John G Jackson (NPI# 1063497683, PAC ID# 7719950096) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063497683 |
| PAC ID by PECOS | 7719950096 |
| Professional Enrollment ID | I20080227000214 |
| Full Name | John G Jackson |
| Organization Legal Name | LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| Address |
200 W 134th Place Cut Off LA 70345-4143 |
| Phone Number | 9856326401 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2264342229 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191325 | LADY OF THE SEA GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 W 134th Place, Cut Off, LA 70345-4143 | 9856326401 | LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| 13030 Hwy 308, Larose, LA 70373-2001 | 9857987000 | LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| Organization Legal Name | LAFOURCHE PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tommie J Landry | Nurse Practitioner | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place 3rd Floor, Cut Off, LA 70345-4143 |
| Camille C Pitre | Family Medicine | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place 3rd Floor, Cut Off, LA 70345-4143 |
| Brett J Duplantis | Physician Assistant | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place 3rd Floor, Cut Off, LA 70345-4143 |
| Amanda Olivier Rogers | Family Medicine | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place 3rd Floor, Cut Off, LA 70345-4143 |
| Judy K. Clark | Diagnostic Radiology | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place, Cut Off, LA 70345-4143 |
| Elizabeth A Gisclair | Nurse Practitioner | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place 3rd Floor, Cut Off, LA 70345-4143 |
| Andree L Leblanc | Nurse Practitioner | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place 3rd Floor, Cut Off, LA 70345-4143 |
| Jay Jared Vega | Family Medicine | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place, Cut Off, LA 70345-4143 |
| Monte M Bonneval | General Surgery | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place 3rd Floor, Cut Off, LA 70345-4143 |
| Deanna S Hodson | Nurse Practitioner | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place 3rd Floor, Cut Off, LA 70345-4143 |
| Street Address |
200 W 134TH PLACE |
| City | CUT OFF |
| State | LA |
| Zip | 70345-4143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy K. Clark | Diagnostic Radiology | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place, Cut Off, LA 70345-4143 |
| Jay Jared Vega | Family Medicine | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place, Cut Off, LA 70345-4143 |
| George J Heard | Diagnostic Radiology | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place, Cut Off, LA 70345-4143 |
| Bud L Sayes | Certified Registered Nurse Anesthetist | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place, Cut Off, LA 70345-4143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eddie M Smith | Family Medicine | 103 Picciola Pkwy, Cut Off, LA 70345-3572 | |
| Meryn Olivier | Nurse Practitioner | Total Urgent Care and Occupational Medicine | 314 Hwy 3162, Cut Off, LA 70345-3582 |
| Brittany Mire | Nurse Practitioner | Total Urgent Care and Occupational Medicine | 314 Hwy 3162, Cut Off, LA 70345-3582 |
| Kaya S Eschete | Nurse Practitioner | Total Urgent Care and Occupational Medicine | 314 Hwy 3162, Cut Off, LA 70345-3582 |
| David P Bourg | Nurse Practitioner | Total Urgent Care and Occupational Medicine | 314 Hwy 3162, Cut Off, LA 70345-3582 |
| Gary J Birdsall Jr. | Family Medicine | Dr. Gary Birdsall Medical Clinic LLC | 102 W 112th St, Cut Off, LA 70345-3628 |
| Janie L Trosclair | Nurse Practitioner | Dr. Gary Birdsall Medical Clinic LLC | 102 W 112th St, Cut Off, LA 70345-3628 |
| Darby C Chiasson | Optometry | 16140 W Main, Advanced Eye Institute, Cut Off, LA 70345-3666 | |
| Ellen M Nguyen | Optometry | 16759 Hwy 3235, Cut Off, LA 70345-4053 | |
| Tommie J Landry | Nurse Practitioner | Lafourche Parish Hospital Service District No 1 | 200 W 134th Place 3rd Floor, Cut Off, LA 70345-4143 |
| Find all physicians in zip 70345 | |||
| City | CUT OFF |
| Zip Code | 70345 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CUT OFF + 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.