gopalagowda | Internal Medicine | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Brendan Eamon Conroy | Physical Medicine and Rehabilitation | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Street Address |
850 N PIERCE ST B LOURDES PHYSICIAN GROUP |
| City | LAFAYETTE |
| State | LA |
| Zip | 70501-2848 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick R Magee | Optometry | 1800 Ne Evangeline Thruway, Suite H 7, Lafayette, LA 70501 | |
| Bryan Lebean | Internal Medicine | 2930 Moss St B, Lafayette, LA 70501-1274 | |
| Danielle J Threatts | Nurse Practitioner | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| David P Kosnosky | Internal Medicine | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Lisa A Vaughn | Osteopathic Manipulative Medicine | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Theresa M Ivey | Clinical Social Worker | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Crystal S. Fontenot | Nurse Practitioner | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Ebony Smith | Nurse Practitioner | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Shanone D Chatman-ashley | Nurse Practitioner | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Rebecca N Havlik | Nurse Practitioner | Acadiana Concern for Aids Relief Education and Support, Inc. | 809 Martin Luther King Jr Dr, Lafayette, LA 70501-1884 |
| Find all physicians in zip 70501 | |||
| City | LAFAYETTE |
| Zip Code | 70501 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAFAYETTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on James M Mwatibo.
| 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.