Kenneth Spiller (NPI# 1043220239, PAC ID# 4880614320) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1043220239 |
| PAC ID by PECOS | 4880614320 |
| Professional Enrollment ID | I20081211000346 |
| Full Name | Kenneth Spiller |
| Organization Legal Name | LOURDES PHYSICIAN GROUP LLC |
| Address |
4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 |
| Phone Number | 3374702990 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7214177757 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| 190002 | LAFAYETTE GENERAL MEDICAL CENTER |
| 190263 | HEART HOSPITAL OF LAFAYETTE |
| 190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 3374702990 | 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 |
| James M Mwatibo | Family Medicine | Lourdes Physician Group LLC | 850 N Pierce St B, Lourdes Physician Group, Lafayette, LA 70501-2848 |
| 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 |
4801 AMBASSADOR CAFFERY PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip | 70508-6917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tate J Perque | Physician Assistant | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Paula Simon | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Julie Lyn Williams | Anesthesiology | Youngs Professional Services LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Arvind V Peddada | Physical Medicine and Rehabilitation | 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 |
| Dave J De Soto | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services 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 |
| Rachel J Kumar | Family Medicine | Lourdes Physician Group LLC | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 |
| Find all physicians in the same address | |||
| 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 | INTERNAL MEDICINE |
| City + Specialty | LAFAYETTE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kenneth Spiller.
| 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.