Kenneth Ebersole (NPI# 1699746487, PAC ID# 7113821299) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699746487 |
| PAC ID by PECOS | 7113821299 |
| Professional Enrollment ID | I20031120000762 |
| Full Name | Kenneth Ebersole |
| Organization Legal Name | IMPERIAL HEALTH LLP |
| Address |
501 Doctor Michael Debakey Dr Lake Charles LA 70601-5724 |
| Phone Number | 3374338400 |
| Gender | M |
| Credential | NP |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719886779 |
| Number of Group Practice Members | 92 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190027 | CHRISTUS ST PATRICK HOSPITAL |
| 190201 | CHRISTUS LAKE AREA HOSPITAL |
| 190013 | WEST CALCASIEU CAMERON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 277n Hwy 171, Suite 8, Lake Charles, LA 70611-5374 | 3373120030 | IMPERIAL HEALTH LLP |
| 4150 Nelson Rd, A3, Lake Charles, LA 70605-4169 | 3374747290 | IMPERIAL HEALTH LLP |
| 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 | 3374338400 | IMPERIAL HEALTH LLP |
| Organization Legal Name | IMPERIAL HEALTH LLP |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Scott Fontenot | Family Medicine | Imperial Health LLP | 277n Hwy 171, Suite 8, Lake Charles, LA 70611-5374 |
| Darci Landry Portie | Nurse Practitioner | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| Brad W Lebert | Otolaryngology | Imperial Health LLP | 1920 W Sale Rd, Bldg F Suite 3 and 4, Lake Charles, LA 70605-2400 |
| Kara A Headington | Qualified Audiologist | Imperial Health LLP | 1615 Wolf Circle, Lake Charles, LA 70605-2348 |
| Benjamin Williams | Family Medicine | Imperial Health LLP | 771 Bayou Pines E Dr, Lake Charles, LA 70601-7183 |
| Rebecca Ellen Godare Stein | Nurse Practitioner | Imperial Health LLP | 600 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5727 |
| Craig G Morton | Physical Medicine and Rehabilitation | Imperial Health LLP | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 |
| Brooke C Kennedy | Nurse Practitioner | Imperial Health LLP | 4201 Nelson Rd, Suite 100, Lake Charles, LA 70605-4117 |
| Samantha Ann Rider | Registered Dietitian Or Nutrition Professional | Imperial Health LLP | 4150 Nelson Rd, A3, Lake Charles, LA 70605-4169 |
| George J Trappey Iv | Orthopedic Surgery | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| Street Address |
501 DOCTOR MICHAEL DEBAKEY DR |
| City | LAKE CHARLES |
| State | LA |
| Zip | 70601-5724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darci Landry Portie | Nurse Practitioner | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| George J Trappey Iv | Orthopedic Surgery | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| Melissa L Rasberry | Family Medicine | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| Noel C Hinton | Nurse Practitioner | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| John K Pourciau | Podiatry | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| Bridget Catherine Loehn | Otolaryngology | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| Aimee R. Mulhearn | Physician Assistant | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| Sandra E Dempsey | Endocrinology | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| Andrew Lee Foret | Hand Surgery | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| Ellendale Gabbert | Nurse Practitioner | Imperial Health LLP | 501 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5724 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nauman Qureshi | Internal Medicine | 333 Michael Debakey Dr, Suite 250, Lake Charles, LA 70601 | |
| Peter W Karam | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Amanda V Burnett | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Jennifer Taylor Graham | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Susan B Bourgeois Ieyoub | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Haley Angelle Landry | Nurse Practitioner | Lcms Pulmonary Associates of Southwest Louisiana | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Karie Joy Savoy | Nurse Practitioner | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Ronald M Lewis Jr. | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Brian D Clements | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Cristian Romero | Internal Medicine | Swlhs Inc. | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-0404 |
| Find all physicians in zip 70601 | |||
| City | LAKE CHARLES |
| Zip Code | 70601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAKE CHARLES + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kenneth Ebersole.
| 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.