Jimmy Legros Iii (NPI# 1063419745, PAC ID# 4880798404) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1063419745 |
PAC ID by PECOS | 4880798404 |
Professional Enrollment ID | I20070409000238 |
Full Name | Jimmy Legros Iii |
Address |
731 S Main St Suite A Church Point LA 70525-4109 |
Gender | M |
Credential | NP |
Graduation Year | 1998 |
Primary Specialty | NURSE PRACTITIONER |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
191319 | ACADIA ST LANDRY |
190017 | OPELOUSAS GENERAL HEALTH SYSTEM |
190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
190044 | ACADIA GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
731 S Main St, Suite A, Church Point, LA 70525-4109 | ||
990 Napoleon Ave, Sunset, LA 70584-6100 | 3376627290 | SUNSET MEDICAL CLINIC LLC |
Street Address |
731 S MAIN ST SUITE A |
City | CHURCH POINT |
State | LA |
Zip | 70525-4109 |
Name | Specialty | Organization | Address |
---|---|---|---|
Claudette Smith-boudreaux | Optometry | Bec Vision, LLC | 315 N Broadway St, Church Point, LA 70525-2914 |
Eric Boudreaux | Optometry | Bec Vision, LLC | 315 N Broadway St, Church Point, LA 70525-2914 |
Sandy F Reiners | Nurse Practitioner | 202 W Murrell St, Church Point, LA 70525-2950 | |
Braden K Guidry | Physical Therapy | 221 S Main St, Church Point, LA 70525-3115 | |
John L Guillory Jr. | Chiropractic | 337 W Canal St, Church Point, LA 70525-3515 | |
Megan L Fisher | Optometry | Lyndon Graves Enterprise LLC | 830 S Broadway St, Acadia St Landry Guest House, Church Point, LA 70525-4402 |
Michael A Felton | Family Medicine | 814 S Broadway St, Church Point, LA 70525-4402 | |
Ty G. Hargroder Sr. | Hospice/palliative Care | Acadia-st. Landry Hospital Service District | 810 S Broadway, Church Point, LA 70525-4402 |
Lisa A Jaubert | Nurse Practitioner | Hargroder Medical, Inc. | 820 S Broadway St, Church Point, LA 70525-4402 |
Michael Williams | Emergency Medicine | 810 S Broadway St, Church Point, LA 70525-4402 | |
Find all physicians in zip 70525 |
City | CHURCH POINT |
Zip Code | 70525 |
Specialty | NURSE PRACTITIONER |
City + Specialty | CHURCH POINT + NURSE PRACTITIONER |
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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.