Amanda M Decoux (NPI# 1396226155, PAC ID# 1850635988) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1396226155 |
| PAC ID by PECOS | 1850635988 |
| Professional Enrollment ID | I20181130000922 |
| Full Name | Amanda M Decoux |
| Organization Legal Name | CLARK INTEGRATED MEDICAL CLINICS LLC |
| Address |
130 Rue Beauregard Suite A Lafayette LA 70508-3130 |
| Phone Number | 3372323353 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8022372598 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 | 3372323353 | CLARK INTEGRATED MEDICAL CLINICS LLC |
| Organization Legal Name | CLARK INTEGRATED MEDICAL CLINICS LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob S Clark | Chiropractic | Clark Integrated Medical Clinics LLC | 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 |
| Jake M Gary | Chiropractic | Clark Integrated Medical Clinics LLC | 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 |
| Joshua C. Couvillon | Chiropractic | Clark Integrated Medical Clinics LLC | 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 |
| Matthew C Smith | Chiropractic | Clark Integrated Medical Clinics LLC | 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 |
| Sarah K Smith | Physician Assistant | Clark Integrated Medical Clinics LLC | 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 |
| Jereme C Menard Sr. | Chiropractic | Clark Integrated Medical Clinics LLC | 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 |
| Street Address |
130 RUE BEAUREGARD SUITE A |
| City | LAFAYETTE |
| State | LA |
| Zip | 70508-3130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob S Clark | Chiropractic | Clark Integrated Medical Clinics LLC | 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 |
| Jake M Gary | Chiropractic | Clark Integrated Medical Clinics LLC | 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 |
| Joshua C. Couvillon | Chiropractic | Clark Integrated Medical Clinics LLC | 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 |
| Matthew C Smith | Chiropractic | Clark Integrated Medical Clinics LLC | 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 |
| Sarah K Smith | Physician Assistant | Clark Integrated Medical Clinics LLC | 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 |
| Jereme C Menard Sr. | Chiropractic | Clark Integrated Medical Clinics LLC | 130 Rue Beauregard, Suite A, Lafayette, LA 70508-3130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason W Prevost | Chiropractic | 2111 W Pinhook Rd A, Integrated Health, Lafayette, LA 70508-1504 | |
| Kimberly V Hull | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Roseanna Laporte | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Mia H Rabalais | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Simone L Babineaux | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Jayson A Thornhill | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Casey A Robinson | Clinical Social Worker | 200 La Rue France, Suite 101, Lafayette, LA 70508-3104 | |
| Rachel Lacy Broussard | Clinical Social Worker | 200 La Rue France, Lafayette, LA 70508-3104 | |
| Joshua G Bailey | Chiropractic | Pinhook Chiropractic Clinic LLC | 100 La Rue France, Lafayette, LA 70508-3112 |
| Brad A Grizzaffi | Chiropractic | Pinhook Chiropractic Clinic LLC | 100 La Rue France, Lafayette, LA 70508-3112 |
| Find all physicians in zip 70508 | |||
| City | LAFAYETTE |
| Zip Code | 70508 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LAFAYETTE + 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.