Warren J Degatur Jr. (NPI# 1720047079, PAC ID# 5698856946) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720047079 |
| PAC ID by PECOS | 5698856946 |
| Professional Enrollment ID | I20080114000093 |
| Full Name | Warren J Degatur Jr. |
| Organization Legal Name | WARREN J. DEGATUR, JR. MD INC |
| Address |
206 Champagne Blvd Breaux Bridge LA 70517-3734 |
| Phone Number | 3373323500 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4385707108 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191302 | ST MARTIN HOSPITAL |
| 190002 | LAFAYETTE GENERAL MEDICAL CENTER |
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| 190259 | LAFAYETTE SURGICAL SPECIALTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 206 Champagne Blvd, Breaux Bridge, LA 70517-3734 | 3373323500 | WARREN J. DEGATUR, JR. MD INC |
| Organization Legal Name | WARREN J. DEGATUR, JR. MD INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin T Degatur | General Practice | Warren J. Degatur, Jr. Md Inc | 206 Champagne Blvd, Breaux Bridge, LA 70517-3734 |
| Street Address |
206 CHAMPAGNE BLVD |
| City | BREAUX BRIDGE |
| State | LA |
| Zip | 70517-3734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin T Degatur | General Practice | Warren J. Degatur, Jr. Md Inc | 206 Champagne Blvd, Breaux Bridge, LA 70517-3734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srinivasa Yerasi | Pediatric Medicine | Pediatric Group of Acadiana, LLC | 555 Lakes Blvd, Breaux Bridge, LA 70517-3240 |
| Garett P Thibodeaux | Optometry | 1525 E Bridge St, Breaux Bridge, LA 70517-3401 | |
| Jaime M Cordova | Internal Medicine | 1442 E Bridge St, Breaux Bridge, LA 70517-3406 | |
| Eric Elias | Obstetrics/gynecology | 1546 Gary Dr, Breaux Bridge, LA 70517-3447 | |
| Luris M Sanchez | Family Medicine | St Martin Hospital Inc | 1555 Gary Dr, Suite A, Breaux Bridge, LA 70517-3448 |
| Anthony I Blanchard | Podiatry | 1555 Gary Dr, Breaux Bridge, LA 70517-3448 | |
| Maria Del C Martinez | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Shane M Durkes | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Rajachendra S Tumma | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Ariadne A Gauthier | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Find all physicians in zip 70517 | |||
| City | BREAUX BRIDGE |
| Zip Code | 70517 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BREAUX BRIDGE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Warren J Degatur Jr..
| 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.