Charles E Self (NPI# 1497741995, PAC ID# 0446343495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1497741995 |
PAC ID by PECOS | 0446343495 |
Professional Enrollment ID | I20070906000584 |
Full Name | Charles E Self |
Organization Legal Name | CHESS GROUP LLC |
Address |
1117 Homer Rd Minden LA 71055-3027 |
Phone Number | 3183712273 |
Gender | M |
Graduation Year | 1999 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 2466714563 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1117 Homer Rd, Minden, LA 71055-3027 | 3183712273 | CHESS GROUP LLC |
Organization Legal Name | CHESS GROUP LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shannon D Spigener | Family Medicine | Chess Group LLC | 1117 Homer Rd, Minden, LA 71055-3027 |
Street Address |
1117 HOMER RD |
City | MINDEN |
State | LA |
Zip | 71055-3027 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shannon D Spigener | Family Medicine | Chess Group LLC | 1117 Homer Rd, Minden, LA 71055-3027 |
Name | Specialty | Organization | Address |
---|---|---|---|
Adam Brewer | Physical Therapy | Brewer Physical Therapy and Associates LLC | 101 Mbl Bank Dr, Minden, LA 71055-2900 |
Misti Morgan | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
Robin F Hogue | Psychiatry | Northwest Louisiana Human Services District | 435 Homer Rd, Minden, LA 71055-2933 |
Derrell R Spurlock Ii | Optometry | 421 Homer Rd, Minden, LA 71055-2933 | |
Sheila Mariano | Internal Medicine | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
Jennifer A Long | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
Lori C Cummings | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
Graham Wayne Rachal | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
Mark D Wilson | Orthopedic Surgery | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
Lillian Leigh B Davis | Nurse Practitioner | Minden Physician Practices LLC | 427 Homer Rd, Minden, LA 71055-2933 |
Find all physicians in zip 71055 |
City | MINDEN |
Zip Code | 71055 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | MINDEN + 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.