Matthew Prudhomme (NPI# 1750776613, PAC ID# 6305120569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1750776613 |
PAC ID by PECOS | 6305120569 |
Professional Enrollment ID | I20170307001873 |
Full Name | Matthew Prudhomme |
Organization Legal Name | EUNICE EMERGENCY GROUP LLC |
Address |
3501 Hwy 190 Eunice LA 70535-5129 |
Phone Number | 3375807500 |
Gender | M |
Medical School | WILLIAM CAREY UNIV COL OF OSTEOPATHIC MEDICINE, HATTIESBURG MS |
Graduation Year | 2010 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 3476507849 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190167 | MERCY REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3501 Hwy 190, Eunice, LA 70535-5129 | 3375807500 | EUNICE EMERGENCY GROUP LLC |
Organization Legal Name | EUNICE EMERGENCY GROUP LLC |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
Yamen Korab | Family Medicine | Eunice Emergency Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Dawn A Rosteet | Nurse Practitioner | Eunice Emergency Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Blake Mcdonald Jr. | Emergency Medicine | Eunice Emergency Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Brad A Boudreaux | Family Medicine | Eunice Emergency Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Justin M Pratt | Family Medicine | Eunice Emergency Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Kondilo D Skirlis-zavala | Emergency Medicine | Eunice Emergency Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Street Address |
3501 HWY 190 |
City | EUNICE |
State | LA |
Zip | 70535-5129 |
Name | Specialty | Organization | Address |
---|---|---|---|
Yamen Korab | Family Medicine | Eunice Emergency Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Robert K Guillory Jr. | Anesthesiology | Eunice Anesthesiology Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Monique M Ardoin | Certified Registered Nurse Anesthetist (crna) | Eunice Anesthesiology Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Dawn A Rosteet | Nurse Practitioner | Eunice Emergency Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Blake Mcdonald Jr. | Emergency Medicine | Eunice Emergency Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Brad A Boudreaux | Family Medicine | Eunice Emergency Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Rex A Brown | Certified Registered Nurse Anesthetist (crna) | Eunice Anesthesiology Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Justin M Pratt | Family Medicine | Eunice Emergency Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Richard Andrew Levy | Certified Registered Nurse Anesthetist (crna) | Eunice Anesthesiology Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Thomas J Fontenot | Certified Registered Nurse Anesthetist (crna) | Eunice Anesthesiology Group LLC | 3501 Hwy 190, Eunice, LA 70535-5129 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jason M Smith | Chiropractic | 200 N 2nd St, Eunice, LA 70535-1001 | |
Rebekah J Bordelon | Physician Assistant | Hulin Urgent Care Services LLC | 1970 W Laurel Ave, Southstar Urgent Care, Eunice, LA 70535-2933 |
Christopher Jacque Fruge | Chiropractic | 1498 Hwy 190, Eunice, LA 70535-2943 | |
Arlene C Chachere | Speech Language Pathologist | 241 W Laurel Ave, Eunice, LA 70535-3303 | |
Joseph K. Lejeune | Chiropractic | Lejeune Chiropractic Clinic Inc | 104 N 2nd St, Eunice, LA 70535-3336 |
Zebediah A Stearns | Family Medicine | 450 Moosa Blvd A, Eunice, LA 70535-3610 | |
Randall P Miller | Internal Medicine | 351 Moosa Blvd, Eunice, LA 70535-3625 | |
Jack D Miller | Optometry | 350 Moosa Blvd, Eunice, LA 70535-3626 | |
Michael W Driggs | Physical Therapy | Rehab Xcel of Eunice, LLC | 441 Moosa Blvd, Eunice, LA 70535-3627 |
Lee G Miller | Physical Therapy | Rehab Xcel of Eunice, LLC | 441 Moosa Blvd, Eunice, LA 70535-3627 |
Find all physicians in zip 70535 |
City | EUNICE |
Zip Code | 70535 |
Specialty | INTERNAL MEDICINE |
City + Specialty | EUNICE + INTERNAL MEDICINE |
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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.