Sara J Gaspard (NPI# 1558913806, PAC ID# 1254668072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1558913806 |
| PAC ID by PECOS | 1254668072 |
| Professional Enrollment ID | I20190815003118 |
| Full Name | Sara J Gaspard |
| Organization Legal Name | E.M. DIMITRI D.O., PMC |
| Address |
2104 Gause Blvd W Suite A Slidell LA 70460-4130 |
| Phone Number | 9852881914 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284722059 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2104 Gause Blvd W, Suite A, Slidell, LA 70460-4130 | 9852881914 | E.M. DIMITRI D.O., PMC |
| Organization Legal Name | E.M. DIMITRI D.O., PMC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charisse Lashaune Johnson | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 145 Briant St, Gretna, LA 70056-7136 |
| Megan Louque Stamps | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 1201 S Purpera Ave, 601 Dimitri Dermatology, Gonzales, LA 70737-4279 |
| Delana Lynn Mooney | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 431 -433 Security Square Blvd, Ms Skin Clinicandpsoriascentergulfpo, Gulfport, MS 39507-1922 |
| Thuy Thi Tran | Physician Assistant | E.m. Dimitri D.o., Pmc | 613 Williams Blvd, Dimit, Kenner, LA 70062-7635 |
| Joel Edmund Perdomo | General Practice | E.m. Dimitri D.o., Pmc | 2104 Gause Blvd W, Suite A, Slidell, LA 70460-4130 |
| Jennifer L Malley | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 624 Hwy 90, Bay Saint Louis, MS 39520-2715 |
| Clay J Hubble Iii | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 5646 Read Blvd, Suite 230, New Orleans, LA 70127-3106 |
| Elizabeth M Dimitri | Dermatology | E.m. Dimitri D.o., Pmc | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3066 |
| Sally A Benyahia | Nurse Practitioner | E.m. Dimitri D.o., Pmc | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3066 |
| Mehdi Mosadegh | Dermatology | E.m. Dimitri D.o., Pmc | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3066 |
| Street Address |
2104 GAUSE BLVD W SUITE A |
| City | SLIDELL |
| State | LA |
| Zip | 70460-4130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel Edmund Perdomo | General Practice | E.m. Dimitri D.o., Pmc | 2104 Gause Blvd W, Suite A, Slidell, LA 70460-4130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis D Waring | Pediatric Medicine | Slidell Memorial Hospital | 1400 Hwy 190 W, Smh Physician Network, Slidell, LA 70460 |
| Beverly Stubblefield | Clinical Psychologist | 32597 C C Rd, Slidell, LA 70460-3269 | |
| Derrick O Dean | Emergency Medicine | Rapid Urgent Care Inc | 2170 Gause Blvd W, Suite 101, Slidell, LA 70460-4127 |
| Julia Dauenhauer | Nurse Practitioner | Maxem Health Urgent Care Slidell | 170 N Shore Blvd, Slidell, LA 70460-6820 |
| Monique Richmond | Nurse Practitioner | Maxem Health Urgent Care Slidell | 170 N Shore Blvd, Slidell, LA 70460-6820 |
| Jennifer J Holliday | Optometry | 167 Northshore Blvd, Slidell, LA 70460-6836 |
| City | SLIDELL |
| Zip Code | 70460 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SLIDELL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sara J Gaspard.
| 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.