James Michael Robinson (NPI# 1073991535, PAC ID# 7214241744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073991535 |
| PAC ID by PECOS | 7214241744 |
| Professional Enrollment ID | I20190118001517 |
| Full Name | James Michael Robinson |
| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Address |
12525 Perkins Rd A Baton Rouge LA 70810-1907 |
| Phone Number | 2257654256 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 4587849781 |
| Number of Group Practice Members | 474 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12525 Perkins Rd A, Baton Rouge, LA 70810-1907 | 2257654256 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| 3824 Ne Evangeline Thruway, Carencro, LA 70520-5966 | 3375652675 | LOURDES AFTER HOURS LLC |
| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Physicians | 443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kori Fogg Juban | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 34870 La Hwy 1019, Denham Springs, LA 70706-0659 |
| Michelle Duhe | Family Medicine | Our Lady of The Lake Physician Group LLC | 26739 La Hwy 1032, Denham Springs, LA 70726-4926 |
| Swapna G Kallu | Internal Medicine | Our Lady of The Lake Physician Group LLC | 214 Clinic Dr, Donaldsonville, LA 70346-4309 |
| Montrell Martin-duhe | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 4463 La Hwy 1 S A, Port Allen, LA 70767-5990 |
| Joshua R Clark | Family Medicine | Our Lady of The Lake Physician Group LLC | 59315 River W Dr, Suite C, Plaquemine, LA 70764-6553 |
| Hollie B Ortis | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 13489 Hwy 431, Suite A, Saint Amant, LA 70774-3213 |
| Shantan Ravula | Family Medicine | Our Lady of The Lake Physician Group LLC | 14225 Hwy 73, Prairieville, LA 70769-3616 |
| Daniel Kevin Lavie | Hematology/oncology | Our Lady of The Lake Physician Group LLC | 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738 |
| Sheri A Ammons | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 5428 Odonovan Dr B, Baton Rouge, LA 70808-4374 |
| Sharon Jackson | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 5247 Didesse Dr, Baton Rouge, LA 70808-9153 |
| Street Address |
12525 PERKINS RD A |
| City | BATON ROUGE |
| State | LA |
| Zip | 70810-1907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald Veron Brignac | Family Medicine | Our Lady of The Lake Physician Group LLC | 12525 Perkins Rd A, Baton Rouge, LA 70810-1907 |
| Donald Chetard Carson | Osteopathic Manipulative Medicine | Our Lady of The Lake Physician Group LLC | 12525 Perkins Rd A, Baton Rouge, LA 70810-1907 |
| Jennifer M Harris | Pediatric Medicine | Our Lady of The Lake Physician Group LLC | 12525 Perkins Rd A, Baton Rouge, LA 70810-1907 |
| Sandra H. Glenn | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 12525 Perkins Rd A, Baton Rouge, LA 70810-1907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John F Prestigiacomo | Family Medicine | 10630 N Oak Hills Pkwy, Suite B, Baton Rouge, LA 70810-0101 | |
| Harrie E Wolverton | Chiropractic | 12590 Perkins Rd, Suite B, Baton Rouge, LA 70810-0801 | |
| Abdul M Khan | Psychiatry | 9270 Siegen Ln, Bldg 402, Baton Rouge, LA 70810-0933 | |
| Heather Mcdonald Harris | Nurse Practitioner | The Digestive Group, P.C. | 8235 Ymca Plaza Dr, Suite 100, Baton Rouge, LA 70810-0939 |
| Reshma Modha Amin | Optometry | 7673 Perkins Rd, Suite B3, Baton Rouge, LA 70810-1086 | |
| Allen Roy Pearce | Ophthalmology | Lsuhn Billing LLC | 9032 Perkins Rd, Baton Rouge, LA 70810-1507 |
| Charles Cole Berggreen | Gastroenterology | Lsuhn Billing LLC | 9032 Perkins Rd, Baton Rouge, LA 70810-1507 |
| Jamie L Hatcher | Ophthalmology | Lsuhn Billing LLC | 9032 Perkins Rd, Baton Rouge, LA 70810-1507 |
| Charles G Hornsby Jr. | Dentist | Lsuhn Billing LLC | 9032 Perkins Rd, Baton Rouge, LA 70810-1507 |
| Jeremy Jakob Wood | Ophthalmology | Lsuhn Billing LLC | 9032 Perkins Rd, Baton Rouge, LA 70810-1507 |
| Find all physicians in zip 70810 | |||
| City | BATON ROUGE |
| Zip Code | 70810 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BATON ROUGE + FAMILY MEDICINE |
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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.