Christopher Formanek (NPI# 1639146749, PAC ID# 8325934334) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1639146749 |
| PAC ID by PECOS | 8325934334 |
| Professional Enrollment ID | I20040226000201 |
| Full Name | Christopher Formanek |
| Address |
2647 S Saint Elizabeth Blvd Suite 316 Gonzales LA 70737-5017 |
| Gender | M |
| Credential | DPM |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6141 Parkforest Dr, Baton Rouge, LA 70816-6111 | ||
| 2647 S Saint Elizabeth Blvd, Suite 316, Gonzales, LA 70737-5017 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 99% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 89% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 3% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 8% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% |
| Street Address |
2647 S SAINT ELIZABETH BLVD SUITE 316 |
| City | GONZALES |
| State | LA |
| Zip | 70737-5017 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John F Fraiche | Family Medicine | Our Lady of The Lake Physician Group LLC | 2647 S Saint Elizabeth Blvd, Suite 100, Gonzales, LA 70737-5019 |
| Robert P St Amant | Family Medicine | Our Lady of The Lake Physician Group LLC | 2647 S Saint Elizabeth Blvd, Suite 311, Gonzales, LA 70737-5020 |
| Gretchen M Yandle | Pulmonary Disease | Our Lady of The Lake Physician Group LLC | 2647 S Saint Elizabeth Blvd, Suite 215, Gonzales, LA 70737-5020 |
| Harold W Helmke Iii | Interventional Cardiology | Our Lady of The Lake Physician Group LLC | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5017 |
| Shawn K Hall | Family Medicine | Our Lady of The Lake Physician Group LLC | 2647 S Saint Elizabeth Blvd, Suite 100, Gonzales, LA 70737-5019 |
| Rodney E Hillis | Neurology | Our Lady of The Lake Physician Group LLC | 2647 S Saint Elizabeth Blvd, Suite 320, Gonzales, LA 70737-5017 |
| Kelly L Duke | Physician Assistant | Our Lady of The Lake Physician Group LLC | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5017 |
| Michael S Bodin | Family Medicine | Our Lady of The Lake Physician Group LLC | 2647 S Saint Elizabeth Blvd, Suite 219, Gonzales, LA 70737-5020 |
| Melissa F Hubbs | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 2647 S Saint Elizabeth Blvd, Suite 221, Gonzales, LA 70737-5020 |
| Mandy Lynn Templet | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 2647 S Saint Elizabeth Blvd, Suite 311, Gonzales, LA 70737-5020 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey R Entremont | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 1702 N Burnside Ave, Suite A, Gonzales, LA 70737-2141 |
| Sharon D Lobell | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 1702 N Burnside Ave, Suite A, Gonzales, LA 70737-2141 |
| Paul C Aguillard Jr. | Pediatric Medicine | Our Lady of The Lake Physician Group LLC | 1702 N Burnside Ave, Suite A, Gonzales, LA 70737-2141 |
| Annie K Lanclos | Nurse Practitioner | Lake Urgent Care Ascension LLC | 1702 N Burnside Ave, Lake Urgent Care Gonzales, Gonzales, LA 70737-2141 |
| Raymond Dyer | Physical Therapy | Alliance Therapy Services, Inc | 12320 Hwy 44 3f, Gonzales, LA 70737-2202 |
| Veronica D Walker | Qualified Speech Language Pathologist | Alliance Therapy Services, Inc | 12320 Hwy 44 3f, Gonzales, LA 70737-2202 |
| Donna P Aguillard | Occupational Therapy | Alliance Therapy Services, Inc | 12320 Hwy 44 3f, Gonzales, LA 70737-2202 |
| Jeremy C Catoire | Physical Therapy | 12550 Airline Hwy, Suite 102, Gonzales, LA 70737-2258 | |
| Brian S Christopherson | Optometry | 308 N Airline, Brian S Christopherson Od, Gonzales, LA 70737-3009 | |
| Phillip L Smith | Chiropractic | 208 E Cornerview St, Smith Chiropractic Clinic, Gonzales, LA 70737-3150 | |
| Find all physicians in zip 70737 | |||
| City | GONZALES |
| Zip Code | 70737 |
| Specialty | PODIATRY |
| City + Specialty | GONZALES + PODIATRY |
Please comment or provide details below to improve the information on Christopher Formanek.
| 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.