Lance P Fogleman (NPI# 1033476379, PAC ID# 4284949082) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1033476379 |
| PAC ID by PECOS | 4284949082 |
| Professional Enrollment ID | I20150821013720 |
| Full Name | Lance P Fogleman |
| Organization Legal Name | COOLIDGE EMERGENCY GROUP LLC |
| Address |
1214 Coolidge Blvd Lafayette LA 70503-2696 |
| Phone Number | 3372897991 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2012 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4880846427 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190002 | LAFAYETTE GENERAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1214 Coolidge Blvd, Lafayette, LA 70503-2696 | 3372897991 | COOLIDGE EMERGENCY GROUP LLC |
| 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | 3379812949 | AMBASSADOR EMERGENCY GROUP, LLC |
| Organization Legal Name | COOLIDGE EMERGENCY GROUP LLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patsy Jenkins | Nurse Practitioner | Coolidge Emergency Group LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2696 |
| Todd D Doyle | Emergency Medicine | Coolidge Emergency Group LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2696 |
| Nicholas J Leonards | Emergency Medicine | Coolidge Emergency Group LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2696 |
| David W Mcmanus | Emergency Medicine | Coolidge Emergency Group LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2696 |
| Foster C Kordisch | Emergency Medicine | Coolidge Emergency Group LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2696 |
| Corey Grant Lauchner | Nurse Practitioner | Coolidge Emergency Group LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2696 |
| Kayla Shipley | Emergency Medicine | Coolidge Emergency Group LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2696 |
| Christy L Mcdonald Lenahan | Nurse Practitioner | Coolidge Emergency Group LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2696 |
| Cammie M Broussard | Nurse Practitioner | Coolidge Emergency Group LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2696 |
| Kelsey K Moody | Emergency Medicine | Coolidge Emergency Group LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2696 |
| Street Address |
1214 COOLIDGE BLVD |
| City | LAFAYETTE |
| State | LA |
| Zip | 70503-2696 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew S Fontenot | Nephrology | Coolidge Physician Services LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 |
| Ali Saeed | Internal Medicine | Coolidge Physician Services LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 |
| Patsy Jenkins | Nurse Practitioner | Coolidge Emergency Group LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2696 |
| Gregg M Barre | Pathology | Preferred Anatomic Pathology Services Inc | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 |
| Mareesa P Mathers | Nurse Practitioner | Lafayette General Medical Center Inc | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 |
| Richard J Howell Ii | Certified Registered Nurse Anesthetist (crna) | Parish Anesthesia of Lafayette, LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 |
| Crystal B Jackson | Anesthesiology | Parish Anesthesia of Lafayette, LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 |
| Jay Babu Patel | Internal Medicine | Coolidge Physician Services LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 |
| Priyanka Sharma | Emergency Medicine | Coolidge Physician Services LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 |
| Joelle E Guidry | Certified Registered Nurse Anesthetist (crna) | Parish Anesthesia of Lafayette, LLC | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Byrnes E Tatford | Physical Therapy | Mts-lgh Therapy Services LLC | 111 Pasa Place, Lafayette, LA 70503 |
| John M Bienvenu | Physical Therapy | Mts-lgh Therapy Services LLC | 111 Pasa Place, Lafayette, LA 70503 |
| Zachary J Mire | Physical Therapy | Acadiana Physical Therapy, Inc | 816 Harding St, Lafayette, LA 70503-2320 |
| Kerry J.c Hoffpauir | Physical Therapy | Acadiana Physical Therapy, Inc | 816 Harding St, Lafayette, LA 70503-2320 |
| Rodi L Aucoin | Physical Therapy | Acadiana Physical Therapy, Inc | 816 Harding St, Lafayette, LA 70503-2320 |
| Jeffrey T Faber | Physical Therapy | Acadiana Physical Therapy, Inc | 816 Harding St, Lafayette, LA 70503-2320 |
| Francesca Marie Marino | Chiropractic | Leblanc Spine and Nerve, LLC | 1014 Auburn Ave, Lafayette, LA 70503-2360 |
| Jiles P Leblanc | Chiropractic | Leblanc Spine and Nerve, LLC | 1014 Auburn Ave, Lafayette, LA 70503-2360 |
| Christopher B Davis | Physical Therapy | Pain and Performance Rehab Inc | 325 Oil Ctr Dr, Lafayette, LA 70503-2419 |
| Derrick Hines | Physical Therapy | Pain and Performance Rehab Inc | 325 Oil Ctr Dr, Lafayette, LA 70503-2419 |
| Find all physicians in zip 70503 | |||
| City | LAFAYETTE |
| Zip Code | 70503 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAFAYETTE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Lance P Fogleman.
| 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.