Steven T Gremillion (NPI# 1902807233, PAC ID# 7810809944) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1902807233 |
| PAC ID by PECOS | 7810809944 |
| Professional Enrollment ID | I20031105000552 |
| Full Name | Steven T Gremillion |
| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Address |
610 N Jefferson Ave Louisiana Cardiology Associates Port Allen LA 70767-2414 |
| Phone Number | 2257673900 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1986 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | CARDIAC ELECTROPHYSIOLOGY, INTERNAL 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 |
| 190312 | OUR LADY OF THE ANGELS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808-4370 | 2257673900 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| 433 Plaza St, Bogalusa, LA 70427-3729 | 9857306706 | OUR LADY OF THE ANGELS HOSPITAL INC |
| 610 N Jefferson Ave, Louisiana Cardiology Associates, Port Allen, LA 70767-2414 | 2257673900 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Physicians | 443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Michael Robinson | Family Medicine | Our Lady of The Lake Physician Group LLC | 12525 Perkins Rd A, Baton Rouge, LA 70810-1907 |
| 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 |
| Street Address |
610 N JEFFERSON AVE LOUISIANA CARDIOLOGY ASSOCIATES |
| City | PORT ALLEN |
| State | LA |
| Zip | 70767-2414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip Padgett | Family Medicine | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Amanda Watts | Family Medicine | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Henry C Dixon Iii | Internal Medicine | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Kirby D Humbles | Nurse Practitioner | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Kayla Mouch Richoux | Nurse Practitioner | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Tarisha R Mixon | Family Medicine | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Henry Young Jr. | Family Practice | Baton Rouge General Physicians Inc | 610 N Jefferson Ave, Baton Rouge General Physicians Family Medicine, Port Allen, LA 70767-2414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marissa Anne Guedry | Occupational Therapy | Peak Performance Physical Therapy and Fitness LLC | 4463 Hwy 1 S B, Port Allen, LA 70767 |
| Jennifer S Berthelot | Occupational Therapy | Peak Performance Physical Therapy and Fitness LLC | 4463 Hwy 1 S B, Port Allen, LA 70767 |
| Nicholas Cicero Iv | Physical Therapy | Peak Performance Physical Therapy and Fitness LLC | 4463 Hwy 1 S B, Port Allen, LA 70767 |
| Clint A Caballero | Physical Therapy | Peak Performance Physical Therapy and Fitness LLC | 4463 Hwy 1 S B, Port Allen, LA 70767 |
| Santhosh K Reddy | Internal Medicine | 970 N Alexander Ave, Port Allen, LA 70767-2121 | |
| Radhiya K Lewis | Nurse Practitioner | Louisiana Department of Health - Office of Public Health | 685 Louisiana Ave, Port Allen, LA 70767-2144 |
| William Dane Owens | Chiropractic | 751 Court St, Port Allen, LA 70767-2635 | |
| George T Mcknight | Internal Medicine | Primary Care Providers for A Healthy Feliciana Inc. | 203 Allendale Dr, Port Allen, LA 70767-3219 |
| Nicole M Fabre | Physical Therapy | 4171 Hwy 1 S, Suite 10, Port Allen, LA 70767-5822 | |
| Dennis L Surratt | Optometry | 3255 La Hwy 1 S, Port Allen, LA 70767-5858 | |
| Find all physicians in zip 70767 | |||
| City | PORT ALLEN |
| Zip Code | 70767 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PORT ALLEN + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.