Patrick C Grayson (NPI# 1720029275, PAC ID# 3678518842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1720029275 |
| PAC ID by PECOS | 3678518842 |
| Professional Enrollment ID | I20070928000105 |
| Full Name | Patrick C Grayson |
| Organization Legal Name | EAST CARROLL PARISH HOSPITAL |
| Address |
336 N Hood St Lake Providence LA 71254-2140 |
| Phone Number | 3185594023 |
| Gender | M |
| Credential | MD |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1153216619 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190208 | EAST CARROLL PARISH HOSPITAL |
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 336 N Hood St, Lake Providence, LA 71254-2140 | 3185594023 | EAST CARROLL PARISH HOSPITAL |
| Organization Legal Name | EAST CARROLL PARISH HOSPITAL |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Llewellyn Logarta Simon | Internal Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| William G Hathaway Iii | Emergency Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Mark A St Cyr | Internal Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Kay Kovac | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Menoni I Ize-iyamu | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Justin W. Seymour | General Practice | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Donovan Wilbur W. Bailey | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Robert W Calhoun | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Kasimu S Moody | Emergency Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Street Address |
336 N HOOD ST |
| City | LAKE PROVIDENCE |
| State | LA |
| Zip | 71254-2140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Llewellyn Logarta Simon | Internal Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| William G Hathaway Iii | Emergency Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Mark A St Cyr | Internal Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Kay Kovac | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Menoni I Ize-iyamu | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Justin W. Seymour | General Practice | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Donovan Wilbur W. Bailey | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Robert W Calhoun | Family Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Kasimu S Moody | Emergency Medicine | East Carroll Parish Hospital | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Ro Risa Reina | Diagnostic Radiology | Brown-folse Radiology Group, LLC | 336 N Hood St, Lake Providence, LA 71254-2140 |
| Find all physicians in the same address | |||
| City | LAKE PROVIDENCE |
| Zip Code | 71254 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAKE PROVIDENCE + EMERGENCY MEDICINE |
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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.