Gerald W Mouton (NPI# 1770634628, PAC ID# 7113090846) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1770634628 |
| PAC ID by PECOS | 7113090846 |
| Professional Enrollment ID | I20080714000478 |
| Full Name | Gerald W Mouton |
| Organization Legal Name | LAKE CHARLES MEDICAL SERVICES FAMILY PRACTICE ASSOCIATES, LLC |
| Address |
2750 Aster St Lake Charles LA 70601-8824 |
| Phone Number | 3374808900 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1052481504 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190060 | LAKE CHARLES MEMORIAL HOSPITAL |
| 190013 | WEST CALCASIEU CAMERON HOSPITAL |
| 190201 | CHRISTUS LAKE AREA HOSPITAL |
| 190050 | BEAUREGARD MEMORIAL HOSPITAL |
| 190307 | SOUTH CAMERON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 3374943000 | LAKE CHARLES MEDICAL SERVICES FAMILY PRACTICE ASSOCIATES, LLC |
| 2750 Aster St, Lake Charles, LA 70601-8824 | 3374808900 | LAKE CHARLES MEDICAL SERVICES FAMILY PRACTICE ASSOCIATES, LLC |
| Organization Legal Name | LAKE CHARLES MEDICAL SERVICES FAMILY PRACTICE ASSOCIATES, LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael K Seep | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Micah Paul Leleux | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 |
| Ameer Asif Khan | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 1890 W Gauthier Rd, Suite 155, Lake Charles, LA 70605-7119 |
| Noor Deeb Weckerly | Nurse Practitioner | Lake Charles Medical Services Family Practice Associates, LLC | 1890 W Gauthier Rd, Suite 155, Lake Charles, LA 70605-7119 |
| Carolyn A Hutchinson | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Stewart Charles Greathouse | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 |
| Gurjot Kaur Basra | Rheumatology | Lake Charles Medical Services Family Practice Associates, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Percival Kane | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Lauren B Courville | Nurse Practitioner | Lake Charles Medical Services Family Practice Associates, LLC | 1890 W Gauthier Rd, Suite 155, Lake Charles, LA 70605-7119 |
| Mary B Neeley | Nurse Practitioner | Lake Charles Medical Services Family Practice Associates, LLC | 217 Sam Houston Jones Pkwy, Suite 104, Lake Charles, LA 70611-5644 |
| Street Address |
2750 ASTER ST |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70601-8824 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas L Marcantel | Certified Registered Nurse Anesthetist (crna) | Lcms Cardiovascular Diseases, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Michael K Seep | Family Medicine | Lake Charles Medical Services Family Practice Associates, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Dexter P Guidry Ii | Certified Registered Nurse Anesthetist (crna) | Lcms Cardiovascular Diseases, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Jeffrey P. Allain | Certified Registered Nurse Anesthetist (crna) | Lcms Cardiovascular Diseases, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Michael S Adams | Certified Registered Nurse Anesthetist (crna) | Lcms Cardiovascular Diseases, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| James E Wheat | Certified Registered Nurse Anesthetist (crna) | Lcms Cardiovascular Diseases, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Jordan Daughenbaugh | Certified Registered Nurse Anesthetist (crna) | Lcms Cardiovascular Diseases, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Randall D Biggs | Certified Registered Nurse Anesthetist (crna) | Lcms Cardiovascular Diseases, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Robert L. Foreman | Certified Registered Nurse Anesthetist (crna) | Lcms Cardiovascular Diseases, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Shawn M Duhon | Certified Registered Nurse Anesthetist (crna) | Lcms Cardiovascular Diseases, LLC | 2750 Aster St, Lake Charles, LA 70601-8824 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nauman Qureshi | Internal Medicine | 333 Michael Debakey Dr, Suite 250, Lake Charles, LA 70601 | |
| Peter W Karam | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Amanda V Burnett | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Jennifer Taylor Graham | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Susan B Bourgeois Ieyoub | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Haley Angelle Landry | Nurse Practitioner | Lcms Pulmonary Associates of Southwest Louisiana | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Karie Joy Savoy | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Ronald M Lewis Jr. | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Brian D Clements | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Cristian Romero | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Find all physicians in zip 70601 | |||
| City | LAKE CHARLES |
| Zip Code | 70601 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAKE CHARLES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gerald W Mouton.
| 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.