Joseph William Crookshank Iii (NPI# 1710245964, PAC ID# 4082938352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1710245964 |
| PAC ID by PECOS | 4082938352 |
| Professional Enrollment ID | I20170808001052 |
| Full Name | Joseph William Crookshank Iii |
| Organization Legal Name | IMPERIAL HEALTH LLP |
| Address |
1747 Imperial Blvd Suite B Lake Charles LA 70605-5362 |
| Phone Number | 3373128761 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2011 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 7719886779 |
| Number of Group Practice Members | 92 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190013 | WEST CALCASIEU CAMERON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1747 Imperial Blvd, Suite B, Lake Charles, LA 70605-5362 | 3373128761 | IMPERIAL HEALTH LLP |
| Organization Legal Name | IMPERIAL HEALTH LLP |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Scott Fontenot | Family Medicine | Imperial Health LLP | 277n Hwy 171, Suite 8, Lake Charles, LA 70611-5374 |
| Darci Landry Portie | Nurse Practitioner | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| Brad W Lebert | Otolaryngology | Imperial Health LLP | 1920 W Sale Rd, Bldg F Suite 3 and 4, Lake Charles, LA 70605-2400 |
| Kara A Headington | Qualified Audiologist | Imperial Health LLP | 1615 Wolf Circle, Lake Charles, LA 70605-2348 |
| Benjamin Williams | Family Medicine | Imperial Health LLP | 771 Bayou Pines E Dr, Lake Charles, LA 70601-7183 |
| Rebecca Ellen Godare Stein | Nurse Practitioner | Imperial Health LLP | 600 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5727 |
| Craig G Morton | Physical Medicine and Rehabilitation | Imperial Health LLP | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 |
| Brooke C Kennedy | Nurse Practitioner | Imperial Health LLP | 4201 Nelson Rd, Suite 100, Lake Charles, LA 70605-4117 |
| Samantha Ann Rider | Registered Dietitian Or Nutrition Professional | Imperial Health LLP | 4150 Nelson Rd, A3, Lake Charles, LA 70605-4169 |
| George J Trappey Iv | Orthopedic Surgery | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| Street Address |
1747 IMPERIAL BLVD SUITE B |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70605-5362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig G Morton | Physical Medicine and Rehabilitation | Imperial Health LLP | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 |
| Susan H Cart | Occupational Therapy | Rehab One, LLC | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 |
| Alex Anderson | Family Medicine | Imperial Health LLP | 1747 Imperial Blvd, Suite B, Lake Charles, LA 70605-5362 |
| Lance M Henagan | Nurse Practitioner | Imperial Health LLP | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 |
| Katherine V Hanks | Nurse Practitioner | Imperial Health LLP | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 |
| Sarah Elizabeth Clevenger | Physical Medicine and Rehabilitation | Imperial Health LLP | 1747 Imperial Blvd, Suite B, Lake Charles, LA 70605-5362 |
| Kristin L Mcclelland | Physical Therapy | Rehab One, LLC | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 |
| Troy E Fletcher | Nurse Practitioner | Imperial Health LLP | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 |
| Dwaine C Miller | Physical Therapy | Rehab One, LLC | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 |
| Lindsay D Viator | Nurse Practitioner | Imperial Health LLP | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shondra L Smith | Dermatology | Shondra L. Smith, Md | 3635 Nelson Rd, Dermatology and Advanced Aesthetics, Lake Charles, LA 70605-1213 |
| Jill A Conner | Nurse Practitioner | Shondra L. Smith, Md | 3635 Nelson Rd, Dermatology and Advanced Aesthetics, Lake Charles, LA 70605-1213 |
| Savannah Guidry | Physician Assistant | Shondra L. Smith, Md | 3635 Nelson Rd, Lake Charles, LA 70605-1213 |
| Lisa J Brune | Clinical Social Worker | 900 Contraband Ln, Lake Charles, LA 70605-1435 | |
| Shaine E Rider | Chiropractic | 601 W College St, Lake Charles, LA 70605-1521 | |
| Kara A Headington | Qualified Audiologist | Imperial Health LLP | 1615 Wolf Circle, Lake Charles, LA 70605-2348 |
| Tara Barnes | Nurse Practitioner | Center for Neurosurgical and Spine Disorders, LLC | 1614 Wolf Circle, Lake Charles, LA 70605-2348 |
| Charles Speights | Emergency Medicine | 1615 Wolf Cir, Suite B, Lake Charles, LA 70605-2348 | |
| Geoffrey J Collins | Orthopedic Surgery | Collins Orthopaedics LLC | 1625 Wolf Circle, Lake Charles, LA 70605-2348 |
| Kimberly Ann Belanger | Nurse Practitioner | Center for Neurosurgical and Spine Disorders, LLC | 1614 Wolf Circle, Lake Charles, LA 70605-2348 |
| Find all physicians in zip 70605 | |||
| City | LAKE CHARLES |
| Zip Code | 70605 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | LAKE CHARLES + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Joseph William Crookshank Iii.
| 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.