David Buttross (NPI# 1083615421, PAC ID# 4981645496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1083615421 |
| PAC ID by PECOS | 4981645496 |
| Professional Enrollment ID | I20050519000622 |
| Full Name | David Buttross |
| Organization Legal Name | LAKE AREA PSYCHIATRY LLC |
| Address |
333 Doctor Michael Debakey Dr Suite 220 Lake Charles LA 70601-5888 |
| Phone Number | 3374789331 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1991 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 7810938321 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190027 | CHRISTUS ST PATRICK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 333 Doctor Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 | 3374789331 | LAKE AREA PSYCHIATRY LLC |
| Organization Legal Name | LAKE AREA PSYCHIATRY LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candyce L Brown | Nurse Practitioner | Lake Area Psychiatry LLC | 333 Doctor Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 |
| Michelle L Dyer | Nurse Practitioner | Lake Area Psychiatry LLC | 333 Doctor Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 |
| Erica L Hessifer | Nurse Practitioner | Lake Area Psychiatry LLC | 333 Doctor Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 |
| Fralan T Gatte | Nurse Practitioner | Lake Area Psychiatry LLC | 333 Doctor Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 |
| Bonny M Duhon | Nurse Practitioner | Lake Area Psychiatry LLC | 333 Doctor Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 |
| Street Address |
333 DOCTOR MICHAEL DEBAKEY DR SUITE 220 |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70601-5888 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony K Adeosun | Family Medicine | 333 Doctor Michael Debakey Dr, Suite 120, Lake Charles, LA 70601-5889 | |
| Candyce L Brown | Nurse Practitioner | Lake Area Psychiatry LLC | 333 Doctor Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 |
| Michelle L Dyer | Nurse Practitioner | Lake Area Psychiatry LLC | 333 Doctor Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 |
| Erica L Hessifer | Nurse Practitioner | Lake Area Psychiatry LLC | 333 Doctor Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 |
| Roberta Dowden | Clinical Social Worker | 333 Doctor Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 | |
| Fralan T Gatte | Nurse Practitioner | Lake Area Psychiatry LLC | 333 Doctor Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 |
| Bonny M Duhon | Nurse Practitioner | Lake Area Psychiatry LLC | 333 Doctor Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nauman Qureshi | Internal Medicine | 333 Michael Debakey Dr, Suite 250, Lake Charles, LA 70601 | |
| Peter W Karam | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Amanda V Burnett | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Jennifer Taylor Graham | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Susan B Bourgeois Ieyoub | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Haley Angelle Landry | Nurse Practitioner | Lcms Pulmonary Associates of Southwest Louisiana | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Karie Joy Savoy | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Ronald M Lewis Jr. | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Brian D Clements | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Cristian Romero | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Find all physicians in zip 70601 | |||
| City | LAKE CHARLES |
| Zip Code | 70601 |
| Specialty | PSYCHIATRY |
| City + Specialty | LAKE CHARLES + PSYCHIATRY |
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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.