Michael S Chanler (NPI# 1336136407, PAC ID# 1658317839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1336136407 |
| PAC ID by PECOS | 1658317839 |
| Professional Enrollment ID | I20050629000105 |
| Full Name | Michael S Chanler |
| Organization Legal Name | ELC MEDICINE GROUP LLC |
| Address |
102 Office Park Dr Minden LA 71055-3086 |
| Phone Number | 3183772885 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8426366261 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190144 | MINDEN MEDICAL CENTER |
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| 190125 | ST FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 102 Office Park Dr, Minden, LA 71055-3086 | 3183772885 | ELC MEDICINE GROUP LLC |
| Organization Legal Name | ELC MEDICINE GROUP LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Sparks | Physician Assistant | Elc Medicine Group LLC | 102 Office Park Dr, Minden, LA 71055-3086 |
| Street Address |
102 OFFICE PARK DR |
| City | MINDEN |
| State | LA |
| Zip | 71055-3086 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Williams | Nurse Practitioner | Premier Family Clinic | 102 Office Park Dr, Minden, LA 71055-3086 |
| Allen Ray Mosley | Nurse Practitioner | Premier Family Clinic | 102 Office Park Dr, Minden, LA 71055-3086 |
| Brian Sparks | Physician Assistant | Elc Medicine Group LLC | 102 Office Park Dr, Minden, LA 71055-3086 |
| 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 | FAMILY MEDICINE |
| City + Specialty | MINDEN + FAMILY MEDICINE |
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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.