Cal A Domingue (NPI# 1437134707, PAC ID# 7012981798) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1437134707 |
| PAC ID by PECOS | 7012981798 |
| Professional Enrollment ID | I20090122000250 |
| Full Name | Cal A Domingue |
| Organization Legal Name | LOUISIANA CARDIOVASCULAR AND LIMB SALVAGE CENTER, APMC |
| Address |
166 Oak Tree Park Dr Suite Ab Sunset LA 70584-6135 |
| Phone Number | 3374566523 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8123181906 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| 190002 | LAFAYETTE GENERAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 166 Oak Tree Park Dr, Suite Ab, Sunset, LA 70584-6135 | 3374566523 | LOUISIANA CARDIOVASCULAR AND LIMB SALVAGE CENTER, APMC |
| Organization Legal Name | LOUISIANA CARDIOVASCULAR AND LIMB SALVAGE CENTER, APMC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Byron Fournet | Nurse Practitioner | Louisiana Cardiovascular and Limb Salvage Center, Apmc | 151 Hill St, Suite 1, Eunice, LA 70535-5845 |
| Stepheny Sumrall | Nurse Practitioner | Louisiana Cardiovascular and Limb Salvage Center, Apmc | 151 Hill St, Suite 1, Eunice, LA 70535-5845 |
| David A Allie | Cardiac Surgery | Louisiana Cardiovascular and Limb Salvage Center, Apmc | 151 Hill St, Suite 1, Eunice, LA 70535-5845 |
| Raghotham R Patlola | Cardiovascular Disease (cardiology) | Louisiana Cardiovascular and Limb Salvage Center, Apmc | 151 Hill St, Suite 1, Eunice, LA 70535-5845 |
| Street Address |
166 OAK TREE PARK DR SUITE AB |
| City | SUNSET |
| State | LA |
| Zip | 70584-6135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dina Broussard | Clinical Social Worker | 119 Edward Dr, Sunset, LA 70584-5429 | |
| Georgette Guillory | Nurse Practitioner | Fleur-de-lis Community Health, Inc | 376 Main St, Cankton, LA 70584-5920 |
| Angela Neely | Nurse Practitioner | Fleur-de-lis Community Health, Inc | 376 Main St, Cankton, LA 70584-5920 |
| Michelle Claire Sonnier | Nurse Practitioner | Fleur-de-lis Community Health, Inc | 376 Main St, Cankton, LA 70584-5920 |
| Randy Daigle | Family Medicine | Sunset Medical Clinic LLC | 990 Napoleon Ave, Sunset, LA 70584-6100 |
| Marcelo G Polanco | Family Medicine | Sunset Medical Clinic LLC | 990 Napoleon Ave, Sunset, LA 70584-6100 |
| Anecia Y Marshall | Nurse Practitioner | Sunset Medical Clinic LLC | 990 Napoleon Ave, Sunset, LA 70584-6100 |
| John S Sibille | Family Practice | Sunset Medical Clinic LLC | 990 Napoleon Ave, Sunset, LA 70584-6100 |
| Cynthia D Labiche | Nurse Practitioner | 117 Marie St, Sunset, LA 70584-6148 |
| City | SUNSET |
| Zip Code | 70584 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SUNSET + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Cal A Domingue.
| 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.