Michelle Clark Dyess (NPI# 1609276161, PAC ID# 8729349105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1609276161 |
| PAC ID by PECOS | 8729349105 |
| Professional Enrollment ID | I20180227001747 |
| Full Name | Michelle Clark Dyess |
| Organization Legal Name | CONVENIENT CARE LLC |
| Address |
31985 La Hwy 16 Denham Springs LA 70726-1462 |
| Phone Number | 2257918800 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1153306816 |
| Number of Group Practice Members | 61 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12525 Perkins Rd, Baton Rouge, LA 70810-1907 | CONVENIENT CARE LLC | |
| 2380 Oneal Ln, Suite A, Baton Rouge, LA 70816-9315 | 2257560780 | CONVENIENT CARE LLC |
| 5439 Airline Hwy, Baton Rouge, LA 70805-1712 | 2253584853 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| 7777 Hennessy Blvd, Baton Rouge, LA 70808-4363 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC | |
| 8751 Sullivan Rd, Baton Rouge, LA 70818-6014 | 2252628377 | CONVENIENT CARE LLC |
| 31985 La Hwy 16, Denham Springs, LA 70726-1462 | 2257918800 | CONVENIENT CARE LLC |
| Organization Legal Name | CONVENIENT CARE LLC |
| Physicians | 59 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Dawkins | Physician Assistant | Convenient Care LLC | 42205 Veterans Ave, Hammond, LA 70403-1424 |
| Wanda L Pezant | Nurse Practitioner | Convenient Care LLC | 12525 Perkins Rd, Suite B, Baton Rouge, LA 70810-1907 |
| Shana Leigh Goodno | Nurse Practitioner | Convenient Care LLC | 207 31st Seave, Moultrie, GA 31768-6703 |
| Joseph L Mass | Family Practice | Convenient Care LLC | 12525 Perkins Rd C, Baton Rouge, LA 70810-1907 |
| Anthony L Vanduzee | Physician Assistant | Convenient Care LLC | 31985 La Hwy 16, Denham Springs, LA 70726-1462 |
| Todd C Genre | Nurse Practitioner | Convenient Care LLC | 123 Lee Dr, Baton Rouge, LA 70808-4954 |
| Gary J Brandt | General Practice | Convenient Care LLC | 3333 Drusilla Ln, Suite B, Baton Rouge, LA 70809-2418 |
| Lawrence C Carter Ii | Family Medicine | Convenient Care LLC | 18989 Old Scenic Hwy, Zachary, LA 70791-8105 |
| Kellie Bertrand | Nurse Practitioner | Convenient Care LLC | 4463 Hwy 1 S, Port Allen, LA 70767-5989 |
| Rebecca B Tadlock | Nurse Practitioner | Convenient Care LLC | 12525 Perkins Rd, Suite B, Baton Rouge, LA 70810-1907 |
| Street Address |
31985 LA HWY 16 |
| City | DENHAM SPRINGS |
| State | LA |
| Zip | 70726-1462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Vanduzee | Physician Assistant | Convenient Care LLC | 31985 La Hwy 16, Denham Springs, LA 70726-1462 |
| Nicholas Glen Maggio | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 31985 La Hwy 16, Suite B, Denham Springs, LA 70726-1462 |
| Elizabeth A Valure | Physician Assistant | Convenient Care LLC | 31985 La Hwy 16, Denham Springs, LA 70726-1462 |
| Joseph L Halphen | Physician Assistant | Convenient Care LLC | 31985 La Hwy 16, Denham Springs, LA 70726-1462 |
| Mary L Bennett | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 31985 La Hwy 16, Suite B, Denham Springs, LA 70726-1462 |
| Anthony L Gonzalez | Physician Assistant | Convenient Care LLC | 31985 La Hwy 16, Denham Springs, LA 70726-1462 |
| Russell D Erwin | Nurse Practitioner | Convenient Care LLC | 31985 La Hwy 16, Denham Springs, LA 70726-1462 |
| Mitchell T Montelaro | Family Medicine | Convenient Care LLC | 31985 La Hwy 16, Denham Springs, LA 70726-1462 |
| Brett Martine Janis | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 31985 La Hwy 16, Suite B, Denham Springs, LA 70726-1462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick D Walker | Family Medicine | Our Lady of The Lake Physician Group LLC | 31995 La Hwy 16, Denham Springs, LA 70726-1456 |
| Durwin D Walker | Family Medicine | Our Lady of The Lake Physician Group LLC | 31995 La Hwy 16, Denham Springs, LA 70726-1456 |
| David C Bourg Jr. | Chiropractic | 32350 La Hwy 16 C, Denham Springs, LA 70726-1463 | |
| Brandon B Wax | Optometry | 206 Petes Hwy, Denham Springs, LA 70726-3842 | |
| Jeffrey James Rippel | Chiropractic | 1680 Benton Ln, Denham Springs, LA 70726-4516 | |
| Ted P Kemp | Internal Medicine | 315 Veterans Blvd, Denham Springs, LA 70726-4722 | |
| Kevin Sorya | Optometry | Bond Wroten Eye Clinic | 222 Veterans Blvd, Denham Springs, LA 70726-4724 |
| Celeste Baker Dicarlo | Optometry | Cynthia W. Baker, O.d. A Prof Corp | 1330 S Range Ave, Denham Springs, LA 70726-4810 |
| Cynthia W Baker | Optometry | Cynthia W. Baker, O.d. A Prof Corp | 1330 S Range Ave, Denham Springs, LA 70726-4810 |
| Patricia E Scallan | Otolaryngology | 155 Del Orleans Ave, Denham Springs, LA 70726-4818 | |
| Find all physicians in zip 70726 | |||
| City | DENHAM SPRINGS |
| Zip Code | 70726 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DENHAM SPRINGS + PHYSICIAN ASSISTANT |
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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.