Clark G Warden (NPI# 1831159631, PAC ID# 4688571433) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1831159631 |
PAC ID by PECOS | 4688571433 |
Professional Enrollment ID | I20031218000508 |
Full Name | Clark G Warden |
Organization Legal Name | SURGICAL SPECIALISTS OF LA |
Address |
7015 Hwy 190 E Service Rd Suite 200 Covington LA 70483-4960 |
Phone Number | 9856051100 |
Gender | M |
Credential | MD |
Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1984 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 4789581919 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190270 | SOUTHERN SURGICAL HOSPITAL |
250117 | HIGHLAND COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
7015 Hwy 190 E Service Rd, Suite 200, Covington, LA 70483-4960 | 9856051100 | SURGICAL SPECIALISTS OF LA |
Organization Legal Name | SURGICAL SPECIALISTS OF LA |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Laura M Boyer | Nurse Practitioner | Surgical Specialists of La | 7015 Hwy 190 E Service Rd, Suite 200, Covington, LA 70483-4960 |
Matthew S. French | General Surgery | Surgical Specialists of La | 3100 Galleria Dr, Suite 300, Metairie, LA 70001-2196 |
Rachel Moore | General Surgery | Surgical Specialists of La | 3100 Galleria Dr, Suite 300, Metairie, LA 70001-2196 |
Michael Joseph J Thomas | General Surgery | Surgical Specialists of La | 3100 Galleria Dr, Suite 300, Metairie, LA 70001-2196 |
James G Redmann | General Surgery | Surgical Specialists of La | 1570 Lindberg Dr, Slidell, LA 70458-8084 |
Chris Nelson | Nurse Practitioner | Surgical Specialists of La | 3100 Galleria Dr, Suite 300, Metairie, LA 70001-2196 |
Stephanie C Ryan | Nurse Practitioner | Surgical Specialists of La | 7015 Hwy 190 E Service Rd, Suite 200, Covington, LA 70483-4960 |
Street Address |
7015 HWY 190 E SERVICE RD SUITE 200 |
City | COVINGTON |
State | LA |
Zip | 70483-4960 |
Name | Specialty | Organization | Address |
---|---|---|---|
Laura M Boyer | Nurse Practitioner | Surgical Specialists of La | 7015 Hwy 190 E Service Rd, Suite 200, Covington, LA 70483-4960 |
Lisa M Jaubert-miazza | Physical Medicine and Rehabilitation | Northshore Interventional Pain Management, Apmc | 7015 Hwy 190 E Service Rd, Suite 101, Covington, LA 70433-4960 |
Allan T Parr | Interventional Pain Management | Northshore Interventional Pain Management, Apmc | 7015 Hwy 190 E Service Rd, Suite 101, Covington, LA 70433-4960 |
Russell Wardlaw | Gastroenterology | Northlake Gastroenterology | 7015 Hwy 190 E Service Rd, Suite 102, Covington, LA 70433-4960 |
Jill K Hurley | Occupational Therapy | 7015 Hwy 190 E Service Rd, Suite 103, Covington, LA 70433-4960 | |
Monika L Bowden | Certified Registered Nurse Anesthetist (crna) | Northshore Interventional Pain Management, Apmc | 7015 Hwy 190 E Service Rd, Suite 101, Covington, LA 70433-4960 |
Lawrence L Gensler | Gastroenterology | Northlake Gastroenterology | 7015 Hwy 190 E Service Rd, Suite 102, Covington, LA 70433-4960 |
Stephanie C Ryan | Nurse Practitioner | Surgical Specialists of La | 7015 Hwy 190 E Service Rd, Suite 200, Covington, LA 70483-4960 |
Nadia L Johnson | Occupational Therapy | Hhl Therapy Centers LLC | 7015 Hwy 190 E Service Rd, Suite 103, Covington, LA 70433-4960 |
Dolly B Smith | Occupational Therapy | Hhl Therapy Centers LLC | 7015 Hwy 190 E Service Rd, Suite 103, Covington, LA 70433-4960 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Heather Sue Aymond | Nurse Practitioner | Surgical Specialists of Louisiana LLC | 7015 Hwy 190 E Service Rd, Covington, LA 70483-4960 |
City | COVINGTON |
Zip Code | 70483 |
Specialty | GENERAL SURGERY |
City + Specialty | COVINGTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Clark G Warden.
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.