Russell T Phelps (NPI# 1356337422, PAC ID# 5193883635) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1356337422 |
| PAC ID by PECOS | 5193883635 |
| Professional Enrollment ID | I20161203000094 |
| Full Name | Russell T Phelps |
| Organization Legal Name | LAFAYETTE OB HOSPITALISTS, LLC |
| Address |
4600 Ambassador Caffery Pkwy Lafayette LA 70508-6902 |
| Phone Number | 3373713135 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
| Graduation Year | 1995 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 2466553268 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190205 | WOMEN'S AND CHILDREN'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 3373713135 | LAFAYETTE OB HOSPITALISTS, LLC |
| Organization Legal Name | LAFAYETTE OB HOSPITALISTS, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Levell Accardo | Obstetrics/gynecology | Lafayette Ob Hospitalists, LLC | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 |
| Donald E Mickal | Obstetrics/gynecology | Lafayette Ob Hospitalists, LLC | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 |
| Street Address |
4600 AMBASSADOR CAFFERY PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip | 70508-6902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clino M Melker | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 |
| Kyle J Degeyter | Diagnostic Radiology | Acadiana Radiology Group | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 |
| Blaine E Lavergne | Emergency Medicine | Acadiana Acute Care Associates, LLC | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 |
| Floyd T Carey Jr. | Obstetrics/gynecology | Lourdes Physician Group LLC | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 |
| Kierstin M Lund | Anesthesiology | Sheridan Healthcare of Louisiana Inc | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 |
| Sheela Venugopal | Anesthesiology | Youngs Professional Services LLC | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 |
| Nicole M. Moore | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Louisiana Inc | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 |
| Cheryl D Randal Knatt | Diagnostic Radiology | Acadiana Radiology Group | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 |
| Allen Acomb | Diagnostic Radiology | Acadiana Radiology Group | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 |
| Robert B Williams | Pathology | The Delta Pathology Group LLC | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 |
| 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 | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LAFAYETTE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Russell T Phelps.
| 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.