Dave J De Soto (NPI# 1124317920, PAC ID# 6204012164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1124317920 |
| PAC ID by PECOS | 6204012164 |
| Professional Enrollment ID | I20110511000273 |
| Full Name | Dave J De Soto |
| Organization Legal Name | YOUNGS PROFESSIONAL SERVICES LLC |
| Address |
4801 Ambassador Caffery Pkwy Lafayette LA 70508-6917 |
| Phone Number | 3374702000 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2163524992 |
| Number of Group Practice Members | 239 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 3374702000 | YOUNGS PROFESSIONAL SERVICES LLC |
| 1415 Tulane Ave, New Orleans, LA 70112-2600 | 5049886958 | PARISH ANESTHESIA OF TULANE |
| Organization Legal Name | YOUNGS PROFESSIONAL SERVICES LLC |
| Physicians | 195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Craig Macintyre | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 3811 Sagebriar Dr, Bryan, TX 77802-6107 |
| Daniel M Bitner | Anesthesiology | Youngs Professional Services LLC | 600 N Lewis St, Anesthesia Dept, New Iberia, LA 70563-2043 |
| Anne C Hlavacek | Anesthesiology | Youngs Professional Services LLC | 2312 E Main St A, Yps Anesthesia Services, New Iberia, LA 70560-4064 |
| Joshua A Long | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 2600 N Hwy 118, Alpine, TX 79830-2002 |
| Lindsey M Smith-dunford | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 600 N Union Ave, New Braunfels, TX 78130-4194 |
| Kara E Bono | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 67252 Industry Ln, Covington, LA 70433-8704 |
| August J Klohn | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 42570 S Airport Rd, Anesthesia Dept Yps Anesthesia Services, Hammond, LA 70403-0946 |
| Meaghan T Pezant | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 989 Robert Blvd, Slidell, LA 70458-2009 |
| Mark Edwin Koepp | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1097 Northwest Blvd, Franklin, LA 70538-3407 |
| Chris L Jacobson | Certified Registered Nurse Anesthetist (crna) | Youngs Professional Services LLC | 1767 Troup Hwy, Tyler, TX 75701-5869 |
| 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 |
| Kenneth Spiller | Internal Medicine | Lourdes Physician Group 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 |
| 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 | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LAFAYETTE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.