Jared Y Gilmore Iii (NPI# 1083685770, PAC ID# 6002832839) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1083685770 |
| PAC ID by PECOS | 6002832839 |
| Professional Enrollment ID | I20051202000222 |
| Full Name | Jared Y Gilmore Iii |
| Organization Legal Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Address |
602 N Acadia Rd Ekg Dept Thibodaux Regional Heart and Vascular Surgery Clinic Thibodaux LA 70301-4847 |
| Phone Number | 9854494670 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1989 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 8224011754 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190004 | THIBODAUX REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 602 N Acadia Rd Ekg Dept, Thibodaux Regional Heart and Vascular Surgery Clinic, Thibodaux, LA 70301-4847 | 9854494670 | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| 604 N Acadia Rd, 409 Thibodaux Regional Heart and Vascular Surgery Clini, Thibodaux, LA 70301-4897 | 9854494670 | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Organization Legal Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Kesterson | Physician Assistant | Thibodaux Regional Network Development Corporation | 525 Saint Mary St, Thibodaux, LA 70301-2627 |
| Eric J Gravois | Family Medicine | Thibodaux Regional Network Development Corporation | 3928 Hwy 70 S, Thibodaux Regional Family Medicine Clinic, Pierre Part, LA 70339-4460 |
| Ashish Udhrain | Hematology/oncology | Thibodaux Regional Network Development Corporation | 608 N Acadia Rd, Thibodaux Regional Oncology Clinic, Thibodaux, LA 70301-4847 |
| Richard D Demoss | Pathology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Tatyana V Kalinicheva | Pathology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Gregory F Dobard | Diagnostic Radiology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux, LA 70301-4847 |
| Vicky L Vilcan | Certified Registered Nurse Anesthetist (crna) | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux, LA 70301-4847 |
| John B Imms | Internal Medicine | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Meggie E Doucet | Pathology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Nicole D Prosperie | Obstetrics/gynecology | Thibodaux Regional Network Development Corporation | 604 N Acadia Rd, 500 Thibodaux Regional Women's Clinic, Thibodaux, LA 70301-4743 |
| Street Address |
602 N ACADIA RD EKG DEPT THIBODAUX REGIONAL HEART AND VASCULAR SURGERY CLINIC |
| City | THIBODAUX |
| State | LA |
| Zip | 70301-4847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Kesterson | Physician Assistant | Thibodaux Regional Network Development Corporation | 525 Saint Mary St, Thibodaux, LA 70301-2627 |
| Lisa Mitchell | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| Jenaye M Deroche | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| David Mitchell | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| Jared S Thurston | Ophthalmology | 302 Ridgefield Rd, Thibodaux, LA 70301-2724 | |
| Charles L Seaman | Optometry | 907 Ridgefield Rd, Thibodaux, LA 70301-2843 | |
| Jeffrey Edward Aycock | Oral Surgery | Oral-facial Surgery Center Apc | 923 Ridgefield Rd, Thibodaux, LA 70301-2844 |
| Deidre A Boults | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Kryshonda Y Alleyne | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Melissa Lepine | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Find all physicians in zip 70301 | |||
| City | THIBODAUX |
| Zip Code | 70301 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | THIBODAUX + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Jared Y Gilmore Iii.
| 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.