Robert L Ebeling Jr. (NPI# 1679674758, PAC ID# 6709928104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
Nation Provider ID (NPI) | 1679674758 |
PAC ID by PECOS | 6709928104 |
Professional Enrollment ID | I20100830000723 |
Full Name | Robert L Ebeling Jr. |
Organization Legal Name | NORTHEAST LOUISIANA RADIATION ONCOLOGY |
Address |
411 Calypso St Monroe LA 71201-7551 |
Phone Number | 3189661900 |
Gender | M |
Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
Graduation Year | 1976 |
Primary Specialty | RADIATION ONCOLOGY |
Group Practice PAC ID | 4981746385 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190125 | ST FRANCIS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
411 Calypso St, Monroe, LA 71201-7551 | 3189661900 | NORTHEAST LOUISIANA RADIATION ONCOLOGY |
503 Mcmillan Rd, West Monroe, LA 71291-5327 | 3183284800 | NORTHEAST LOUISIANA RADIATION ONCOLOGY |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_MR_1 | Medication Reconciliation | 100% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 82% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 80% | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 1% |
Organization Legal Name | NORTHEAST LOUISIANA RADIATION ONCOLOGY |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ross E Bland | Radiation Oncology | Northeast Louisiana Radiation Oncology | 411 Calypso St, Monroe, LA 71201-7551 |
William D Zollinger Jr. | Radiation Oncology | Northeast Louisiana Radiation Oncology | 411 Calypso St, Monroe, LA 71201-7551 |
Street Address |
411 CALYPSO ST |
City | MONROE |
State | LA |
Zip | 71201-7551 |
Name | Specialty | Organization | Address |
---|---|---|---|
John D Bruchhaus | Pulmonary Disease | St Francis Medical Group LLC | 411 Calypso St, Suite 210, Monroe, LA 71201-7551 |
Clement Wade Fox | Pulmonary Disease | St Francis Medical Group LLC | 411 Calypso St, Suite 210, Monroe, LA 71201-7551 |
Amy S Pruden | Nurse Practitioner | St Francis Medical Group LLC | 411 Calypso St, Suite 210, Monroe, LA 71201-7551 |
Sandra Kay Browder | Nurse Practitioner | St Francis Medical Group LLC | 411 Calypso St, Suite 210, Monroe, LA 71201-7551 |
Debra M Barker | Nurse Practitioner | St Francis Medical Group LLC | 411 Calypso St, Suite 210, Monroe, LA 71201-7551 |
Clyde E Elliott | General Practice | St Francis Medical Group LLC | 411 Calypso St, Suite 210, Monroe, LA 71201-7551 |
Ronald C Hubbard Sr. | Internal Medicine | St Francis Medical Group LLC | 411 Calypso St, Suite 210, Monroe, LA 71201-7551 |
Ross E Bland | Radiation Oncology | Northeast Louisiana Radiation Oncology | 411 Calypso St, Monroe, LA 71201-7551 |
William B Moore | Nurse Practitioner | St Francis Medical Group LLC | 411 Calypso St, Suite 210, Monroe, LA 71201-7551 |
Bobby T Ensminger | Family Medicine | St Francis Medical Group LLC | 411 Calypso St, Suite 210, Monroe, LA 71201-7551 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Paula M Wallace | Physician Assistant | 212 Walnut, Suite 110, Monroe, LA 71201 | |
Angela C Hamby | Nurse Practitioner | 5000 Forsythe Byp, Suite 118, Monroe, LA 71201-2168 | |
Christopher Leblanc | Clinical Social Worker | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Suite 2, Monroe, LA 71201-2963 |
Jane Md Everist | Pediatric Medicine | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Monroe, LA 71201-2963 |
Warren A Daniel Jr. | Family Practice | Affinity Health Group, LLC | 2408 Broadmoor Blvd, Monroe, LA 71201-2963 |
Loretta P Gremillion | Dermatology | 2409 Broadmoor Blvd, Monroe, LA 71201-2964 | |
Aruna Gullapalli | Psychiatry | Aruna Gullapalli, Md Apmc | 2404 Duval Dr, Monroe, LA 71201-2986 |
Venkat N Mallepalli | Internal Medicine | 2408 Duval Dr, Suite 2, Monroe, LA 71201-2986 | |
Jorge E Alvernia- Silva | Neurosurgery | 2408 Duval Dr, Suite 2, Monroe, LA 71201-2986 | |
Kitty Jon Kervin | Nurse Practitioner | Aruna Gullapalli, Md Apmc | 2404 Duval Dr, Monroe, LA 71201-2986 |
Find all physicians in zip 71201 |
City | MONROE |
Zip Code | 71201 |
Specialty | RADIATION ONCOLOGY |
City + Specialty | MONROE + RADIATION ONCOLOGY |
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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.