Nicholas Glen Maggio
OUR LADY OF THE LAKE PHYSICIAN GROUP LLC


Address: 31985 La Hwy 16, Suite B, Denham Springs, LA 70726-1462
Phone: 2257673900

Nicholas Glen Maggio (NPI# 1295398808, PAC ID# 5395076152) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1295398808
PAC ID by PECOS 5395076152
Professional Enrollment ID I20191008003711
Full Name Nicholas Glen Maggio
Organization Legal Name OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
Address 31985 La Hwy 16
Suite B
Denham Springs
LA 70726-1462
Phone Number 2257673900
Gender M
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 4587849781
Number of Group Practice Members 474
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190064 OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA 70808-4370 2257673900 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
31985 La Hwy 16, Suite B, Denham Springs, LA 70726-1462 2257673900 OUR LADY OF THE LAKE PHYSICIAN GROUP LLC

Organization Information

Organization Legal Name OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
Physicians 443

Physicians with the same organization

Name Specialty Organization Address
James Michael Robinson Family Medicine Our Lady of The Lake Physician Group LLC 12525 Perkins Rd A, Baton Rouge, LA 70810-1907
Kori Fogg Juban Nurse Practitioner Our Lady of The Lake Physician Group LLC 34870 La Hwy 1019, Denham Springs, LA 70706-0659
Michelle Duhe Family Medicine Our Lady of The Lake Physician Group LLC 26739 La Hwy 1032, Denham Springs, LA 70726-4926
Swapna G Kallu Internal Medicine Our Lady of The Lake Physician Group LLC 214 Clinic Dr, Donaldsonville, LA 70346-4309
Montrell Martin-duhe Nurse Practitioner Our Lady of The Lake Physician Group LLC 4463 La Hwy 1 S A, Port Allen, LA 70767-5990
Joshua R Clark Family Medicine Our Lady of The Lake Physician Group LLC 59315 River W Dr, Suite C, Plaquemine, LA 70764-6553
Hollie B Ortis Nurse Practitioner Our Lady of The Lake Physician Group LLC 13489 Hwy 431, Suite A, Saint Amant, LA 70774-3213
Shantan Ravula Family Medicine Our Lady of The Lake Physician Group LLC 14225 Hwy 73, Prairieville, LA 70769-3616
Daniel Kevin Lavie Hematology/oncology Our Lady of The Lake Physician Group LLC 4950 Essen Ln, Suite 400, Baton Rouge, LA 70809-3738
Sheri A Ammons Nurse Practitioner Our Lady of The Lake Physician Group LLC 5428 Odonovan Dr B, Baton Rouge, LA 70808-4374

Office Location

Street Address 31985 LA HWY 16
SUITE B
City DENHAM SPRINGS
State LA
Zip 70726-1462

Physicians in the same location

Name Specialty Organization Address
Anthony L Vanduzee Physician Assistant Convenient Care LLC 31985 La Hwy 16, Denham Springs, LA 70726-1462
Elizabeth A Valure Physician Assistant Convenient Care LLC 31985 La Hwy 16, Denham Springs, LA 70726-1462
Joseph L Halphen Physician Assistant Convenient Care LLC 31985 La Hwy 16, Denham Springs, LA 70726-1462
Mary L Bennett Nurse Practitioner Our Lady of The Lake Physician Group LLC 31985 La Hwy 16, Suite B, Denham Springs, LA 70726-1462
Anthony L Gonzalez Physician Assistant Convenient Care LLC 31985 La Hwy 16, Denham Springs, LA 70726-1462
Michelle Clark Dyess Physician Assistant Convenient Care LLC 31985 La Hwy 16, Denham Springs, LA 70726-1462
Russell D Erwin Nurse Practitioner Convenient Care LLC 31985 La Hwy 16, Denham Springs, LA 70726-1462
Mitchell T Montelaro Family Medicine Convenient Care LLC 31985 La Hwy 16, Denham Springs, LA 70726-1462
Brett Martine Janis Nurse Practitioner Our Lady of The Lake Physician Group LLC 31985 La Hwy 16, Suite B, Denham Springs, LA 70726-1462

Physicians in the same zip code

Name Specialty Organization Address
Patrick D Walker Family Medicine Our Lady of The Lake Physician Group LLC 31995 La Hwy 16, Denham Springs, LA 70726-1456
Durwin D Walker Family Medicine Our Lady of The Lake Physician Group LLC 31995 La Hwy 16, Denham Springs, LA 70726-1456
David C Bourg Jr. Chiropractic 32350 La Hwy 16 C, Denham Springs, LA 70726-1463
Brandon B Wax Optometry 206 Petes Hwy, Denham Springs, LA 70726-3842
Jeffrey James Rippel Chiropractic 1680 Benton Ln, Denham Springs, LA 70726-4516
Ted P Kemp Internal Medicine 315 Veterans Blvd, Denham Springs, LA 70726-4722
Kevin Sorya Optometry Bond Wroten Eye Clinic 222 Veterans Blvd, Denham Springs, LA 70726-4724
Celeste Baker Dicarlo Optometry Cynthia W. Baker, O.d. A Prof Corp 1330 S Range Ave, Denham Springs, LA 70726-4810
Cynthia W Baker Optometry Cynthia W. Baker, O.d. A Prof Corp 1330 S Range Ave, Denham Springs, LA 70726-4810
Patricia E Scallan Otolaryngology 155 Del Orleans Ave, Denham Springs, LA 70726-4818
Find all physicians in zip 70726

Competitor

Search similar physicians

City DENHAM SPRINGS
Zip Code 70726
Specialty NURSE PRACTITIONER
City + Specialty DENHAM SPRINGS + NURSE PRACTITIONER

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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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