Clay J Hubble Iii (NPI# 1295963692, PAC ID# 4981741543) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295963692 |
| PAC ID by PECOS | 4981741543 |
| Professional Enrollment ID | I20091030000263 |
| Full Name | Clay J Hubble Iii |
| Organization Legal Name | E.M. DIMITRI D.O., PMC |
| Address |
5646 Read Blvd Suite 230 New Orleans LA 70127-3106 |
| Phone Number | 5042246588 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284722059 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5646 Read Blvd, Suite 230, New Orleans, LA 70127-3106 | 5042246588 | E.M. DIMITRI D.O., PMC |
| Organization Legal Name | E.M. DIMITRI D.O., PMC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charisse Lashaune Johnson | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 145 Briant St, Gretna, LA 70056-7136 |
| Megan Louque Stamps | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 1201 S Purpera Ave, 601 Dimitri Dermatology, Gonzales, LA 70737-4279 |
| Delana Lynn Mooney | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 431 -433 Security Square Blvd, Ms Skin Clinicandpsoriascentergulfpo, Gulfport, MS 39507-1922 |
| Thuy Thi Tran | Physician Assistant | E.m. Dimitri D.o., Pmc | 613 Williams Blvd, Dimit, Kenner, LA 70062-7635 |
| Joel Edmund Perdomo | General Practice | E.m. Dimitri D.o., Pmc | 2104 Gause Blvd W, Suite A, Slidell, LA 70460-4130 |
| Jennifer L Malley | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 624 Hwy 90, Bay Saint Louis, MS 39520-2715 |
| Elizabeth M Dimitri | Dermatology | E.m. Dimitri D.o., Pmc | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3066 |
| Sara J Gaspard | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 2104 Gause Blvd W, Suite A, Slidell, LA 70460-4130 |
| Sally A Benyahia | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3066 |
| Mehdi Mosadegh | Dermatology | E.m. Dimitri D.o., Pmc | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3066 |
| Street Address |
5646 READ BLVD SUITE 230 |
| City | NEW ORLEANS |
| State | LA |
| Zip | 70127-3106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| An Hoai Nguyen | Ophthalmology | 5646 Read Blvd, Suite 180, New Orleans, LA 70127-3106 | |
| Jorge L Cruz | Family Medicine | E.m. Dimitri D.o., Pmc | 5646 Read Blvd, Suite 230, New Orleans, LA 70127-3106 |
| Michelda M West | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 5646 Read Blvd, Suite 230, New Orleans, LA 70127-3106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keneitra R Brown-mayfield | Physician Assistant | 8070 Crowder Blvd, Suite B, New Orleans, LA 70127-1063 | |
| Cheryl H Williams | Allergy/immunology | 8030 Crowder Blvd, Suite A, New Orleans, LA 70127-1063 | |
| Muhammad Khalid | Cardiovascular Disease (cardiology) | 8030 Crowder Blvd B, New Orleans, LA 70127-1076 | |
| Darlene Sentmore-labostrie | Nurse Practitioner | 9954 Lake Forest Blvd, Suite 10, New Orleans, LA 70127-2647 | |
| Terry Joe Lain | Psychiatry | 9235 Lake Forest Blvd, Suite A, New Orleans, LA 70127-3029 | |
| Alain F Cracco | Orthopedic Surgery | 5621 Read Blvd, New Orleans, LA 70127-3105 | |
| Jeryl Reiser Parmenter | Family Practice | Marillac Community Health Centers | 5630 Read Blvd, New Orleans, LA 70127-3106 |
| Jennifer Mcgee | General Surgery | Lcmc Health Clinical Services LLC | 5620 Read Blvd, Suite 600, New Orleans, LA 70127-3106 |
| Adiaha N Mboup Brown | Nurse Practitioner | Foucher Emergency Group LLC | 5620 Read Blvd, New Orleans, LA 70127-3106 |
| Dominique M Anwar | Internal Medicine | Lcmc Health Clinical Services LLC | 5620 Read Blvd, Suite 600, New Orleans, LA 70127-3106 |
| Find all physicians in zip 70127 | |||
| City | NEW ORLEANS |
| Zip Code | 70127 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NEW ORLEANS + 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.