Konstantin A Kovtun
MARY BIRD PERKINS CANCER CENTER


Address: 4950 Essen Ln, Baton Rouge, LA 70809-3738
Phone: 2257670847

Konstantin A Kovtun (NPI# 1528406832, PAC ID# 5294016044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.

Physician Overview

Nation Provider ID (NPI) 1528406832
PAC ID by PECOS 5294016044
Professional Enrollment ID I20180713002558
Full Name Konstantin A Kovtun
Organization Legal Name MARY BIRD PERKINS CANCER CENTER
Address 4950 Essen Ln
Baton Rouge
LA 70809-3738
Phone Number 2257670847
Gender M
Medical School HARVARD MEDICAL SCHOOL
Graduation Year 2013
Primary Specialty RADIATION ONCOLOGY
Group Practice PAC ID 4385646280
Number of Group Practice Members 15
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190064 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER
190015 NORTH OAKS MEDICAL CENTER, L L C

Other Locations

Address Phone Organization
4950 Essen Ln, Baton Rouge, LA 70809-3738 2257670847 MARY BIRD PERKINS CANCER CENTER
1104 W Hwy 30, Gonzales, LA 70737-5003 2256441205 ST ELIZABETH MARY BIRD PERKINS CANCER CENTER LLC

Organization Information

Organization Legal Name MARY BIRD PERKINS CANCER CENTER
Physicians 16

Physicians with the same organization

Name Specialty Organization Address
Suchit H Patel Radiation Oncology Mary Bird Perkins Cancer Center 15728 Paul Vega Md Dr, Hammond, LA 70403-1434
Gregory William Cotter Radiation Oncology Mary Bird Perkins Cancer Center 133 Jefferson Davis Blvd, Natchez, MS 39120-5103
Renee A Levine Radiation Oncology Mary Bird Perkins Cancer Center 4950 Essen Lane, Baton Rouge, LA 70809-3482
Daniel J Bourgeois Iii Radiation Oncology Mary Bird Perkins Cancer Center 4950 Essen Ln, Baton Rouge, LA 70809-3738
Jingya Wang Radiation Oncology Mary Bird Perkins Cancer Center 4950 Essen Ln, Baton Rouge, LA 70809-3738
Maurice L King Radiation Oncology Mary Bird Perkins Cancer Center 4950 Essen Ln, Baton Rouge, LA 70809-3738
Katherine O Castle Radiation Oncology Mary Bird Perkins Cancer Center 4950 Essen Ln, Baton Rouge, LA 70809-3738
Sheldon A Johnson Radiation Oncology Mary Bird Perkins Cancer Center 4950 Essen Ln, Baton Rouge, LA 70809-3738
Jeffrey P Long Radiation Oncology Mary Bird Perkins Cancer Center 8166 Main St, Suite 101, Houma, LA 70360-3404
Gregory Henkelmann Radiation Oncology Mary Bird Perkins Cancer Center 4950 Essen Ln, Baton Rouge, LA 70809-3738

Office Location

Street Address 4950 ESSEN LN
City BATON ROUGE
State LA
Zip 70809-3738

Physicians in the same location

Name Specialty Organization Address
Daniel Kevin Lavie Hematology/oncology Our Lady of The Lake Physician Group LLC 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738
Daniel J Bourgeois Iii Radiation Oncology Mary Bird Perkins Cancer Center 4950 Essen Ln, Baton Rouge, LA 70809-3738
David S Hanson Hematology/oncology Our Lady of The Lake Physician Group LLC 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738
Dustin David Denicola Nurse Practitioner Our Lady of The Lake Physician Group LLC 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738
Sonia Vidrine Normand Physical Therapy Our Lady of The Lake Physician Group LLC 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738
Jingya Wang Radiation Oncology Mary Bird Perkins Cancer Center 4950 Essen Ln, Baton Rouge, LA 70809-3738
Maurice L King Radiation Oncology Mary Bird Perkins Cancer Center 4950 Essen Ln, Baton Rouge, LA 70809-3738
Lauren A Zatarain Hematology/oncology Our Lady of The Lake Physician Group LLC 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738
Katherine O Castle Radiation Oncology Mary Bird Perkins Cancer Center 4950 Essen Ln, Baton Rouge, LA 70809-3738
Ghenet Ghebretatios Nurse Practitioner Our Lady of The Lake Physician Group LLC 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Michael W Dupre General Surgery 8595 Picardy Ave, Suite 235, Baton Rouge, LA 70809-0610
Shaban Faruqui Gastroenterology Baton Rouge General Medical Center 8595 Picardy Ave, Suite 235, Baton Rouge, LA 70809-0610
Jill H Fruge Internal Medicine Our Lady of The Lake Physician Group LLC 7855 Jefferson Hwy, Baton Rouge, LA 70809-1206
Mark C Shoptaugh Jr. Psychiatry 7865 Jefferson Hwy, Suite D, Baton Rouge, LA 70809-1384
David E Thomas Sleep Medicine 2355 Drusilla Ln, Baton Rouge, LA 70809-1443
Richard Gaynor Internal Medicine 2320 Drusilla Ln, Suite B, Baton Rouge, LA 70809-1495
Betty Armstrong Clinical Social Worker 8017 Jefferson Hwy B1, Baton Rouge, LA 70809-1681
Steven K Bordelon Clinical Social Worker 8017 Jefferson Hwy, Suite B4, Baton Rouge, LA 70809-1681
Patricia A Godfrey Clinical Social Worker 8017 Jefferson Hwy, Suite B1, Baton Rouge, LA 70809-1681
Adrian A Agosta Clinical Social Worker 7940 Wrenwood Blvd, Apt G, Baton Rouge, LA 70809-1766
Find all physicians in zip 70809

Competitor

Search similar physicians

City BATON ROUGE
Zip Code 70809
Specialty RADIATION ONCOLOGY
City + Specialty BATON ROUGE + RADIATION ONCOLOGY

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Dataset Information

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.

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