Charles E Lavalle Iii (NPI# 1477537975, PAC ID# 8325005812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1477537975 |
| PAC ID by PECOS | 8325005812 |
| Professional Enrollment ID | I20041216000310 |
| Full Name | Charles E Lavalle Iii |
| Organization Legal Name | MISSOURI DELTA MEDICAL CENTER |
| Address |
1126 N Main St Sikeston MO 63801-5046 |
| Phone Number | 5734714312 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | INFECTIOUS DISEASE |
| Group Practice PAC ID | 1355252891 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260110 | SOUTHEASTHEALTH |
| 260183 | SAINT FRANCIS MEDICAL CENTER |
| 260113 | MISSOURI DELTA MEDICAL CENTER |
| 260105 | ST LOUIS UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 5733344822 | MEDICAL SPECIALISTS OF SOUTHEAST MISSOURI, PC |
| 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 5733320808 | CROSS TRAILS MEDICAL CENTER |
| 1126 N Main St, Sikeston, MO 63801-5046 | 5734714312 | MISSOURI DELTA MEDICAL CENTER |
| Organization Legal Name | MISSOURI DELTA MEDICAL CENTER |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret Rachel Coppage | Nurse Practitioner | Missouri Delta Medical Center | 1017 N Main St, Sikeston, MO 63801-5043 |
| Animesh Sahai | Urology | Missouri Delta Medical Center | 1106 N Main St, Sikeston, MO 63801-5046 |
| Margaret L Dicus | Nurse Practitioner | Missouri Delta Medical Center | 6468 State Hwy 77, Benton, MO 63736-8237 |
| Stephen Lillard | Pulmonary Disease | Missouri Delta Medical Center | 1019 N Main St, Sikeston, MO 63801-5043 |
| Muhannad F Al-kilani | Endocrinology | Missouri Delta Medical Center | 1118 N Main St, Sikeston, MO 63801-5046 |
| Sarah H Curry | Family Medicine | Missouri Delta Medical Center | 201 Plaza Dr A, Sikeston, MO 63801-5110 |
| Amy Folsom | Physician Assistant | Missouri Delta Medical Center | 135 Plaza Dr, Sikeston, MO 63801-5148 |
| Briana L Thompson | Nurse Practitioner | Missouri Delta Medical Center | 1008 N Main St, Sikeston, MO 63801-5044 |
| Charlotte Dewitt | Nurse Practitioner | Missouri Delta Medical Center | 135 Plaza Dr, Sikeston, MO 63801-5148 |
| George Katsantonis | Otolaryngology | Missouri Delta Medical Center | 1008 N Main St, Sikeston, MO 63801-5099 |
| Street Address |
1126 N MAIN ST |
| City | SIKESTON |
| State | MO |
| Zip | 63801-5046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis J Niequist | Chiropractic | 1126 N Main St, Algonquin, IL 60102-3482 | |
| Dan Arthur Niequist | Chiropractic | 1126 N Main St, Algonquin, IL 60102-3482 | |
| David R Niequist | Chiropractic | 1126 N Main St, Algonquin, IL 60102-3482 | |
| Michael Erdman | Chiropractic | 1126 N Main St, Manteca, CA 95336-3208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Blake A Borders | Nurse Practitioner | Managed Care Inc | 808 Hunter Ave, Suite 4, Sikeston, MO 63801-2253 |
| Melinda G Lambert | Nurse Practitioner | Managed Care Inc | 808 Hunter Ave, Suite 4, Sikeston, MO 63801-2253 |
| Kenneth W Rubenacker | Qualified Audiologist | 417 B S Kingshighway St, Area Hearing Services, Sikeston, MO 63801-2923 | |
| Leslie S Winchester | Chiropractic | Winchester Chiropractic and Wellness PC | 521 Greer Ave, Sikeston, MO 63801-3023 |
| Jack C Mills | Chiropractic | 1222 Linn St, Sikeston, MO 63801-3402 | |
| Brett E Taylor | Chiropractic | 1222 Linn St, Sikeston, MO 63801-3402 | |
| Danielle Elizabeth Jansen | Nurse Practitioner | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| Daniel G Domjan | Family Medicine | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| Rebecca Vanessa Young | Nurse Practitioner | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| William B Bradley | Nurse Practitioner | Southeast Missouri Health Network | 200 Southland Dr, Sikeston, MO 63801-4403 |
| Find all physicians in zip 63801 | |||
| City | SIKESTON |
| Zip Code | 63801 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | SIKESTON + INFECTIOUS DISEASE |
Please comment or provide details below to improve the information on Charles E Lavalle Iii.
| 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.