Michael B. Dizon (NPI# 1730495284, PAC ID# 8224269741) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730495284 |
| PAC ID by PECOS | 8224269741 |
| Professional Enrollment ID | I20140326002225 |
| Full Name | Michael B. Dizon |
| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Address |
5000 Hennessy Blvd Baton Rouge LA 70808-4375 |
| Phone Number | 2257654050 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY 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 |
|---|---|---|
| 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2257654050 | 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 |
5000 HENNESSY BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip | 70808-4375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Adams Martin | Anesthesiology | Anesthesiology Group Associates Inc | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 |
| Nicholas Grant Smith | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Group Associates Inc | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 |
| Jessica Lynn Brousse | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 |
| Casey Leblanc | Physician Assistant | Radiology Associates LLC | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 |
| Amy Martin Johnson | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Group Associates Inc | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 |
| Joseph Anthony Wray | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Group Associates Inc | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 |
| Jennifer Theriot | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 |
| Allison Spence King | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Group Associates Inc | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 |
| Richard Wesley Davis | Internal Medicine | Our Lady of The Lake Physician Group LLC | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 |
| Joe Marie J. Dizon | Internal Medicine | Our Lady of The Lake Physician Group LLC | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crayton A Fargason | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Suzanne Smith Luckett | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Glen A Lamonica | Optometry | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Hilliard Michael Haik Jr. | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Annette M Rhodes | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Philip D Ehrlich | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Charles E Afeman | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Devin Brandley Tran | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Candace C Collins | Ophthalmology | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Joseph A Lamendola | Optometry | Eye Medical Center Apmc | 7777 Hennessy Blvd, Suite 3000, Baton Rouge, LA 70808-0302 |
| Find all physicians in zip 70808 | |||
| City | BATON ROUGE |
| Zip Code | 70808 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BATON ROUGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael B. Dizon.
| 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.