Jude Regis (NPI# 1669867974, PAC ID# 7810296035) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1669867974 |
| PAC ID by PECOS | 7810296035 |
| Professional Enrollment ID | I20181003000931 |
| Full Name | Jude Regis |
| Organization Legal Name | JEFFERSON DAVIS EMERGENCY GROUP LLC |
| Address |
1634 Elton Rd Jennings LA 70546-3614 |
| Phone Number | 3376167160 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2365496775 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030013 | YUMA REGIONAL MEDICAL CENTER |
| 030036 | CHANDLER REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1634 Elton Rd, Jennings, LA 70546-3614 | 3376167160 | JEFFERSON DAVIS EMERGENCY GROUP LLC |
| 2400 S Ave A, Yuma, AZ 85364-7127 | 9283442000 | SIERRA ESTRELLAS EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | JEFFERSON DAVIS EMERGENCY GROUP LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Le'shann Dugas | Emergency Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Harold W Bertrand | Nurse Practitioner | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Keith Davis Moffit | Emergency Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Melanie B White | Nurse Practitioner | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Timothy S Magann | Emergency Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Chantel Burns | Family Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Syed Shah | Internal Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Susan A Wilhelm | Nurse Practitioner | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Chakshu Gautam | Family Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Street Address |
1634 ELTON RD |
| City | JENNINGS |
| State | LA |
| Zip | 70546-3614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Le'shann Dugas | Emergency Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Harold W Bertrand | Nurse Practitioner | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| William K Caraway | Certified Registered Nurse Anesthetist (crna) | Jennings Anesthesia LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Brady R Drapekin | Family Medicine | Jefferson Davis Physician Services, LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Samer Bakhos | Family Medicine | Jefferson Davis Physician Services, LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Keith Davis Moffit | Emergency Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| William D Fontenot | Certified Registered Nurse Anesthetist (crna) | Jennings Anesthesia LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Melanie B White | Nurse Practitioner | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Timothy S Magann | Emergency Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Chantel Burns | Family Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerome F Gallien | Diagnostic Radiology | Aldes Rozas Md Inc | 1634 N Elton Rd, Jennings, LA 70546-3614 |
| Aldes J Rozas Iii | Diagnostic Radiology | Aldes Rozas Md Inc | 1634 N Elton Rd, Jennings, LA 70546-3614 |
| Syed Shah | Internal Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Michael D Marceaux | Certified Registered Nurse Anesthetist (crna) | Jennings Anesthesia LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Susan A Wilhelm | Nurse Practitioner | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Chakshu Gautam | Family Medicine | Jefferson Davis Emergency Group LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Noorali W Jiwani | Family Practice | 1634 Elton Rd, Jennings, LA 70546-3614 | |
| Bonnie L Wirfs | Internal Medicine | Jefferson Davis Physician Services, LLC | 1634 Elton Rd, Jennings, LA 70546-3614 |
| Robert L Hanks | Chiropractic | 1607 Johnson St, Jennings, LA 70546-3621 | |
| Shane B Fontenot | Optometry | Advanced Family Eyecare, LLC | 1702 Johnson St, Jennings, LA 70546-3624 |
| Find all physicians in zip 70546 | |||
| City | JENNINGS |
| Zip Code | 70546 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | JENNINGS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jude Regis.
| 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.