Candace L. Douglas (NPI# 1497195747, PAC ID# 7416271119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1497195747 |
| PAC ID by PECOS | 7416271119 |
| Professional Enrollment ID | I20171017003007 |
| Full Name | Candace L. Douglas |
| Organization Legal Name | SWLA CENTER FOR HEALTH SERVICES |
| Address |
2000 Opelousas St Lake Charles LA 70601-2641 |
| Phone Number | 3374399983 |
| Gender | F |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9133029853 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190060 | LAKE CHARLES MEMORIAL HOSPITAL |
| 190201 | CHRISTUS LAKE AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2000 Opelousas St, Lake Charles, LA 70601-2641 | 3374399983 | SWLA CENTER FOR HEALTH SERVICES |
| Organization Legal Name | SWLA CENTER FOR HEALTH SERVICES |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Consuela M Colston | Clinical Social Worker | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Colleen Hall Unkel | Nurse Practitioner | Swla Center for Health Services | 112 N 6th St, Oberlin, LA 70655-6109 |
| Danielle J Threatts | Nurse Practitioner | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| David P Kosnosky | Internal Medicine | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Christal Safford Waller | Nurse Practitioner | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Nicole M John | Nurse Practitioner | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Lisa A Vaughn | Osteopathic Manipulative Medicine | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Theresa M Ivey | Clinical Social Worker | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Crystal S. Fontenot | Nurse Practitioner | Swla Center for Health Services | 500 Patterson St, Lafayette, LA 70501-1849 |
| Kimngan Tran | Obstetrics/gynecology | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Street Address |
2000 OPELOUSAS ST |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70601-2641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Consuela M Colston | Clinical Social Worker | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Christal Safford Waller | Nurse Practitioner | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Nicole M John | Nurse Practitioner | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Kimngan Tran | Obstetrics/gynecology | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Latasha M Grice | Nurse Practitioner | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Lillian L Browning | Nurse Practitioner | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Christopher M Arceneaux | Nurse Practitioner | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Louella M Jackson | Nurse Practitioner | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Dennis W Fletcher | Family Medicine | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| Danielle Lavonne Mclurkin | Family Medicine | Swla Center for Health Services | 2000 Opelousas St, Lake Charles, LA 70601-2641 |
| 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 | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LAKE CHARLES + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Candace L. Douglas.
| 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.