Marc D Cavallino (NPI# 1972696169, PAC ID# 4981640521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1972696169 |
| PAC ID by PECOS | 4981640521 |
| Professional Enrollment ID | I20050705000659 |
| Full Name | Marc D Cavallino |
| Organization Legal Name | ISR PHYSICAL THERAPY OF HOUMA |
| Address |
1516 River Oaks Rd W Harahan LA 70123-2163 |
| Phone Number | 5047332111 |
| Gender | M |
| Credential | PT |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4789621079 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1516 River Oaks Rd W, Harahan, LA 70123-2163 | 5047332111 | ISR PHYSICAL THERAPY OF HOUMA |
| 478 Corporate Dr, Houma, LA 70360-2461 | 9858725911 | ISR PHYSICAL THERAPY OF HOUMA |
| Organization Legal Name | ISR PHYSICAL THERAPY OF HOUMA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime L Goldstein | Physical Therapy | Isr Physical Therapy of Houma | 478 Corporate Dr, Houma, LA 70360-2461 |
| Joseph H Gray | Physical Therapy | Isr Physical Therapy of Houma | 478 Corporate Dr, Houma, LA 70360-2461 |
| Trevor D Bardarson | Physical Therapy | Isr Physical Therapy of Houma | 478 Corporate Dr, Houma, LA 70360-2461 |
| Kristy T Bourgeois | Physical Therapy | Isr Physical Therapy of Houma | 478 Corporate Dr, Houma, LA 70360-2461 |
| Sydne' R Neal | Physical Therapy | Isr Physical Therapy of Houma | 478 Corporate Dr, Houma, LA 70360-2461 |
| Street Address |
1516 RIVER OAKS RD W |
| City | HARAHAN |
| State | LA |
| Zip | 70123-2163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James E Kerl | Family Medicine | 1847 Dock St, Suite 100, Harahan, LA 70123-1696 | |
| Ray B Worthy | Psychiatry | 1525 River Oaks W Rd, New Orleans, LA 70123-2162 | |
| Jennifer Anne Shaffer | Clinical Social Worker | 1529 River Oaks W Rd, Suite 104, New Orleans, LA 70123-2162 | |
| Marsha L Philips | Psychologist, Clinical | 1529 River Oaks Rd W, Harahan, LA 70123-2162 | |
| Louis E Dedon | Psychiatry | River Oaks Inc | 1525 River Oaks Rd W, New Orleans, LA 70123-2162 |
| Garrick L Klaybor | Psychiatry | River Oaks Inc | 1525 River Oaks Rd W, New Orleans, LA 70123-2162 |
| George C Daul Jr. | Psychiatry | 1529 River Oaks Rd W, Suite 123, New Orleans, LA 70123-2162 | |
| Adewale O Oyemade | Psychiatry | River Oaks Inc | 1525 River Oaks Rd W, New Orleans, LA 70123-2162 |
| Hoa T Le | Osteopathic Manipulative Medicine | 1529 River Oaks Rd W, New Orleans, LA 70123-2162 | |
| Lincoln D Paine | Psychiatry | 1525 River Oaks Rd W, New Orleans, LA 70123-2162 | |
| Find all physicians in zip 70123 | |||
| City | HARAHAN |
| Zip Code | 70123 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | HARAHAN + PHYSICAL THERAPY |
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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.