Patrick D Walker (NPI# 1245441658, PAC ID# 6608907423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245441658 |
| PAC ID by PECOS | 6608907423 |
| Professional Enrollment ID | I20100623000281 |
| Full Name | Patrick D Walker |
| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Address |
31995 La Hwy 16 Denham Springs LA 70726-1456 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4587849781 |
| Number of Group Practice Members | 474 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7777 Hennessy Blvd, Baton Rouge, LA 70808-4363 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC | |
| 31995 La Hwy 16, Denham Springs, LA 70726-1456 | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Organization Legal Name | OUR LADY OF THE LAKE PHYSICIAN GROUP LLC |
| Physicians | 443 |
| 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 |
| Street Address |
31995 LA HWY 16 |
| City | DENHAM SPRINGS |
| State | LA |
| Zip | 70726-1456 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Durwin D Walker | Family Medicine | Our Lady of The Lake Physician Group LLC | 31995 La Hwy 16, Denham Springs, LA 70726-1456 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Vanduzee | Physician Assistant | Convenient Care LLC | 31985 La Hwy 16, Denham Springs, LA 70726-1462 |
| Nicholas Glen Maggio | Nurse Practitioner | Our Lady of The Lake Physician Group LLC | 31985 La Hwy 16, Suite B, 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 |
| Find all physicians in zip 70726 | |||
| City | DENHAM SPRINGS |
| Zip Code | 70726 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DENHAM SPRINGS + FAMILY 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.