Michael W Carpenter (NPI# 1053312231, PAC ID# 6709839368) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1053312231 |
| PAC ID by PECOS | 6709839368 |
| Professional Enrollment ID | I20050224000027 |
| Full Name | Michael W Carpenter |
| Organization Legal Name | ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| Address |
606 W 11th Ave Northlake Surgical Associates At St Tammany Parish Covington LA 70433-3630 |
| Phone Number | 9858923766 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0749273761 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190045 | ST TAMMANY PARISH HOSPITAL |
| 190312 | OUR LADY OF THE ANGELS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 433 Plaza St, Bogalusa, LA 70427-3729 | 9857306706 | OUR LADY OF THE ANGELS HOSPITAL INC |
| 606 W 11th Ave, Northlake Surgical Associates At St Tammany Parish, Covington, LA 70433-3630 | 9858923766 | ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| Organization Legal Name | ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Elizabeth Lange | Nurse Practitioner | St Tammany Parish Hospital Service District No 1 | 80 Gardenia Dr B, Covington, LA 70433-9168 |
| Russell Joseph Reed | Interventional Cardiology | St Tammany Parish Hospital Service District No 1 | 1006 S Harrison St, Covington Cardiovascular Care At St Tammany Parish Hosp, Covington, LA 70433-3630 |
| Maria Dolores Roberts | Family Medicine | St Tammany Parish Hospital Service District No 1 | 1520 Hwy 22 W, Madisonville, LA 70447-9441 |
| Jennifer Thomas | Nurse Practitioner | St Tammany Parish Hospital Service District No 1 | 201 Saint Ann Dr B, Mandeville, LA 70471-3219 |
| Libeau J Berthelot | Family Medicine | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| Katie B Taranto | Internal Medicine | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| Smita S Patel | Family Medicine | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| John H Verhulst | General Surgery | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| Jessica Gonzalez | Internal Medicine | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| Rikki D Weems | Internal Medicine | St Tammany Parish Hospital Service District No 1 | 1202 S Tyler St, Covington, LA 70433-2330 |
| Street Address |
606 W 11TH AVE NORTHLAKE SURGICAL ASSOCIATES AT ST TAMMANY PARISH |
| City | COVINGTON |
| State | LA |
| Zip | 70433-3630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne K Thiel | Nurse Practitioner | St Tammany Parish Hospital Service District No 1 | 606 W 11th Ave, Northlake Surgical Associates At St Tammany Parish, Covington, LA 70433-3630 |
| Leslie Copeland Dominguez | Internal Medicine | St Tammany Parish Hospital Service District No 1 | 606 W 11th Ave, Northlake Surgical Associates At St Tammany Parish, Covington, LA 70433-3630 |
| Jacob B Daigle | General Surgery | St Tammany Parish Hospital Service District No 1 | 606 W 11th Ave, Northlake Surgical Associates At St Tammany Parish, Covington, LA 70433-3630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy Pechon | Clinical Social Worker | 5001 U S Hwy 190 D4, Covington, LA 70433 | |
| Richard B Drude | Gastroenterology | Richard B. Drude, Jr., M.d., Apmc | 69150 Hwy 190, Covington, LA 70433 |
| Bruce S Samuels | Internal Medicine | 189 Greenbriar Blvd, Suite C, Covington, LA 70433 | |
| Nicholas J Viviano | Dermatology | 7031 Hwy 190, Covington, LA 70433 | |
| Thomas W Nielsen Jr. | Clinical Social Worker | 5001 Hwy 190, Suite B 1, Covington, LA 70433 | |
| Glenn D Hedgpeth | Gastroenterology | Dr. Bruce S. Samuels, LLC | 189 Greenbriar Blvd, Covington, LA 70433 |
| Brian C Cochran | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
| Jonathan S Mitchell | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
| Charles Balette | Family Medicine | 1119 S Tyler St, Covington, LA 70433-2327 | |
| Roy C Saguiguit | Internal Medicine | 1113 S Tyler St, Covington, LA 70433-2327 | |
| Find all physicians in zip 70433 | |||
| City | COVINGTON |
| Zip Code | 70433 |
| Specialty | GENERAL SURGERY |
| City + Specialty | COVINGTON + GENERAL SURGERY |
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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.