Tashawn L Mustiful (NPI# 1265472054, PAC ID# 7214980671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1265472054 |
| PAC ID by PECOS | 7214980671 |
| Professional Enrollment ID | I20050225000002 |
| Full Name | Tashawn L Mustiful |
| Organization Legal Name | LALLIE KEMP MEDICAL CTR |
| Address |
52579 Hwy 51 S Independence LA 70443-2231 |
| Phone Number | 9858781349 |
| Gender | F |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0345238903 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191321 | LALLIE KEMP MEDICAL CENTER |
| 190015 | NORTH OAKS MEDICAL CENTER, L L C |
| Address | Phone | Organization |
|---|---|---|
| 52579 Hwy 51 S, Independence, LA 70443-2231 | 9858781349 | LALLIE KEMP MEDICAL CTR |
| Organization Legal Name | LALLIE KEMP MEDICAL CTR |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayagopal Appurao | General Surgery | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Donna H Foster | Physician Assistant | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Kristina L Mann | Physician Assistant | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Mohammed A Sheikh | Geriatric Medicine | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Veronica L Ricks | Nurse Practitioner | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Lisa W Magliolo | Nurse Practitioner | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Will G. Stevens | Certified Registered Nurse Anesthetist (crna) | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Joseph D Reid | Diagnostic Radiology | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Bobby C Siler | Certified Registered Nurse Anesthetist (crna) | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| James C Hess | Obstetrics/gynecology | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Street Address |
52579 HWY 51 S |
| City | INDEPENDENCE |
| State | LA |
| Zip | 70443-2231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jayagopal Appurao | General Surgery | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Lisa Z Wilson | Nurse Practitioner | Van Meter Emergency Physicians Inc. Apmc | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Donna H Foster | Physician Assistant | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Kristina L Mann | Physician Assistant | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Mohammed A Sheikh | Geriatric Medicine | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Veronica L Ricks | Nurse Practitioner | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Lisa W Magliolo | Nurse Practitioner | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Will G. Stevens | Certified Registered Nurse Anesthetist (crna) | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Lesley F Smith | Nurse Practitioner | Van Meter Emergency Physicians Inc. Apmc | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Joseph D Reid | Diagnostic Radiology | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Iacono | Emergency Medicine | Van Meter Emergency Physicians Inc. Apmc | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Bobby C Siler | Certified Registered Nurse Anesthetist (crna) | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Jill Nicole Kitaura | Emergency Medicine | Van Meter Emergency Physicians Inc. Apmc | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| James C Hess | Obstetrics/gynecology | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Jennifer May Cantrell | Nurse Practitioner | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Julia L Terle | Emergency Medicine | Van Meter Emergency Physicians Inc. Apmc | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Lashun M Robinson | Nurse Practitioner | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Bivin S Von Almen | Obstetrics/gynecology | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Walter L Campbell Jr. | Internal Medicine | Lallie Kemp Medical Ctr | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Meghan E Maslanka | Emergency Medicine | Van Meter Emergency Physicians Inc. Apmc | 52579 Hwy 51 S, Independence, LA 70443-2231 |
| Find all physicians in zip 70443 | |||
| City | INDEPENDENCE |
| Zip Code | 70443 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | INDEPENDENCE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Tashawn L Mustiful.
| 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.