Thompson Mack Dietz Iv (NPI# 1083619241, PAC ID# 3779553144) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1083619241 |
| PAC ID by PECOS | 3779553144 |
| Professional Enrollment ID | I20040731000150 |
| Full Name | Thompson Mack Dietz Iv |
| Organization Legal Name | GUARDIAN CARE LLC |
| Address |
8000 W Judge Perez Hospital Radiology Dept. Chalmette LA 70043-1668 |
| Phone Number | 5048269500 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1976 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9335304872 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190308 | ST BERNARD PARISH HOSPITAL |
| 190036 | OCHSNER MEDICAL CENTER NEW ORLEANS |
| Address | Phone | Organization |
|---|---|---|
| 8000 W Judge Perez Hospital, Radiology Dept., Chalmette, LA 70043-1668 | 5048269500 | GUARDIAN CARE LLC |
| Organization Legal Name | GUARDIAN CARE LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Hamide | Interventional Radiology | Guardian Care LLC | 8000 W Judge Perez Hospital, Radiology Dept., Chalmette, LA 70043-1668 |
| Mark R Jenkins Ii | Diagnostic Radiology | Guardian Care LLC | 8000 W Judge Perez Hospital, Radiology Dept., Chalmette, LA 70043-1668 |
| Ava W Nelson | Diagnostic Radiology | Guardian Care LLC | 8000 W Judge Perez Hospital, Radiology Dept., Chalmette, LA 70043-1668 |
| Carol P Becker | Diagnostic Radiology | Guardian Care LLC | 8000 W Judge Perez Hospital, Radiology Dept., Chalmette, LA 70043-1668 |
| Street Address |
8000 W JUDGE PEREZ HOSPITAL RADIOLOGY DEPT. |
| City | CHALMETTE |
| State | LA |
| Zip | 70043-1668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Hamide | Interventional Radiology | Guardian Care LLC | 8000 W Judge Perez Hospital, Radiology Dept., Chalmette, LA 70043-1668 |
| Mark R Jenkins Ii | Diagnostic Radiology | Guardian Care LLC | 8000 W Judge Perez Hospital, Radiology Dept., Chalmette, LA 70043-1668 |
| Ava W Nelson | Diagnostic Radiology | Guardian Care LLC | 8000 W Judge Perez Hospital, Radiology Dept., Chalmette, LA 70043-1668 |
| Carol P Becker | Diagnostic Radiology | Guardian Care LLC | 8000 W Judge Perez Hospital, Radiology Dept., Chalmette, LA 70043-1668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fadi Hawawini | Hospitalist | St. Bernard Physician Services, LLC | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 |
| Maureen T Brennan | Certified Registered Nurse Anesthetist | Parish Anesthesia of St. Bernard, LLC | 8000 W Judger Perez Dr, Chalmette, LA 70043-1668 |
| Gregory A. Fernandez | Emergency Medicine | St. Bernard Emergency Group, LLC | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 |
| Donald D. Doussan Jr. | Anesthesiology | Parish Anesthesia of St. Bernard, LLC | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 |
| Thomas Freemason Krajewski | Emergency Medicine | St. Bernard Emergency Group, LLC | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 |
| Andrew Michael Brown | Emergency Medicine | St. Bernard Emergency Group, LLC | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 |
| Lloyd F Ledet | Certified Registered Nurse Anesthetist (crna) | Parish Anesthesia of St. Bernard, LLC | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 |
| Kassie M Gill | Nurse Practitioner | St. Bernard Emergency Group, LLC | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 |
| Irene Vutagwa Morgan | Certified Registered Nurse Anesthetist (crna) | Parish Anesthesia of St. Bernard, LLC | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 |
| Leonard J Giuffreda | Family Medicine | St. Bernard Emergency Group, LLC | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 |
| Find all physicians in zip 70043 | |||
| City | CHALMETTE |
| Zip Code | 70043 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CHALMETTE + DIAGNOSTIC RADIOLOGY |
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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.