Shawn J Le Doux (NPI# 1922367978, PAC ID# 5395061030) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
Nation Provider ID (NPI) | 1922367978 |
PAC ID by PECOS | 5395061030 |
Professional Enrollment ID | I20170626001174 |
Full Name | Shawn J Le Doux |
Organization Legal Name | PETERSON LABORATORY SERVICES PA |
Address |
1133 College Ave Suite B131 Manhattan KS 66502-2700 |
Phone Number | 7855395363167 |
Gender | M |
Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
Graduation Year | 2012 |
Primary Specialty | PATHOLOGY |
Group Practice PAC ID | 8123073681 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
170142 | MERCY REGIONAL HEALTH CENTER |
170190 | MANHATTAN SURGICAL HOSPITAL LLC |
170068 | SOUTHWEST MEDICAL CENTER |
171362 | CITIZENS MEDICAL CENTER |
171384 | NEWMAN REGIONAL HEALTH |
Address | Phone | Organization |
---|---|---|
1133 College Ave, Suite B131, Manhattan, KS 66502-2700 | 7855395363167 | PETERSON LABORATORY SERVICES PA |
Organization Legal Name | PETERSON LABORATORY SERVICES PA |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Peggy S Peterson | Pathology | Peterson Laboratory Services Pa | 1133 College Ave, Suite B131, Manhattan, KS 66502-2700 |
Tarek A Salem | Pathology | Peterson Laboratory Services Pa | 1133 College Ave, Suite B131, Manhattan, KS 66502-2700 |
Susan L Speaks | Pathology | Peterson Laboratory Services Pa | 1133 College Ave, Suite B131, Manhattan, KS 66502-2700 |
Street Address |
1133 COLLEGE AVE SUITE B131 |
City | MANHATTAN |
State | KS |
Zip | 66502-2700 |
Name | Specialty | Organization | Address |
---|---|---|---|
Curtis G Mick | Diagnostic Radiology | Manhattan Radiology LLP | 1133 College Ave, Suite C143, Manhattan, KS 66502-2751 |
Bradley K Harrison | Family Medicine | Manhattan Primary Care LLC | 1133 College Ave, Suite 211, Manhattan, KS 66502-2770 |
Deanna M Delli-pizzi | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
Summer Huncovsky | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
Kerri M Maxcy | Physician Assistant | Manhattan Primary Care LLC | 1133 College Ave, Suite 211, Manhattan, KS 66502-2770 |
Regan Dulin | Family Medicine | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
Cassidy Taylor | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
Holly M Brannen | Nurse Practitioner | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
Sandra K Tabor | Nurse Practitioner | My Kidney Center LLC | 1133 College Ave, B266, Manhattan, KS 66502-2700 |
Aileen C Mccarthy | Internal Medicine | Cotton Oneil Clinic Revocable Trust | 1133 College Ave, Suite E110, Manhattan, KS 66502-2813 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Nanda N Kumar | Neurology | 1133 College Ave, Suite B224, Manhattan, KS 66502-1300 | |
Fadi Victor Bedros | Nephrology | My Kidney Center LLC | 1133 College Ave, B266, Manhattan, KS 66502-2700 |
Keith William Kramer | Nephrology | My Kidney Center LLC | 1133 College Ave, B266, Manhattan, KS 66502-2700 |
Peggy S Peterson | Pathology | Peterson Laboratory Services Pa | 1133 College Ave, Suite B131, Manhattan, KS 66502-2700 |
Tarek A Salem | Pathology | Peterson Laboratory Services Pa | 1133 College Ave, Suite B131, Manhattan, KS 66502-2700 |
Susan L Speaks | Pathology | Peterson Laboratory Services Pa | 1133 College Ave, Suite B131, Manhattan, KS 66502-2700 |
Adam Christopher Hines | Orthopedic Surgery | Orthopaedic and Sports Medicine Center LLP | 1600 Charles Pl, Manhattan, KS 66502-2750 |
Brittani J. Roles | Obstetrics/gynecology | The Women's Health Group, P.a. | 1620 Charles Pl, Manhattan, KS 66502-2750 |
Coralee M Gehrt | Nurse Practitioner | Orthopaedic and Sports Medicine Center LLP | 1600 Charles Pl, Manhattan, KS 66502-2750 |
Adam J Chase | Orthopedic Surgery | Orthopaedic and Sports Medicine Center LLP | 1600 Charles Pl, Manhattan, KS 66502-2750 |
Find all physicians in zip 66502 |
City | MANHATTAN |
Zip Code | 66502 |
Specialty | PATHOLOGY |
City + Specialty | MANHATTAN + PATHOLOGY |
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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.