Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General ...
Transcript of Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General ...
Page 1 of 177Updated February 2015
Abbeville General Hospital
*Information not provided
Network Provider
Abrom Kaplan Hospital
Anesthesiologist
1302 Crowley Rayne Hwy
337-783-7482
Michaels, Arshavir , MD
Crowley, LA 70526
Network Provider
Emergency Medicine Provider
200 Corporate Blvd.
800-893-9698
Jones, Lois , MD
Lafayette, LA 70508
Network Provider
Pathologist
520 N Lewis St., Suite 204A
337-365-5944
Altman, Lisa , MD
New Iberia, LA 70560
Network Provider
Radiologist
PO Box 1288
866-546-6643
Lapidus, R , MD
Jennings, LA 70546
Network Provider
Acadia - St. Landry Hospital
Emergency Medicine Provider
1307 Crowley Rayne Hwy, Ste D
337-783-3159
Craighead, Claude , MD
Crowley, LA 70526
Non-Network Provider
1307 Crowley Rayne Hwy, Ste D
337-783-3159
Escribano, Rafael , MD
Crowley, LA 70526
Non-Network Provider
1307 Crowley Rayne Hwy, Ste D
337-783-3159
Johnson, Levie , MD
Crowley, LA 70526
Non-Network Provider
1307 Crowley Rayne Hwy, Ste D
337-783-3159
Kemmerly, Kenneth , MD
Crowley, LA 70526
Non-Network Provider
1307 Crowley Rayne Hwy, Ste D
337-783-3159
Lembo, Craig , MD
Crowley, LA 70526
Non-Network Provider
1307 Crowley Rayne Hwy, Ste D
337-783-3159
Palispis, Gloria , MD
Crowley, LA 70526
Non-Network Provider
1307 Crowley Rayne Hwy, Ste D
337-783-3159
Rice, Atwood , MD
Crowley, LA 70526
Non-Network Provider
1307 Crowley Rayne Hwy, Ste D
337-783-3159
Sweet, Selika , MD
Crowley, LA 70526
Non-Network Provider
1307 Crowley Rayne Hwy, Ste D
337-783-3159
Thomas, Vanessa , MD
Crowley, LA 70526
Non-Network Provider
1307 Crowley Rayne Hwy, Ste D
337-783-3159
Weissman, Robert , MD
Crowley, LA 70526
Non-Network Provider
Pathologist
1810 Bertrand Drive
337-233-1899
Altman, Lisa , MD
Lafayette, LA 70506
Network Provider
1810 Bertrand Drive
337-233-1899
Lastrapes, Deborah , MD
Lafayette, LA 70506
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 2 of 177Updated February 2015
1810 Bertrand Drive
337-233-1899
Montes, Carolina , MD
Lafayette, LA 70506
Network Provider
1307 Crowley Rayne Hwy, Ste D
337-783-3159
Padgett, Ronald , MD
Crowley, LA 70526
Non-Network Provider
1810 Bertrand Drive
337-233-1899
Redlich, Gillian , MD
Lafayette, LA 70506
Network Provider
1810 Bertrand Drive
337-233-1899
Simpson, Karen , MD
Lafayette, LA 70506
Network Provider
Radiologist
810 South Broadway Street.
337-684-4297
Church Point, LA 70525
601 Front St., Ste 400
208-676-8321
Arias, John , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Barnes, Patricia , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Bell, Troy , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Boaz, Travis , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Braunstein, Rachel , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Bub, Lawrence , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Burdette, David , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Cavin, Lillian , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Cooney, Michael , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Dann, Phoebe , MD
Coeur d Alene, ID 83814
Non-Network Provider
1305 Crowley-Rayne Hwy.
337-261-5151
Darr, Pamela , MD
Crowley, LA 70526
Network Provider
601 Front St., Ste 400
208-676-8321
Eckard, Valerie , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Fakier, David , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Fiorito, Thomas , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Gutstein, Laurie , MD
Coeur d Alene, ID 83814
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 3 of 177Updated February 2015
601 Front St., Ste 400
208-676-8321
Jednacz, Jeffrey , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Kahn, Sarah , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Kassarijian, Ara , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Klisch, Gregory , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Kottler, Nina , MD
Coeur d Alene, ID 83814
Non-Network Provider
1305 Crowley-Rayne Hwy.
337-261-5151
Lastrapes, Leon , MD
Crowley, LA 70526
Network Provider
601 Front St., Ste 400
208-676-8321
McKernan, Margaret , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Miller, Kimberly , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Modahl, Lucy , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Parkey, Joe , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Petrovich, Linda , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Recine, Carl , MD
Coeur d Alene, ID 83814
Non-Network Provider
1305 Crowley-Rayne Hwy.
337-261-5151
Reina, RoRisa , MD
Crowley, LA 70526
Network Provider
601 Front St., Ste 400
208-676-8321
Sami, Faisal , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Sanders, Lawrence , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Swope, Stephanie , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Thickman, David , MD
Coeur d Alene, ID 83814
Non-Network Provider
1305 Crowley-Rayne Hwy.
337-261-5151
Trahan, Robert , MD
Crowley, LA 70526
Network Provider
601 Front St., Ste 400
208-676-8321
Vreeland, Thomas , MD
Coeur d Alene, ID 83814
Non-Network Provider
601 Front St., Ste 400
208-676-8321
Wittram, Conrad , MD
Coeur d Alene, ID 83814
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 4 of 177Updated February 2015
Acadia Rehabilitation Hospital dba
Rehabilitation Hospital of Jennings
Anesthesiologist
1634 Elton Rd.
337-616-1750
Caraway, William K, CRNA
Jennings, LA 70546
Non-Network Provider
1634 Elton Rd.
337-616-1750
Fontenot, William D, CRNA
Jennings, LA 70546
Non-Network Provider
1634 Elton Rd.
337-616-1750
Marceaus, Michael D, CRNA
Jennings, LA 70546
Non-Network Provider
Emergency Medicine Provider
PO Box 400
866-285-0910
Jefferson Davis Emergency Group
San Antonio, TX 78292
Non-Network Provider
Pathologist
830 Bayou Pines West
337-436-9557
The Pathology Laboratory
Lake Charles, LA 70601
Non-Network Provider
Radiologist
Gallien, Jerome F., MD
Network Provider
Rozas, III, Aldes J., MD
Network Provider
PO Box 1128
337-824-4403
Schumacher, Robert C., MD
Jennings, LA 70546
Network Provider
Acadian Medical Center
Emergency Medicine Provider
Eunice Emergency Group, LLC
Network Provider
Acadiana Endoscopy Center
*Information not provided
Advanced Surgical Concepts
Anesthesiologist
9118 Bluebonnet Centre Blvd
225-368-2330
Advanced Management Services
Baton Rouge, LA 70809
Non-Network Provider
Allen Parish Hospital
*Information not provided
Ambulatory Eye Surgery Center of
Louisiana
*Information not provided
American Legion Hospital
Anesthesiologist
1305 Crowley Rayne Hwy.
337-783-3222
Bushnell, Serman J., CRNA
Crowley, LA 70526
Network Provider
1305 Crowley Rayne Hwy.
337-783-3222
Cart, James R., CRNA
Crowley, LA 70526
Network Provider
1305 Crowley Rayne Hwy.
337-783-3222
Lafleur, Jay , CRNA
Crowley, LA 70526
Network Provider
1305 Crowley Rayne Hwy.
337-783-3222
Lantz, Brayson T., CRNA
Crowley, LA 70526
Network Provider
1305 Crowley Rayne Hwy.
337-788-6475
Michael, Arshavir , MD
Crowley, LA 70526
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 5 of 177Updated February 2015
1305 Crowley Rayne Hwy.
337-788-6405
Michael, Arshavir , MD
Crowley, LA 70526
Network Provider
1305 Crowley Rayne Hwy.
337-783-3222
Ryan, Jacob , CRNA
Crowley, LA 70526
Network Provider
Emergency Medicine Provider
P.O. Box 82368
800-893-9698
Acadia Emergency Services
Lafayette, LA 70598
Non-Network Provider
Pathologist
1307 Crowley Rayne Hwy, Ste D
337-783-3159
Padgett, Ronald , MD
Crowley, LA 70526
Network Provider
Radiologist
P.O. Box 52069
337-261-5151
Opelousas Radiology
Lafayette, LA 70505
Network Provider
ARKLAMISS Surgery Center, LLC
*Information not provided
Avoyelles Hospital
Emergency Medicine Provider
Avoyelles Emergency Group, LLC
Network Provider
Baton Rouge General Medical Center
Anesthesiologist
3510 North Causeway Blvd, Ste 404
504-433-8120
Parish Anesthesia
Metairie, LA 70002
Network Provider
Emergency Medicine Provider
200 Corporate Blvd, Ste 201
337-593-5500
Red Stick Emergency Group, LLC
Lafayette, LA 70508
Network Provider
Neonatologist
3001 E. President George Bush Hwy.
972-437-5196
Pediatrix Medical Group
Richardson, TX 75082
Non-Network Provider
Pathologist
5339 O'Donovan Drive
225-766-4999
Boudreaux, David A., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Cavalier, Deborah S., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Cooper, Shannon , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Eichelberger, Tonya J., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Graham, Richard R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Harton, Anthony , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Jastram-Belcher, Jennifer , MD
Baton Rouge, LA 70808
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 6 of 177Updated February 2015
5339 O'Donovan Drive
225-766-4999
Kascick, Robert L., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Mason, Stephen E., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Ogden, Beverly , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Polk, Peggy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Rauch, Tracy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Simmons, John R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Stromeyer, Wayne , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Webb, Brian W., MD
Baton Rouge, LA 70808
Non-Network Provider
Radiologist
7887 Picardy Ave.
225-769-9337
Baton Rouge Radiology Group, Inc.
Baton Rouge, LA 70809
Network Provider
Baton Rouge LA Endoscopy Center
*Information not provided
Bayou Region Surgical Center
Anesthesiologist
315 Liberty Street
985-223-3132
Anesthesia Associates of Louisiana, APMC
Houma, LA 70361
Non-Network Provider
Other
602 North Acadia Rd.
985-493-4747
Thibodaux Regional Medical Center
Thibodaux, LA 70301
Network Provider
Pathologist
P.O. Box 1178
985-446-1200
ProPath Associates, LLC
Thibodaux, LA 70302
Non-Network Provider
Radiologist
P.O. Box 5478
985-447-5500
Thibodaux Regional Network Development-
Radiology
Thibodaux, LA 70302
Network Provider
Beauregard Memorial Hospital
Emergency Medicine Provider
600 South Pine Street
337-462-7100
Beauregard Emergency Group, LLC
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Agendia, Jude , MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Chukwudi, Uchendu , MD
DeRidder, LA 70634
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 7 of 177Updated February 2015
600 South Pine Street
337-462-7100
Davenport, III, Pearre J., MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Dinkins, Richard S., MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Dobbins, Thomas E., MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Kight, John , NP
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Lujan, Celeste A., MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
McMillan, John E., MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Murphy, Tracee L., NP
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Noya, Anthony D., MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Oglesby, James E., MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Prince, Maurice L., MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Renee, Rhoda J., MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Sadeghi, Seyed , MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Thomas, Matthew S., DO
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Wade, James S., MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Wilhelm, Susan , NP
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Wiliam, Reda , MD
DeRidder, LA 70634
Network Provider
600 South Pine Street
337-462-7100
Wright, Jessica L., MD
DeRidder, LA 70634
Network Provider
Pathologist
830 W. Bayou Pines Drive
337-312-1270
The Pathology Laboratory
Lake Charles, LA 70601
Non-Network Provider
Radiologist
747 Plaza Blvd, Ste 100
877-650-8777
MidSouth Radiology Partners
Coppell, TX 75019
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 8 of 177Updated February 2015
747 Plaza Blvd, Ste 100
877-650-8777
US Radiology Partners
Coppell, TX 75019
Network Provider
Beauregard Memorial Hospital -
Hospitalist
Other
Beauregard Physician Services, LLC
Bienville Medical Center
Other
531 S. Spring Street
800-343-4407
Lab Corp
Burlington, NC 27215
Network Provider
145 Technology Parkway
800-780-3500
Medical Doctor Associates
Norcross, GA 30092
Non-Network Provider
122 Carlyle Avenue
618-277-5974
Genesis Emergency Medical Services
Belleville, IL 62220
Non-Network Provider
2517 Lees Path
318-263-4700
Grayson, Patrick , MD
Sevierville, TN 37876
Non-Network Provider
5445 Provine Place, Apt 802
931-224-8000
Stirnemann, Jeffrey A., MD
Alexandria, LA 71303
Non-Network Provider
Radiologist
201 W. Vermilion, Suite 200
337-704-0415
Precision Radiology Management of LA, LLC
Lafayette, LA 70501
Network Provider
1240 Richardson Road
318-728-9988
Brown Folse
Calhoun, LA 71225
Network Provider
Brass Surgery Center
Anesthesiologist
5253 Dijon Drive, Ste A
225-768-1611
Lott Sheffield Anesthesia
Baton Rouge, LA 70808
Network Provider
5319 Didesse Drive, Ste A
225-766-8680
Ostrowe, Alan , MD
Baton Rouge, LA 70808
Network Provider
19818 Creek Round
225-955-3786
Sharpless, James , MD
Baton Rouge, LA 70817
Network Provider
Pathologist
5339 O'Donovan Drive
225-766-4999
Louisiana Pathology Group
Baton Rouge, LA 70808
Non-Network Provider
Bunkie General Hospital
Emergency Medicine Provider
17304 Preston Road, Suite 555
866-931-8882
Emergency Staffing Solutions, inc
Dallas, TX 75252
Non-Network Provider
427 Evergreen Street
318-346-6681
Bryce, Ronald ,
Bunkie, LA 71322
Non-Network Provider
427 Evergreen Street
318-346-6681
Lavergene, Blaine ,
Bunkie, LA 71322
Non-Network Provider
427 Evergreen Street
318-346-6681
Odudu, Issac ,
Bunkie, LA 71322
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 9 of 177Updated February 2015
427 Evergreen Street
318-346-6681
Premswarup, Immaraju ,
Bunkie, LA 71322
Non-Network Provider
427 Evergreen Street
318-346-6681
Srivastava, Mohit ,
Bunkie, LA 71322
Non-Network Provider
427 Evergreen Street
318-346-6681
Tapia, Jorge ,
Bunkie, LA 71322
Non-Network Provider
427 Evergreen Street
318-346-6681
Wood, Edmond E.,
Bunkie, LA 71322
Non-Network Provider
Pathologist
1268 Attakapas Drive, Suite 102
337-948-8663
Altmann, Lisa ,
Opelousas, LA 70570
Network Provider
1268 Attakapas Drive, Suite 102
337-948-8663
Lalonde, Chrissy ,
Opelousas, LA 70570
Non-Network Provider
1268 Attakapas Drive, Suite 102
337-948-8663
Lastrapes, Deborah ,
Opelousas, LA
Non-Network Provider
1268 Attakapas Drive, Suite 102
337-948-8663
Padgett, Ronald ,
Opelousas, LA
Network Provider
1268 Attakapas Drive, Suite 102
337-948-8663
Rediich, Gillian ,
Opelousas, LA
Non-Network Provider
1268 Attakapas Drive, Suite 102
337-948-8663
Simpson, Karen ,
Opelousas, LA
Non-Network Provider
Radiologist
11995 Singletree Lane
952-595-1323
Virtual Radiologic Corporation
Eden Prairie, MN 55344
Network Provider
2451 Fillingim Street, Mastin 315
251-471-7868
Billeaud, Paul R.,
Mobile, AL 36617
Non-Network Provider
711 N Ave K
337-261-5151
Darr, Pamela ,
Crowley, LA 70526
Network Provider
6013 W. Risverside Drive
952-595-1100
Gutstein, Laurie L.,
Fort Myers, FL
Non-Network Provider
800 E. Main Street
337-363-9485
Higgins, John P.,
Ville Platte, LA 70586
Network Provider
611 Saint Landry Street
337-289-2180
Hoppe, Blaine H.,
Lafayette, LA 70506
Network Provider
801 Poinciana Ave
337-261-5151
Lafleur, Dianne E.,
Mamou, LA 70554
Network Provider
611 Saint Landry Street
337-289-2180
Mclemore, II, Henry E.,
Lafayette, LA 70506
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 10 of 177Updated February 2015
601 Front Ave, Suite 502
208-415-0595
Ramirez, Jorge A.,
Coeur D Alene, ID 83814
Non-Network Provider
800 E. Main Street
337-363-9485
Reed, Jr., Joseph R.,
Ville Platte, LA 70586
Non-Network Provider
Byrd Regional Hospital
Anesthesiologist
1020 W Fertitta Blvd
337-239-5133
Hurlston, Glen D., MD
Leesville, LA 71446
Network Provider
Emergency Medicine Provider
1020 W Fertitta Blvd
337-239-5119
Byrd Emergency Group
Leesville, LA 71446
Network Provider
Pathologist
1020 W Fertitta Blvd
337-239-5386
Molani, Muhammad A., MD
Leesville, LA 71446
Non-Network Provider
Radiologist
1020 W Fertitta Blvd
337-239-5148
Caldwell, Charles M., MD
Leesville, LA 71446
Network Provider
2330 Masonic Drive
318-473-6249
Rankin, Joe H., MD
Alexandria, LA 71301
Non-Network Provider
Caldwell Memorial Hospital
*Information not provided
Centeral Louisiana Ambulatory Surgery
*Information not provided
Children's Hospital
Anesthesiologist
200 Henry Clay Avenue
504-896-9456
Black, Brandon , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9806
Dumas-Guntner, Lorena , MD
New Orleans, LA 70118
Non-Network Provider
200 Henry Clay Avenue
504-896-9456
Heaton, John , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9456
Koclanes, George , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9456
Sawatsky, Sheryl , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9456
Shenk, Louis , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9456
Smith, Donald , MD
New Orleans, LA 70118
Network Provider
Emergency Medicine Provider
200 Henry Clay Avenue
504-896-9474
Abdul-Razak, Basima , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Aita-Levy, Jerussa , MD
New Orleans, LA 70118
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 11 of 177Updated February 2015
200 Henry Clay Avenue
504-896-9474
Ananth, Mamatha , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Baker, Albert , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Bardugon, John , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Begue, Carmen , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Bevrotte, Louis , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Bissant, Frank , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Borrero-Mejias, Clarimar , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Bridges, Sonseeahray , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Carbon, Mark , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Centanni, Eva B., MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Crapanzano, Cham , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Deleon, Joanne , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
DeSchutter, Mathieu , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Dhume, Pooja , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Figueroa, Annette , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Gastanaduy, Arturo , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Hebert, Druby , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Juarez, Marlene , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Kumar, Radhamani , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Love, John , MD
New Orleans, LA 70118
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 12 of 177Updated February 2015
200 Henry Clay Avenue
504-896-9474
Mangat, Raghubir , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Mauro-Small, Melissa , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
McCaslin, Lucinda , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Miller, Amy , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Morgan, Claire , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Mouallem, Raja , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Roy, Melissa , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Schweizer, Julia , MD
New Orleans, LA 70118
Non-Network Provider
200 Henry Clay Avenue
504-896-9474
Shah, Neel , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Sterne, George , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Sulton-Villavasso, Carmen , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Thompson, Aaron , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Treme, Maria , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Walker, Brandi , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Wall, Luke A., MD
New Orleans, LA 70118
Non-Network Provider
200 Henry Clay Avenue
504-896-9474
Wilder, Marina , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9474
Zlatkiss, Ian , MD
New Orleans, LA 70118
Network Provider
Neonatologist
200 Henry Clay Avenue
504-896-9418
Albrecht, Dianne , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Barkemeyer, Brian , MD
New Orleans, LA 70118
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 13 of 177Updated February 2015
200 Henry Clay Avenue
504-896-9418
Bautista, Maria , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Buis, Minnie , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Gershanki, Juan , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Gill, William , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Olister, Staci , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Penn, Duna , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Rivera, Dana , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Schuth, Claudia , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Seago, Neva , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Thelin, Oliver , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Yazdani-Kachouei, Malektaj , MD
New Orleans, LA 70118
Network Provider
Pathologist
200 Henry Clay Avenue
504-896-9816
Barbeau, James , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9873
Carson, Thomas , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9873
Craver, Randall , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9873
Dewenter, Tracy , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9873
Lipscomb, Gary , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9873
Lipscomb, Jane , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9873
McGoey, Robin , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Surcouf, Jeffrey W., MD
New Orleans, LA 70118
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 14 of 177Updated February 2015
200 Henry Clay Avenue
504-896-9873
Troxclair, Dana , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9873
Vander Heide, Richard , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9873
Zieske, Art , MD
New Orleans, LA 70118
Network Provider
Radiologist
200 Henry Clay Avenue
504-896-9565
Arcement, Christopher , MD
New Orleans, LA 70118
Non-Network Provider
200 Henry Clay Avenue
504-896-9565
Congeni, Jane , MD
New Orleans, LA 70118
Non-Network Provider
200 Henry Clay Avenue
504-896-9565
Haymon , Marie-Louise , MD
New Orleans, LA 70118
Non-Network Provider
200 Henry Clay Avenue
504-896-9565
Ward, Kenneth , MD
New Orleans, LA 70118
Non-Network Provider
Christus Cabrini Surgery Center
Anesthesiologist
1444 Peterman Drive
318-442-5399
Mid Louisiana Anesthesia Consultants
Alexandria, LA 71301
Network Provider
Pathologist
P.O. Box 12116
318-443-0941
Alexandria Pathology Lab
Alexandria, LA 71315
Network Provider
Radiologist
3704 North Blvd, Ste 1
318-442-8399
Central Louisiana Imaging, Inc.
Alexandria, LA 71307
Network Provider
Christus Coushatta Health Care Center
Emergency Medicine Provider
1635 Marvel Street
318-932-2199
ST JOHN EMERGENCY
Coushatta, LA 71019
Non-Network Provider
1635 Marvel Street
318-932-2199
Ataei, Homayoun , MD
Coushatta, LA 71019
Non-Network Provider
1635 Marvel Street
318-932-2199
Carter, Martin , MD
Coushatta, LA 71019
Non-Network Provider
1635 Marvel Street
318-932-2199
Chico, Gavin , MD
Coushatta, LA 71019
Non-Network Provider
1635 Marvel Street
318-932-2199
Freeborn, Isaac , MD
Coushatta, LA 71019
Non-Network Provider
1635 Marvel Street
318-932-2199
Jones, Kenneth , MD
Coushatta, LA 71019
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 15 of 177Updated February 2015
1635 Marvel Street
318-932-2199
Mosquera, Luis , MD
Coushatta, LA 71019
Non-Network Provider
1635 Marvel Street
318-932-2199
Neel, James , MD
Coushatta, LA 71019
Non-Network Provider
1635 Marvel Street
318-932-2199
Tanita, Jeffery , MD
Coushatta, LA 71019
Non-Network Provider
1635 Marvel Street
318-932-2199
Wise, William , MD
Coushatta, LA 71019
Non-Network Provider
Christus Schumpert Highland Hospital
Anesthesiologist
401 Market Street, Ste 980
800-233-7224
Crosby, John , MD
Shreveport, LA 71101
Non-Network Provider
401 Market Street, Ste 980
800-233-7224
Daniel, Lynnell , MD
Shreveport, LA 71101
Non-Network Provider
401 Market Street, Ste 980
800-233-7224
Deas, David , MD
Shreveport, LA 71101
Non-Network Provider
401 Market Street, Ste 980
800-233-7224
Elliot, Lee , MD
Shreveport, LA 71101
Non-Network Provider
401 Market Street, Ste 980
800-233-7224
Gill, Gary , MD
Shreveport, LA 71101
Non-Network Provider
401 Market Street, Ste 980
800-233-7224
Kistler, Ernest , MD
Shreveport, LA 71101
Non-Network Provider
401 Market Street, Ste 980
800-233-7224
Noles, Franklin , MD
Shreveport, LA 71101
Non-Network Provider
401 Market Street, Ste 980
800-233-7224
Norton, Paul , MD
Shreveport, LA 71101
Non-Network Provider
401 Market Street, Ste 980
800-233-7224
Rama, Rathmony , MD
Shreveport, LA 71101
Non-Network Provider
401 Market Street, Ste 980
800-233-7224
Robertson, Robert , MD
Shreveport, LA 71101
Non-Network Provider
401 Market Street, Ste 980
800-233-7224
Williams, James , MD
Shreveport, LA 71101
Non-Network Provider
Emergency Medicine Provider
653 Town Center Drive, Ste 408
702-395-5945
Anumukonda, Susmitha , MD
Las Vegas, NV 89144
Network Provider
653 Town Center Drive, Ste 408
702-395-5945
Bash, Dennis , MD
Las Vegas, NV 89144
Network Provider
1000 River Road, Ste 100
610-834-2828
Bounds, Walter , MD
Conshohocken, PA 19428
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 16 of 177Updated February 2015
1000 River Road, Ste 100
610-834-2828
Brister, Authur , MD
Conshohocken, PA 19428
Network Provider
1000 River Road, Ste 100
610-834-2828
Byme, Gregory , MD
Conshohocken, PA 19428
Network Provider
1000 River Road, Ste 100
610-834-2828
Caskey, Thomas , MD
Conshohocken, PA 19428
Network Provider
1000 River Road, Ste 100
610-834-2828
Colter, James , MD
Conshohocken, PA 19428
Network Provider
1000 River Road, Ste 100
610-834-2828
Davis, Randall , MD
Conshohocken, PA 19428
Network Provider
653 Town Center Drive, Ste 408
702-395-5945
De Ocampo-Schilling, Anna , MD
Las Vegas, NV 89144
Network Provider
653 Town Center Drive, Ste 408
702-395-5945
Edelman, Samuel , MD
Las Vegas, NV 89144
Network Provider
653 Town Center Drive, Ste 408
702-395-5945
Finch, Sudhir , MD
Las Vegas, NV 89144
Network Provider
653 Town Center Drive, Ste 408
702-395-5945
Fletcher, Deborah , MD
Las Vegas, NV 89144
Network Provider
1000 River Road, Ste 100
610-834-2828
Huston, Kevin , MD
Conshohocken, PA 19428
Network Provider
1000 River Road, Ste 100
610-834-2828
Jacobson, Richard , MD
Conshohocken, PA 19428
Network Provider
1000 River Road, Ste 100
610-834-2828
Lenert, Carmell , MD
Conshohocken, PA 19428
Network Provider
1000 River Road, Ste 100
610-834-2828
McLean, John , MD
Conshohocken, PA 19428
Network Provider
1000 River Road, Ste 100
610-834-2828
Miller, Kenneth , MD
Conshohocken, PA 19428
Network Provider
1000 River Road, Ste 100
610-834-2828
Netterville, J. , MD
Conshohocken, PA 19428
Network Provider
8614 Glen Haven Drive
318-868-5956
Parikh, Nikunji , MD
Shreveport, LA 71106
Network Provider
1000 River Road, Ste 100
610-834-2828
Raney, Jerel , MD
Conshohocken, PA 19428
Network Provider
653 Town Center Drive, Ste 408
702-395-5945
Ritchey, Christopher , MD
Las Vegas, NV 89144
Network Provider
653 Town Center Drive, Ste 408
702-395-5945
Rodriguez, Brett , MD
Las Vegas, NV 89144
Network Provider
653 Town Center Drive, Ste 408
702-395-5945
Samper, Edward , MD
Las Vegas, NV 89144
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 17 of 177Updated February 2015
1000 River Road, Ste 100
610-834-2828
Schaan, Jared , MD
Conshohocken, PA 19428
Network Provider
653 Town Center Drive, Ste 408
702-395-5945
Smith, Ronald , MD
Las Vegas, NV 89144
Network Provider
653 Town Center Drive, Ste 408
702-395-5945
Smoot, Michelle , MD
Las Vegas, NV 89144
Network Provider
1000 River Road, Ste 100
610-834-2828
Soud, John , MD
Conshohocken, PA 19428
Network Provider
653 Town Center Drive, Ste 408
702-395-5945
Strain, Keith , MD
Las Vegas, NV 89144
Network Provider
653 Town Center Drive, Ste 408
702-395-5945
Ulich, Michael , MD
Las Vegas, NV 89144
Network Provider
Neonatologist
One St. Mary Place
318-681-6653
Elrod, Julia , MD
Shreveport, LA 71101
Non-Network Provider
One St. Mary Place
318-681-6653
Petit, Loreen , MD
Shreveport, LA 71101
Non-Network Provider
One St. Mary Place
318-681-6653
Sibley, Sara , MD
Shreveport, LA 71101
Non-Network Provider
Pathologist
Dept of Pathology,1501 Kings Highway
318-675-5860
Abreo, Fleurette , MD
Shreveport, LA 71130
Network Provider
2915 Missouri Place
318-621-8820
Ball, William , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Place
318-621-8820
Bearden, Carrie , MD
Shreveport, LA 71109
Network Provider
Dept of Pathology,1501 Kings Highway
318-675-5860
Cotelingam, James , MD
Shreveport, LA 71130
Network Provider
Dept of Pathology,1501 Kings Highway
318-675-5860
Fowler, Marjorie , MD
Shreveport, LA 71130
Network Provider
Dept of Pathology,1501 Kings Highway
318-675-5860
Gonzalez, Enrique , MD
Shreveport, LA 71130
Network Provider
Dept of Pathology,1501 Kings Highway
318-675-5860
Gu, Xin , MD
Shreveport, LA 71130
Network Provider
2915 Missouri Place
318-621-8820
Harrison, George , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Place
318-621-8820
Heard, Joseph , MD
Shreveport, LA 71109
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 18 of 177Updated February 2015
2915 Missouri Place
318-621-8820
Khare, Vivek , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Place
318-621-8820
Lee, Anthony , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Place
318-621-8820
McLaren, Bernadette , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Place
318-621-8820
Sardenga, Louis , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Place
318-621-8820
Siskron, Thomas , MD
Shreveport, LA 71109
Network Provider
Dept of Pathology,1501 Kings Highway
318-675-5860
Veillon, Susan , MD
Shreveport, LA 71130
Network Provider
2915 Missouri Place
318-621-8820
Wellman, Gregory , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Place
318-621-8820
Wemer, David , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Place
318-621-8820
Wesche, William , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Place
318-621-8820
Williams, Bruce , MD
Shreveport, LA 71109
Network Provider
Radiologist
1800 Buckner Square, B100
318-222-1149
Campbell, Jason , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, B100
318-222-1149
Gallmann, William , MD
Shreveport, LA 71101
Network Provider
P.O. Box 3509
318-747-7370
Grozinger, Kurt , MD
Shreveport, LA 71133
Network Provider
1800 Buckner Square, B100
318-222-1149
Hebert, John , MD
Shreveport, LA 71101
Network Provider
2880 Covington Circle
318-212-3550
Homza, Wayne , MD
Shreveport, LA 71106
Network Provider
1800 Buckner Square, B100
318-222-1149
Kong, Lipu , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, B100
318-222-1149
Kraemer, Mark , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, B100
318-222-1149
Leopard, Patrick , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, B100
318-222-1149
Mastrodomenico, Leonard , MD
Shreveport, LA 71101
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 19 of 177Updated February 2015
1800 Buckner Square, B100
318-222-1149
Milner, Joseph , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, B100
318-222-1149
Patterson, Eugene , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, B100
318-222-1149
Peavy, Patrick , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, B100
318-222-1149
Sarcar, Manash , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, B100
318-222-1149
Wagner, Gudrun , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, B100
318-222-1149
Wagner, Diane , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, B100
318-222-1149
White, Kelly , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, B100
318-222-1149
Wilder, W. , MD
Shreveport, LA 71101
Network Provider
Christus St. Francis Cabrini Hospital
Anesthesiologist
P.O. Box 5887
318-442-5399
Bayonne, Harold J., MD
Alexandria, LA 71307
Network Provider
211 Fourth Street
318-448-4440
Courtney, Timothy , MD
Alexandria, LA 71301
Network Provider
212 Pecan Park Avenue
318-473-9267
Firmin, Melanie C., MD
Alexandria, LA 71301
Network Provider
211 Fourth Street
318-448-4440
Futrell, III, Leo E., MD
Alexandria, LA 71301
Network Provider
3311 Prescott Road
Katz, Stephen P., MD
Alexandria, LA 71301
Network Provider
P.O. Box 5887
318-442-5399
Lemaire, Mark D., MD
Alexandria, LA 71307
Network Provider
1444 Peterman Drive
318-442-5399
Letsinger, Darrin B., MD
Alexandria, LA 71301
Network Provider
1444 Peterman Drive
318-442-5399
Patton, Jr., Joseph G., MD
Alexandria, LA 71301
Network Provider
1444 Peterman Drive
318-442-5399
Peterman, Taten H., MD
Alexandria, LA 71301
Network Provider
P.O. Box 5887
318-442-5399
Rapp, Jeffrey T., MD
Alexandria, LA 71307
Network Provider
P.O. Box 5887
318-442-5399
Robichaux, Francis X., MD
Alexandria, LA 71307
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 20 of 177Updated February 2015
P.O. Box 1299
337-407-4512
Wyble, Stephen S., MD
Opelousas, LA 70570
Non-Network Provider
Emergency Medicine Provider
3330 Masonic Drive
318-448-6750
Bergeron, Nickles , MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Boka, Bernard G., MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Brown, Marcus R., MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Chu, Peter , MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Coe, Ronald , MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Desai, Yagnesh K., MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Hebert, James H., MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Kelly, Sara E., DO
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6834
Koduru, Suneetha , MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Moreau, Angela H., MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Parker, Larry D., MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Pruett, Anthony , MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Rigg, III, Howard M., MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Spears, Kelvin L., MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Stokes, Marcus C., MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Thurston, Laurel A., MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Womack, Seth P., MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6750
Yoas, Stuart W., MD
Alexandria, LA 71301
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 21 of 177Updated February 2015
Neonatologist
3330 Masonic Drive
318-448-6829
Castor, Perla C., MD
Alexandria, LA 71301
Non-Network Provider
3330 Masonic Drive
318-448-6829
Nijjar, Amar S., MD
Alexandria, LA 71301
Non-Network Provider
Pathologist
2915 Missouri Place
318-621-8820
Bearden, Carrie , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-364-2042
Collins, George R., MD
Shreveport, LA 71109
Non-Network Provider
2915 Missouri Avenue
318-364-2042
Crosier, Mliss L., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-364-2042
Eggers, Jordan W., MD
Shreveport, LA 71109
Network Provider
611 St. Landry Street
318-364-2043
Gray, Sidney B., MD
Lafayette, LA 70508
Network Provider
211 Fourth Street
318-473-3175
Hair, James G., MD
Alexandria, LA 71301
Network Provider
2915 Missouri Place
318-621-8820
Harrison, George , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Place
318-621-8820
Heard, Joseph , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-364-2042
Herrington, Bruce , MD
Shreveport, LA 71109
Non-Network Provider
3330 Masonic Drive
318-448-6740
Ibanez-Manlapaz, Irene D., MD
Alexandria, LA 71301
Network Provider
2915 Missouri Place
318-621-8820
Khare, Vivek , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Place
318-621-8820
Lee, Anthony , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Place
318-621-8820
McLaren, Bernadette , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-364-2042
Miguez, Michael W., MD
Shreveport, LA 71109
Network Provider
3330 Masonic Drive
318-448-6740
Pillarisetti, Sudha G., MD
Alexandria, LA 71301
Network Provider
2915 Missouri Avenue
318-364-2042
Robinson, Nancy M., MD
Shreveport, LA 71109
Non-Network Provider
2915 Missouri Place
318-621-8820
Wellman, Gregory , MD
Shreveport, LA 71109
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 22 of 177Updated February 2015
Radiologist
3704 North Blvd
318-442-7500
Allen, Michael D., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Dozier, Timothy J., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Head, Stuart C., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Hogg, Benjamin R., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Jeansonne, Kevin J., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Larson, Paul C., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Long, David , MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Mansour, Jr., Alfred A., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Manuel, Nicholas P., MD
Alexandria, LA 71301
Network Provider
3330 Masonic Drive
318-473-6249
Rankin, Joe H., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Rice, Stephen H., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Saschasinh, Rachadip S., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Scheuermann, Christian A., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Smith, Paul R., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd
318-442-7500
Tighe, Devin K., MD
Alexandria, LA 71301
Network Provider
Christus St. Patrick Hospital
Anesthesiologist
4150 Nelson Road, Building A, Ste 4
337-474-6353
Atlier, Carole G., MD
Lake Charles, LA 70605
Non-Network Provider
751 Bayou Pines, Ste L
337-436-8700
Carlin, John B., MD
Lake Charles, LA 70601
Non-Network Provider
751 Bayou Pines, Ste L
337-436-8700
Doiron, Mark L., MD
Lake Charles, LA 70601
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 23 of 177Updated February 2015
4150 Nelson Road, Building A, Ste 4
337-474-6353
Dyer, Jr., Syd G., MD
Lake Charles, LA 70605
Non-Network Provider
4150 Nelson Road, Building A, Ste 4
337-474-6353
Harter, Gary L., MD
Lake Charles, LA 70605
Non-Network Provider
751 Bayou Pines, Ste L
337-436-8700
Laborde, Richard S., MD
Lake Charles, LA 70601
Non-Network Provider
751 Bayou Pines, Ste L
337-436-8700
Lemoine, Dwight R., MD
Lake Charles, LA 70601
Non-Network Provider
4150 Nelson Road, Building A, Ste 4
337-474-6353
Lewis, Sr., Ron M., MD
Lake Charles, LA 70605
Non-Network Provider
4150 Nelson Road, Building A, Ste 4
337-474-6353
Price, Jr., Jere K., MD
Lake Charles, LA 70605
Non-Network Provider
4150 Nelson Road, Building A, Ste 4
337-474-6353
Walkin, Patrick P., MD
Lake Charles, LA 70605
Non-Network Provider
751 Bayou Pines, Ste L
337-436-8700
Wise, Myra C., MD
Lake Charles, LA 70601
Non-Network Provider
Emergency Medicine Provider
CSPH ER, 524 Dr. Michael DeBakey Driver
337-491-7709
Alexius, Jay C., MD
Lake Charles, LA 70601
Network Provider
CSPH ER, 524 Dr. Michael DeBakey Driver
337-491-7709
Borucki, Simon , MD
Lake Charles, LA 70601
Network Provider
CSPH ER, 524 Dr. Michael DeBakey Driver
337-491-7709
Burton, John M., MD
Lake Charles, LA 70601
Non-Network Provider
CSPH ER, 524 Dr. Michael DeBakey Driver
337-491-7709
Burton, John M., MD
Lake Charles, LA 70601
Network Provider
CSPH ER, 524 Dr. Michael DeBakey Drive
337-491-7709
Congtang, Leno H., MD
Lake Charles, LA 70601
Non-Network Provider
ED Dept. 17000 Medical Center Drive
225-755-4894
Cuba, Jon M., MD
Baton Rouge, LA 70816
Non-Network Provider
CSPH ER 524 Dr. Michael DeBakey Drive
337-491-7709
Davis, Michael D., MD
Lake Charles, LA 70601
Non-Network Provider
CSPH ER, 524 Dr. Michael DeBakey Driver
337-491-7709
Deshaies, Marcus R., MD
Lake Charles, LA 70601
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 24 of 177Updated February 2015
CSPH ER, 524 Dr. Michael DeBakey Driver
337-491-7709
Freeman, Nathan P., MD
Lake Charles, LA 70601
Network Provider
1091 Sam Houston Jones Parkway
337-855-2727
Hardey, Sr., David W., MD
Moss Bluff, LA 70611
Non-Network Provider
CSPH ER, 524 Dr. Michael DeBakey Drive
337-491-7709
Hathaway, III., William G., MD
Lake Charles, LA 70601
Non-Network Provider
CSPH ER, 524 Dr. Michael DeBakey Driver
337-491-7709
Patel, Roopa , DO
Lake Charles, LA 70601
Network Provider
CSPH ER, 524 Dr. Michael DeBakey Drive
337-491-7709
Shaheen, Edward A., MD
Lake Charles, LA 70601
Non-Network Provider
14050 NW 14th Street, Ste 190
800-424-3672
Stern, Neil D., DO
Ft. Lauderdale, FL 33323
Non-Network Provider
Neonatologist
4200 Nelson Road
337-474-3270
Lin, Chih H., MD
Lake Charles, LA 70605
Non-Network Provider
Other
3704 North Boulevard, Ste 1
318-442-8399
Allen, Michael D., MD
Alexandria, LA 71301
Network Provider
11995 Singletree Lane, Ste 500
952-595-1100
Binder, Christian , MD
Eden Praire, MN 55344
Non-Network Provider
11996 Singletree Lane, Ste 500
952-595-1100
Bulczak, Dariusz P., MD
Eden Praire, MN 55344
Non-Network Provider
11997 Singletree Lane, Ste 500
952-595-1100
Clark, Delphia M., MD
Eden Praire, MN 55344
Non-Network Provider
11998 Singletree Lane, Ste 500
952-595-1100
Dym, Jean-Paul , MD
Eden Praire, MN 55344
Non-Network Provider
3704 North Boulevard, Ste 1
318-442-8399
Larson, Paul C., MD
Alexandria, LA 71301
Network Provider
1800 Ryan Street, Ste 105
337-439-4706
Lim, Charles A., MD
Lake Charles, LA 70601
Network Provider
3704 North Boulevard, Ste 1
318-442-8399
Manuel, Nicholas P., MD
Alexandria, LA 71301
Network Provider
11995 Singletree Lane, Ste 500
952-595-1100
Nguyen, Victoria A., DO
Eden Praire, MN 55344
Non-Network Provider
Pathologist
830 Bayou Pines Drive
337-436-9557
Burton, Regenia S., MD
Lake Charles, LA 70601
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 25 of 177Updated February 2015
830 Bayou Pines Drive
337-436-9557
Eapen, Paula D., MD
Lake Charles, LA 70601
Non-Network Provider
830 Bayou Pines Drive
337-436-9557
Kelly, Brandi J., MD
Lake Charles, LA 70601
Network Provider
831 Bayou Pines Drive
337-436-9557
Primeaux, Thad M., MD
Lake Charles, LA 70601
Network Provider
830 Bayou Pines Drive
337-436-9557
Richard, Stephanie S., MD
Lake Charles, LA 70601
Non-Network Provider
830 Bayou Pines Drive
337-436-9557
Rumsey, Robert L., MD
Lake Charles, LA 70601
Non-Network Provider
830 Bayou Pines Drive
337-436-9557
Townsend, Gault H., MD
Lake Charles, LA 70601
Non-Network Provider
830 Bayou Pines Drive
337-436-9557
Van Hoose, III., John S., MD
Lake Charles, LA 70601
Non-Network Provider
Radiologist
1800 Ryan Street, Ste 105
337-439-4706
Bordlee, Bruce P., MD
Lake Charles, LA 70601
Network Provider
1800 Ryan Street, Ste 105
337-439-4706
Brdlik, Charles J., MD
Lake Charles, LA 70601
Network Provider
1800 Ryan Street, Ste 105
337-439-4706
Brown, Robert N., MD
Lake Charles, LA 70601
Network Provider
1800 Ryan Street, Ste 105
337-439-4706
Burnette, Jr., Douglas G., MD
Lake Charles, LA 70601
Network Provider
1800 Ryan Street, Ste 105
337-439-4706
Lim, Charles A., MD
Lake Charles, LA 70601
Network Provider
1800 Ryan Street, Ste 105
337-439-4706
Martinez, Richard L., MD
Lake Charles, LA 70601
Network Provider
1800 Ryan Street, Ste 105
337-439-4706
McFarland, David R., MD
Lake Charles, LA 70601
Network Provider
1800 Ryan Street, Ste 105
337-439-4706
Miller, III., George L., MD
Lake Charles, LA 70601
Network Provider
1800 Ryan Street, Ste 105
337-439-4706
Olsan, Adam D., MD
Lake Charles, LA 70601
Network Provider
1800 Ryan Street, Ste 105
337-439-4706
Thomas, Jr., Donald L., MD
Lake Charles, LA 70601
Network Provider
1800 Ryan Street, Ste 105
337-439-4706
Walker, Michael D., MD
Lake Charles, LA 70601
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 26 of 177Updated February 2015
Citizens Medical Center
Anesthesiologist
7939 Highway 165 South
318-649-6101
Garcia, Jr., Rolando , MD
Columbia, LA 71418
Non-Network Provider
7939 Highway 165 South
318-649-6101
Shope, Robert , MD
Columbia, LA 71418
Non-Network Provider
7939 Highway 165 South
318-649-6101
Smith, Rusty , MD
Columbia, LA 71418
Non-Network Provider
Emergency Medicine Provider
Adams, Patvin D., MD
Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Bickham, Ewell , MD
Dallas, TX 75252
Non-Network Provider
Biddle, Johnny , MD
Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Boudreaux, Matthew , MD
Dallas, TX 75252
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Duvall, Lucas , MD
Dallas, TX 75252
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Erickson, Matthew , MD
Dallas, TX 75252
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Feierabend, Lee , MD
Dallas, TX 75252
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Grayson, Patrick , MD
Dallas, TX 75252
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Lee, Sarah , MD
Dallas, TX 75252
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Lifshuz, David , MD
Dallas, TX 75252
Non-Network Provider
Mitchell, Tanya , MD
Non-Network Provider
Okonkwo, Ndubueze F., MD
Network Provider
Seyfarth, Huey , MD
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Smith, Mark , MD
Dallas, TX 75252
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Stewart, Christopher , MD
Dallas, TX 75252
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Sweet, Selika , MD
Dallas, TX 75252
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Williams, Iashonda , MD
Dallas, TX 75252
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Wise, William , MD
Dallas, TX 75252
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 27 of 177Updated February 2015
17304 Preson Rd, Ste 555
866-931-8882
Wolfort, Ryan , MD
Dallas, TX 75252
Non-Network Provider
Yates, Fred , MD
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Zabher, Henock , MD
Dallas, TX 75252
Non-Network Provider
17304 Preson Rd, Ste 555
866-931-8882
Zeller, Stacy , MD
Dallas, TX 75252
Non-Network Provider
Other
7939 Highway 165 South
318-649-6101
Connell, III., Robert , MD
Columbia, LA 71418
Non-Network Provider
484 Collins Road
318-649-5300
Cummings , Laura , NP
Columbia, LA 71418
Non-Network Provider
7939 Highway 165 South
318-649-6101
Cummings, Jr., Russell , MD
Columbia, LA 71418
Non-Network Provider
7939 Highway 165 South
318-649-6101
Ellerbe, Michael , MD
Columbia, LA 71418
Non-Network Provider
484 Collins Road
318-649-5300
Hawkins, Kimberly , NP
Columbia, LA 71418
Non-Network Provider
484 Collins Road
318-649-5300
May-Lilo, LeeAnn , NP
Columbia, LA 71418
Non-Network Provider
7939 Highway 165 South
318-649-6101
Shroff, Pankaj , MD
Columbia, LA 71418
Non-Network Provider
Pathologist
109 Circle Drive
318-323-1834
Armstrong, John , MD
West Monroe, LA 71291
Non-Network Provider
109 Circle Drive
318-323-1834
Elias, Abdalla , MD
West Monroe, LA 71291
Non-Network Provider
109 Circle Drive
318-323-1834
Maxwell, John , MD
West Monroe, LA 71291
Non-Network Provider
109 Circle Drive
318-323-1834
Pankey, Lee , MD
West Monroe, LA 71291
Non-Network Provider
109 Circle Drive
318-323-1834
Smith, Nancy , MD
West Monroe, LA 71291
Non-Network Provider
Radiologist
788 Pony Greer Road
800-694-3447
Ardoin, Shannon , MD
Rayville, LA 71269
Non-Network Provider
788 Pony Greer Road
800-694-3447
Armington, William , MD
Rayville, LA 71269
Non-Network Provider
788 Pony Greer Road
800-694-3447
Brown, Edward , MD
Rayville, LA 71269
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 28 of 177Updated February 2015
788 Pony Greer Road
800-694-3447
Edwards, Robert , MD
Rayville, LA 71269
Non-Network Provider
788 Pony Greer Road
800-694-3447
Folse, Craig , MD
Rayville, LA 71269
Non-Network Provider
788 Pony Greer Road
800-694-3447
Henry, Herbert , MD
Rayville, LA 71269
Network Provider
788 Pony Greer Road
800-694-3447
Smith, Stover , MD
Rayville, LA 71269
Non-Network Provider
788 Pony Greer Road
800-694-3447
Yatco, Renaldo , MD
Rayville, LA 71269
Non-Network Provider
Cornerstone Hospital of Bossier City
*Information not provided
Dauterive Hospital
Anesthesiologist
1613 North Harrison Pkwy, Ste 200
800-437-2672
The Sheridan Group
Sunrise, FL 33323
Non-Network Provider
1613 North Harrison Pkwy, Ste 200
800-437-2672
Baudoin, Bryan , DO
Sunrise, FL 33323
Non-Network Provider
9501 Colomb Road
337-367-2812
Collins, Stephen , MD
Erath, LA 70533
Network Provider
1613 North Harrison Pkwy, Ste 200
800-437-2672
Glogover, Philip , MD
Sunrise, FL 33323
Non-Network Provider
1613 North Harrison Pkwy, Ste 200
800-437-2672
Grau, Valerie , MD
Sunrise, FL 33323
Non-Network Provider
9501 Colomb Road
337-367-2812
Landry, Scott , MD
Erath, LA 70533
Network Provider
1613 North Harrison Pkwy, Ste 200
800-437-2672
Myers, Charles , MD
Sunrise, FL 33323
Non-Network Provider
9501 Colomb Road
337-367-2812
Nelson, Larry , MD
Erath, LA 70533
Network Provider
1613 North Harrison Pkwy, Ste 200
800-437-2672
Salcedo, Luis , MD
Sunrise, FL 33323
Non-Network Provider
1613 North Harrison Pkwy, Ste 200
800-437-2672
Smith, Arthur , MD
Sunrise, FL 33323
Non-Network Provider
1613 North Harrison Pkwy, Ste 200
800-437-2672
Stewart, Luther , MD
Sunrise, FL 33323
Non-Network Provider
1613 North Harrison Pkwy, Ste 200
800-437-2672
Venugopal, Sheela , MD
Sunrise, FL 33323
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 29 of 177Updated February 2015
1613 North Harrison Pkwy, Ste 200
800-437-2672
Weiss, Carey , MD
Sunrise, FL 33323
Non-Network Provider
1613 North Harrison Pkwy, Ste 200
800-437-2672
zeh, Cynthia , MD
Sunrise, FL 33323
Non-Network Provider
Emergency Medicine Provider
200 Corporate Blvd, Ste 201
800-893-9698
Alost, Terence , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1203
Barrett, Bryan , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Brinkman, Frank , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Brooks, Derrick , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Burlet, Robert , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Cacodcar, Ajit , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Chamas, Kevin , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Edelberg, Jay , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Frederick, Craig , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Fremin, Ross , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Gregory, Collins , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Martinez, Esteban , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Metz, Francis , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Moore, Patrick , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Prince, Maurice , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Ryan, Joseph , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Sabatier, Susan , MD
Lafayette, LA 70508
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 30 of 177Updated February 2015
200 Corporate Blvd, Ste 201
337-354-1100
Scott, Domingue , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1203
Sudd, Deeb , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1203
Villien, Paul , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1203
Whitehead, Clarence , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1100
Whitney, Keyna , MD
Lafayette, LA 70508
Network Provider
Pathologist
520 North Lewis Street
337-365-5944
Atlmann, Lisa , MD
New Iberia, LA 70563
Network Provider
520 North Lewis Street
337-365-5944
Lalonde, Chrissy , MD
New Iberia, LA 70563
Network Provider
520 North Lewis Street
337-365-5944
Lastrapes, deborah , MD
New Iberia, LA 70563
Network Provider
520 North Lewis Street
337-365-5944
Redlich, Gillian , MD
New Iberia, LA 70563
Network Provider
520 North Lewis Street
337-365-5944
Simpson, Karen , MD
New Iberia, LA 70563
Network Provider
Radiologist
2309 East Main Street, suite 100
Radiology Associates of Iberia, LLP
New Iberia, LA 70560
Network Provider
2309 East Main Street, suite 100
337-367-1048
Boudreaux, Jaime , MD
New Iberia, LA 70560
Network Provider
2309 East Main Street, suite 100
337-367-1048
Fontenot, David , MD
New Iberia, LA 70560
Network Provider
2309 East Main Street, suite 100
337-367-1048
Lemieux, John , MD
New Iberia, LA 70560
Network Provider
2309 East Main Street, suite 100
337-367-1048
Scurria, Phillip , MD
New Iberia, LA 70560
Network Provider
2309 East Main Street, suite 100
337-367-1048
Snellgrove, Boyd , MD
New Iberia, LA 70560
Network Provider
2309 East Main Street, suite 100
337-367-1048
Stamato, Stephan , MD
New Iberia, LA 70560
Network Provider
DeQuincy Memorial Hospital
Emergency Medicine Provider
17438 Hard Hat Drive
985-249-5600
Agrama, Mahmoud , MD
Covington, LA 70435
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 31 of 177Updated February 2015
17438 Hard Hat Drive
985-249-5600
Baldwin, Andrew , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Chaisson, Kevin , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Fagan, Scott , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Gupta, Prashant , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Hoff, Clarissa , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Joudeh, Jalal , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Kemmerly, Kenneth , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Kenyon, Carolyn , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Krupkin, Robert , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Lembo, Craig , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Levet, Barry , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Rice, Atwood , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Shelton, Harold , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
St. Cyr, Mark , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Taylor, Raymond , MD
Covington, LA 70435
Non-Network Provider
17438 Hard Hat Drive
985-249-5600
Tomajan, Samir , MD
Covington, LA 70435
Non-Network Provider
Radiologist
1305 Crowley-Rayne Road
337-261-5151
Opelousas Radiology
Crowley, LA 70518
Network Provider
Desoto Regional Health System
*Information not provided
Doctors Hospital at Deer Creek
Anesthesiologist
1353 Surrey Street
337-593-5420
Kiyanfar, Cyrus , CRNA
Lafayette, LA 70501
non-network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 32 of 177Updated February 2015
1353 Surrey Street
337-593-5420
Marlowe, James L., CRNA
Lafayette, LA 70501
non-network Provider
Pathologist
910 Pierremont Road, Ste 216
318-868-0932
Hair, James G., MD
Shreveport, LA 71106
Network Provider
910 Pierremont Road, Ste 216
318-868-0932
Lee, James A., MD
Shreveport, LA 71106
Network Provider
910 Pierremont Road, Ste 216
318-868-0932
Miguez, Michael W., MD
Shreveport, LA 71106
Network Provider
910 Pierremont Road, Ste 216
318-868-0932
Werner, David J., MD
Shreveport, LA 71106
Network Provider
910 Pierremont Road, Ste 216
318-868-0932
Williams, Robert B., MD
Shreveport, LA 71106
Network Provider
Radiologist
400 Moosa Blvd
337-643-8300
Hindeland, III., Floyd M., MD
Eunice, LA 70535
Network Provider
107 E. Shankland Avenue
337-824-4526
Ingram, Jonathon D., MD
Jennings, LA 70501
Network Provider
602 N. Acadia Road
985-493-4778
Lapidus, Robert L., MD
Thibodaux, LA 70301
Network Provider
Doctors Hospital of Opelousas
*Information not provided
Doctors Hospital of Shreveport
*Information not provided
EA Conway Medical Center
*Information not provided
East Carroll Parish Hospital
Other
300 Scarborough Street
318-559-2814
Bailey, Donovan W., MD
Lake Providence, LA 71254
Network Provider
336 North Hood Street
318-559-4023
Perkins, Camille E., MD
Lake Providence, LA 71254
Network Provider
320 North Hood Street
318-559-2404
Simon, Llewellyn , MD
Lake Providence, LA 71254
Network Provider
Pathologist
788 Pony Greer Road
318-728-9988
Folse, Brown , MD
Rayville, LA 71269
Network Provider
Radiologist
109 Circle Drive
318-323-1800
Elias, Armstrong, and Pankey
West Monroe, LA 71291
Non-Network Provider
East Jefferson General Hospital
Anesthesiologist
3510 N. Causeway Blvd, Ste 404
504-779-5515
Parish Anesthesia of Jefferson
Metairie, LA 70002
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 33 of 177Updated February 2015
3510 N. Causeway Blvd, Ste 404
504-779-5515
Branting, Scott , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Carey, Susan , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Comarda, Neal , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Cougle, Christopher , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Dang, Son , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Davenport, Charles , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Eagleton, Bernard , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Eaton, William , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Eckert, Charles , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Fish, Brian , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Freeman, James , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Galliano, Dante , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Henson, Mark , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Kata, Venkateswara , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Kellum, Joseph , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Levin, Louis , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Mimeles, Derek , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Monnat, Paula , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Rosinia, Francie , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Schroeder, Charles , MD
Metairie, LA 70002
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 34 of 177Updated February 2015
3510 N. Causeway Blvd, Ste 404
504-779-5515
Triay, Melvin , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Tummala, Seshagirirae , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
White, Pamela , MD
Metairie, LA 70002
Network Provider
Emergency Medicine Provider
P.O. Box 62600
210-614-0180
Gulf Emergency Mgmt
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Caplan, Craig , MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Creel, Terry G., MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Deno, Richard , MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Grieb, Michael C., MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Guevara, Raul , MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Hauth, Joseph , MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Khalaf, Samir , MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Khalaf, Ramiz , MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Morse, Granville A., MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Ng, Michael , MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Phelps, Meade , MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Waguespack, Roland , MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Wales, John H., MD
New Orleans, LA 70162
Network Provider
P.O. Box 62600
210-614-0180
Wilson, Frank , MD
New Orleans, LA 70162
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 35 of 177Updated February 2015
Neonatologist
200 Henry Clay Avenue
504-896-9418
Children's Hospital NICU
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Albrecht, Dianne , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Barkemeyer, Brian , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Bautista, Maria , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Gershanik, Juan , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Gill, William , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Olister, Staci , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Penn, Duna , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Rivera, Dana , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Schuth, Claudia , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Seago, Neva , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Thelin, Oliver , MD
New Orleans, LA 70118
Network Provider
200 Henry Clay Avenue
504-896-9418
Yazdani-Kachouei, Malektaj , MD
New Orleans, LA 70118
Network Provider
Pathologist
Dept At Box 952474
504-883-5500
Jefferson Pathology
Atlanta, GA 31192
Non-Network Provider
Dept At Box 952474
504-883-5500
Elston, James , MD
Atlanta, GA 31192
Non-Network Provider
Dept At Box 952474
504-883-5500
L'Hoste, Robert , MD
Atlanta, GA 31192
Non-Network Provider
Dept At Box 952474
504-883-5500
Reif, Arthur , MD
Atlanta, GA 31192
Non-Network Provider
Dept At Box 952474
504-883-5500
Sartin, Barry , MD
Atlanta, GA 31192
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 36 of 177Updated February 2015
Dept At Box 952474
504-883-5500
Trapani, Joseph , MD
Atlanta, GA 31192
Non-Network Provider
Radiologist
4200 Houma Blvd, Radiology Dept.
504-831-8216
Radiology & Interventional Associated of
Metairie, LLC.
Metairie, LA 70006
Non-Network Provider
4200 Houma Blvd, Radiology Dept.
504-831-8216
Fertel, Dan , MD
Metairie, LA 70006
Non-Network Provider
4200 Houma Blvd, Radiology Dept.
504-831-8216
Figueroa, Rafael , MD
Metairie, LA 70006
Non-Network Provider
4200 Houma Blvd, Radiology Dept.
504-831-8216
Fontanez, Daniel , MD
Metairie, LA 70006
Non-Network Provider
4200 Houma Blvd, Radiology Dept.
504-831-8216
Fuzzard, Susan , MD
Metairie, LA 70006
Non-Network Provider
4200 Houma Blvd, Radiology Dept.
504-831-8216
Joslyn, John , MD
Metairie, LA 70006
Non-Network Provider
4200 Houma Blvd, Radiology Dept.
504-831-8216
Lobrano, Mary , MD
Metairie, LA 70006
Non-Network Provider
4200 Houma Blvd, Radiology Dept.
504-831-8216
Luttrell, Carol , MD
Metairie, LA 70006
Non-Network Provider
4200 Houma Blvd, Radiology Dept.
504-831-8216
Morales, Robert , MD
Metairie, LA 70006
Non-Network Provider
4200 Houma Blvd, Radiology Dept.
504-831-8216
O'Brien, Sean , MD
Metairie, LA 70006
Non-Network Provider
4200 Houma Blvd, Radiology Dept.
504-831-8216
Sandoz, John , MD
Metairie, LA 70006
Non-Network Provider
4200 Houma Blvd, Radiology Dept.
504-831-8216
Singha, Puneet , MD
Metairie, LA 70006
Non-Network Provider
4200 Houma Blvd, Radiology Dept.
504-831-8216
St. Germain, David , MD
Metairie, LA 70006
Non-Network Provider
Endo Center, LLC
*Information not provided
Endoscopy Center of Baton Rouge
Other
6615 Perkins Road
225-906-2570
Faruqui, Shaban , MD
Baton Rouge, LA 70808
Network Provider
Endoscopy Center of New Orleans
*Information not provided
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 37 of 177Updated February 2015
Eye Care and surgery Center
*Information not provided
Eye Surgery Center
*Information not provided
Foot Surgery Center Shreveport
*Information not provided
Franklin Foundation Hospital
Emergency Medicine Provider
1097 Northwest Blvd
337-828-0760
LaFleur, Glenn , MD
Franklin, LA 70538
Network Provider
Pathologist
419 Prudhomme Street
337-948-8206
Acadiana Pathology Group
Opelousas, LA 70570
Non-Network Provider
Radiologist
2309 East Main Street
337-367-1048
Radiology Associates of New Iberia
New Iberia, LA 70560
Network Provider
Franklin Medical Center
Emergency Medicine Provider
2106 Loop Road
318-435-9411
Ball, James E., MD
Winnsboro, LA 71295
Network Provider
125 St. Charles Circle
318-435-4574
Combetta, Jeffrey J., MD
Monroe, LA 71203
Network Provider
422 Highway 577
318-435-7000
Eldridge, Joel G., DO
Winnsboro, LA 71295
Network Provider
2106 Loop Road
318-435-9411
Maddox, Dale R., MD
Winnsboro, LA 71295
Network Provider
2106 Loop Road
318-435-9411
Moore, David M., MD
Winnsboro, LA 71295
Network Provider
138 Jackson Lane
318-724-7008
Smith, Roger A., MD
Gilbert, LA 71336
Network Provider
2106 Loop Road
318-435-9411
Sokoya, Gbolahan , MD
Winnsboro, LA 71295
Network Provider
2106 Loop Road
318-435-9411
Tanita, Jeffrey , MD
Winnsboro, LA 71295
Network Provider
2106 Loop Road
318-435-9411
Tapia, Jorge , MD
Winnsboro, LA 71295
Network Provider
GI Diagnostic Center, LLC
Anesthesiologist
P.O. Box 61950
337-706-1500
Young Professional Services
Lafayette, LA 70596
Non-Network Provider
Other
1100 Andre Street, Ste 300
337-364-9225
Alvarez, Luis E., MD
New Iberia, LA 70563
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 38 of 177Updated February 2015
Pathologist
8400 Esters Blvd 190
214-277-8700
Caris Diagnostic
Irving, TX 75063
Non-Network Provider
Green Clinic Surgical Hospital
*Information not provided
GS LTAC of Washington St Tammany
Slidell
*Information not provided
Gulf States LTAC of Covington
*Information not provided
Gulf States LTAC of Hammond
*Information not provided
Gulf States LTAC of Lafourche
*Information not provided
Hardtner Medical Center
Anesthesiologist
100 Ridgewood Street
337-261-1926
Johnson, Roy , MD
Lafayette, LA 70506
Non-Network Provider
3131 Georges Lane
318-561-6260
Marlowe, James , MD
Alexandria, LA 71301
Non-Network Provider
Wyatt, Jeffery , MD
Non-Network Provider
Emergency Medicine Provider
815 S. Palafox Street
850-444-2548
Carroll, Linus , MD
Pensacola, FL 32502
Non-Network Provider
815 S. Palafox Street
850-444-2548
Fontane, Robert , MD
Pensacola, FL 32502
Non-Network Provider
815 S. Palafox Street
850-444-2548
Mitchell, Tanya , MD
Pensacola, FL 32502
Non-Network Provider
815 S. Palafox Street
850-444-2548
Williams, Homer , MD
Pensacola, FL 32502
Non-Network Provider
Other
1136-A N. Pine Road
318-495-7979
Benjamin, Mary E., MD
Olla, LA 71465
Network Provider
211 4th Street
318-473-4013
Chaudhry, Iiyas , MD
Alexandria, LA 71301
Non-Network Provider
3351 Masonic Drive
318-628-7151
Drury, Todd , MD
Alexandria, LA 71301
Network Provider
P.O. Box 1334
Hendrix, Ricky , MD
Winnfield, LA 71483
Non-Network Provider
211 4th Street
318-473-4013
Jaffrani, Naseem , MD
Alexandria, LA 71301
Network Provider
231 Windermere Blvd
318-487-2020
Jeanfreau, Bryan , MD
Alexandria, LA 71303
Network Provider
1136-A N. Pine Road
318-495-3175
Mauterer, Kenneth P., MD
Olla, LA 71465
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 39 of 177Updated February 2015
3330 Masonic Drive
318-448-6917
Menache, Lawrence ,
Alexandria, LA 71301
Non-Network Provider
231 Windermere Blvd
318-487-2020
Patty, Bernard , MD
Alexandria, LA 71303
Network Provider
231 Windermere Blvd
318-487-2020
Reish, Eric , MD
Alexandria, LA 71303
Network Provider
1136-A N. Pine Road
318-495-7979
Rowden, Phillip C., MD
Olla, LA 71465
Network Provider
1136-A N. Pine Road
318-495-7979
Smith, Brian M., MD
Olla, LA 71465
Network Provider
1136-A N. Pine Road
318-495-7979
Tanita, Jeffery S., MD
Olla, LA 71465
Network Provider
Pathologist
109 Circle Drive
318-323-1800
Armstrong, John , MD
Monroe, LA 71291
Network Provider
3216 W. Esplanade
504-453-9911
Brown, Edward , MD
Metairie, LA 70002
Network Provider
109 Circle Drive
318-323-1800
Elias, Abdalla , MD
Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1800
Maxwell, John , MD
Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1800
Pankey, Lee , MD
Monroe, LA 71291
Network Provider
Radiologist
105 Jasper Street
318-728-6583
Armington, William , MD
Rayville, LA 71269
Network Provider
105 Jasper Street
318-728-6583
Folse, Craig , MD
Rayville, LA 71269
Network Provider
105 Jasper Street
318-728-6583
Smith, Stover , MD
Rayville, LA 71269
Network Provider
105 Jasper Street
318-728-6583
Yatco, Reynaldo , MD
Rayville, LA 71269
Network Provider
Heart Hospital of Lafayette
Anesthesiologist
611 St. Landry
337-593-5424
Professional Anesthesia Services
Lafayette, LA 70506
Network Provider
Emergency Medicine Provider
200 Corporate Blvd, Ste 201
866-285-0190
Emergency Group of Lafayette - Schumaker
Group
Lafayette, LA 70508
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 40 of 177Updated February 2015
Pathologist
611 St. Landry
337-593-5422
Lourdes Pathologists APMC
Lafayette, LA 70506
Network Provider
Radiologist
611 St. Landry
337-593-5420
Acadiana Radiology
Lafayette, LA 70506
Network Provider
Highland Clinic Surgery Center, LLC
*Information not provided
Homer Memorial Hospital
Anesthesiologist
#1 Minden Medical Plaza
318-377-2321
Boetler, Dean , CRNA
Minden, LA 71055
Network Provider
#1 Minden Medical Plaza
318-377-2321
Byram, George , CRNA
Minden, LA 71055
Network Provider
#1 Minden Medical Plaza
318-377-2321
Haley, Larry , CRNA
Minden, LA 71055
Network Provider
#1 Minden Medical Plaza
318-377-2321
Kennedy, Walter , CRNA
Minden, LA 71055
Network Provider
Emergency Medicine Provider
17438 Hard Hat Drive
985-249-5600
Paden, Harold , MD
Covington, LA 70435
Network Provider
17438 Hard Hat Drive
985-249-5600
Trisler, Paul , MD
Covington, LA 70435
Network Provider
Other
17438 Hard Hat Drive
985-249-5600
Abdehou, David , MD
Covington, LA 70435
Network Provider
926 Frances Blvd
318-624-0554
Abshire, Samuel K., MD
Haynesville, LA 71038
Network Provider
1455 E. Bert Kouns
318-798-4623
Anglin, Edward , MD
Shreveport, LA 71109
Network Provider
926 Francis Drive
318-624-0554
Baggett-Woodard, Debra , FNP
Haynesville, LA 71038
Network Provider
926 Frances Blvd
318-624-0554
Butler, Clint C., MD
Haynesville, LA 71038
Network Provider
104 Morris Circle
318-927-6777
Cardin, Joan , MD
Homer, LA 71040
Network Provider
2727 Hearne Avenue, #301
318-631-6400
Chhabra, Anil , MD
Shreveport, LA 71103
Network Provider
2400 Hospital Drive, Ste 260
318-747-4988
Christy, Keith , MD
Bossier City, LA 71111
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 41 of 177Updated February 2015
17438 Hard Hat Drive
985-249-5600
Cimino, Mark , MD
Covington, LA 70435
Network Provider
17438 Hard Hat Drive
985-249-5600
Davis, Randall , MD
Covington, LA 70435
Network Provider
301 Bert Kouns
318-213-0380
Dhwan, Manish , MD
Shreveport, LA 71105
Network Provider
8001 Youree, #740
318-797-2328
Futrell, Michael G., MD
Shreveport, LA 71115
Network Provider
1801 Fairfield, #306
318-222-9419
Gladney, John D., MD
Shreveport, LA 71101
Network Provider
2915 Missouri Avenue
318-621-8820
Grigsby, Tobin H., MD
Shreveport, LA 71109
Network Provider
912 West Main Street
318-927-3571
Haynes, Donald S., MD
Homer, LA 71040
Network Provider
912 West Main Street
318-927-3571
Haynes, William M., MD
Homer, LA 71040
Network Provider
912 West Main Street
318-927-3571
Haynes, Donald K., MD
Homer, LA 71040
Network Provider
8001 Youree, #740
318-797-2328
Haynes, John D., MD
Shreveport, LA 71115
Network Provider
912 West Main Street
318-927-3571
Haynes, Maria M., MD
Homer, LA 71040
Network Provider
950 Olive Street
318-222-3695
Haynie, Jr., William , MD
Shreveport, LA 71104
Network Provider
17438 Hard Hat Drive
985-249-5600
Hodges, Lisa , MD
Covington, LA 70435
Network Provider
926 Frances Blvd
318-624-0554
Hurst, Twyla , FNP
Haynesville, LA 71038
Network Provider
17438 Hard Hat Drive
985-249-5600
Jain, Manish , MD
Covington, LA 70435
Network Provider
17438 Hard Hat Drive
985-249-5600
Jones, Kenneth , MD
Covington, LA 70435
Network Provider
P.O. Box 158
318-539-2321
Kaza, Basavapunna , MD
Springhill, LA 71075
Network Provider
1666 Bert Kouns
318-221-9719
Kundo, Krzsztof , MD
Shreveport, LA 71105
Network Provider
2625 Line Ave, Ste 155
318-424-8436
Long, Warren D., MD
Shreveport, LA 71104
Network Provider
104 Morris Circle
318-927-1110
McGovern, Patricia , FNP
Homer, LA 71040
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 42 of 177Updated February 2015
411 E. Vaughn Ave, Ste 200
318-255-1212
Meyer, Kevin , MD
Ruston, LA 71270
Network Provider
17438 Hard Hat Drive
985-249-5600
Mitchell, Tanya , MD
Covington, LA 70435
Network Provider
950 Olive Street
318-222-3695
Nash, Jessica , PA-C
Shreveport, LA 71104
Network Provider
17438 Hard Hat Drive
985-249-5600
Odita, Chukuemeka , MD
Covington, LA 70435
Network Provider
2210 Line Ave, #204
318-221-9671
O'Neal, Barron J., MD
Shreveport, LA 71104
Network Provider
17438 Hard Hat Drive
985-249-5600
Parimi, Shrinath , MD
Covington, LA 70435
Network Provider
5220 Highway 79
318-927-6787
Procell, Melvin H., MD
Homer, LA 71040
Network Provider
104 Morris Circle
318-927-6777
Ray, Amelia , FNP
Homer, LA 71040
Network Provider
431 Homer Road
318-377-8855
Russell, Robert C., MD
Minden, LA 71055
Network Provider
104 Morris Circle
318-927-6777
Salmon, Clifton W., MD
Homer, LA 71040
Network Provider
104 Morris Circle
318-927-1110
Smith, III., John H., MD
Homer, LA 71040
Network Provider
608 Fleming Lane
318-382-9020
Soleto, Erin E., MD
Minden, LA 71055
Network Provider
421 Homer Road
318-377-4246
Spurlock, III., Derrell R., MD
Minden, LA 71055
Network Provider
17438 Hard Hat Drive
985-249-5600
Sylvester, James , MD
Covington, LA 70435
Network Provider
502 Nella Street
318-371-1958
Tyler, David , MD
Minden, LA 71055
Network Provider
1401 Ezell Street
318-251-5426
Vigna, Greg , MD
Ruston, LA 71270
Network Provider
301 Bert Kouns
318-213-0380
Walker, Donna A., MD
Shreveport, LA 71105
Network Provider
17438 Hard Hat Drive
985-249-5600
Waterfallen, George , MD
Covington, LA 70435
Network Provider
3017 N. Causeway Blvd
877-295-2273
White, Shelby , MD
Metairie, LA 70002
Network Provider
2727 Hearne Avenue, #301
318-631-6400
White, III., Frederick J., MD
Shreveport, LA 71103
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 43 of 177Updated February 2015
620 E. College Street
318-927-2024
Wise, Camille , FNP
Homer, LA 71040
Network Provider
Pathologist
2915 Missouri Avenue
318-621-8820
Ball, William , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Bearden, Carrie L., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Harrison, George K., MD
Shreveport, LA 71109
Network Provider
One St. Mary's Place
318-681-4471
Heard, Joseph S., MD
Shreveport, LA 71101
Network Provider
2915 Missouri Avenue
318-621-8820
Khare, Vivek K., MD
Shreveport, LA 71109
Network Provider
One St. Mary's Place
318-681-4471
Lee, James A., MD
Shreveport, LA 71101
Network Provider
One St. Mary's Place
318-681-4471
McLaren, Bernadette , MD
Shreveport, LA 71101
Network Provider
2915 Missouri Avenue
318-621-8820
Sardenga, Louis , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Siskron, III., Thomas , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Wellman, Gregory P., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Werner, David J., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Wesche, William , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Williams, Bruce , MD
Shreveport, LA 71109
Network Provider
Radiologist
1800 Buckner Square, Ste B100
318-222-1149
Campbell, Jason , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, Ste B100
318-222-1149
Gallmann, William H., MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, Ste B100
318-222-1149
Hebert, John R., MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, Ste B100
318-222-1149
Kong, Lipu , MD
Shreveport, LA 71101
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 44 of 177Updated February 2015
1800 Buckner Square, Ste B100
318-222-1149
Kraemer, Mark D., MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, Ste B100
318-222-1149
Leopard, Patrick B., MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, Ste B100
318-222-1149
Milner, Joseph , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, Ste B100
318-222-1149
Sarcar, Manash , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, Ste B100
318-222-1149
Wagner, Diane , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, Ste B100
318-222-1149
White , Kelly , MD
Shreveport, LA 71101
Network Provider
1800 Buckner Square, Ste B100
318-222-1149
Wilder, Mitchell , MD
Shreveport, LA 71101
Network Provider
Hood Memorial Hospital
Emergency Medicine Provider
17438 Hard Hat Drive
985-249-5600
Correct Care Incorporated
Covington, LA 70435
Non-Network Provider
Radiologist
5422 Dijon Drive
225-769-6700
Baton Rouge Radiology Group
Baton Rouge, LA 70808
Network Provider
15837 Paul Vega MD Dr, Ste 200
985-542-8190
Northshore Imaging Associates, LLC
Hammond, LA 70403
Network Provider
Houma Outpatient Surgery Center
*Information not provided
Houma Surgi-Center
*Information not provided
Huey P Long Regional Medical Center
*Information not provided
IASIS Glenwood Regional Medical
Center
Anesthesiologist
503 McMillan Road
318-329-4240
Escribano, Rafael , MD
West Monroe, LA 71291
Network Provider
1275 Glenwood Drive
318-329-4240
Fontenot, Herbert J., MD
West Monroe, LA 71291
Network Provider
210 Layton Avenue, #20
318-323-6405
Forte, Vincent R., MD
West Monroe, LA 71291
Network Provider
210 Layton Avenue, #20
318-323-6405
Gordon, James H., MD
West Monroe, LA 71291
Network Provider
503 McMillan Road
318-329-4240
Harrison, Ralph B., MD
West Monroe, LA 71291
Network Provider
210 Layton Avenue, #20
318-323-6405
Ledbetter, John L., MD
West Monroe, LA 71291
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 45 of 177Updated February 2015
4812 Whitehall Blvd
318-448-6084
McGowan, Timothy A., MD
West Monroe, LA 71291
Network Provider
2506 Indian Mound Blvd
318-235-3995
McIntosh, Charles A., MD
West Monroe, LA 71291
Network Provider
503 McMillan Road
318-329-4240
Travis, Joe T., MD
West Monroe, LA 71291
Network Provider
Emergency Medicine Provider
503 McMillan Road
318-329-4760
Calvert, Edward H., MD
West Monroe, LA 71291
Network Provider
503 McMillan Road
318-329-4760
Dean, Derrick O., MD
West Monroe, LA 71291
Network Provider
503 McMillan Road
318-329-4760
Foust, William N., MD
West Monroe, LA 71291
Network Provider
503 McMillan Road
318-329-4760
Lowder, Gary W., MD
West Monroe, LA 71291
Network Provider
503 McMillan Road
318-329-4760
Nguyen, Hoa , MD
West Monroe, LA 71291
Network Provider
3107 Stirling Road, Ste 300
800-815-8377
Schillinger, David S., MD
West Monroe, LA 71291
Network Provider
503 McMillan Road
318-329-4760
Traxler, Melissa A., MD
West Monroe, LA 71291
Network Provider
Neonatologist
309 Jackson Street
318-327-4917
De Soler, Marc , MD
West Monroe, LA 71291
Network Provider
309 Jackson Street
318-327-4917
Payne, Carmen S., MD
West Monroe, LA 71291
Network Provider
Pathologist
109 Circle Drive
318-323-1800
Armstrong, John M., MD
West Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1834
Elias, Abdalla L., MD
West Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1834
Maxwell, John E., MD
West Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1800
Pankey, Lee R., MD
West Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1800
Smith, Nancy V., MD
West Monroe, LA 71291
Network Provider
Radiologist
P.O. Box 1339
318-325-3838
Atchison, David , MD
West Monroe, LA 71291
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 46 of 177Updated February 2015
601 Front Avenue, Ste 502
208-415-0548
Barnes, Patricia A., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Batten, Dean , MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Boardman, John W., MD
West Monroe, LA 71291
Non-Network Provider
105B McMillan Road
218-325-3838
Boyette, Scott T., MD
West Monroe, LA 71291
Non-Network Provider
105B McMillan Road
218-325-3838
Broyles, Michael O., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Brull, James , MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Cavin, Lillian W., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Cooney, Michael J., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Doty, David K., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Fakier, David R., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Fisher, Timothy S., MD
West Monroe, LA 71291
Non-Network Provider
105B McMillan Road
218-325-3868
Green, Warren J., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Grennan, Jason E., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Gutstein, Laurie L., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Henneberry, Kyle J., MD
West Monroe, LA 71291
Non-Network Provider
105B McMillan Road
218-325-3838
Hollenberg, Henry G., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Holt, Peter D., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Kaplan, Liat J., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Kuzucu, Mark , MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
McKernan, Margaret G., MD
West Monroe, LA 71291
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 47 of 177Updated February 2015
601 Front Avenue, Ste 502
208-415-0548
Miller, Christopher J., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Miller, Kimberley S., MD
West Monroe, LA 71291
Non-Network Provider
105B McMillan Road
218-325-3838
Pate, Steven , MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Pettinger, Thomas W., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Ramirez, Jorge A., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Rusnack, Douglas W., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Savit, Russ M., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Thickman, David I., MD
West Monroe, LA 71291
Non-Network Provider
601 Front Avenue, Ste 502
208-415-0548
Vreeland, Thomas , MD
West Monroe, LA 71291
Non-Network Provider
105B McMillan Road
218-325-3838
Woolridge, Donald , MD
West Monroe, LA 71291
Non-Network Provider
105B McMillan Road
218-325-3838
Yatco, Reynaldo L., MD
West Monroe, LA 71291
Non-Network Provider
Iberia General Hospital and Medical
Center
Anesthesiologist
2315 E. Main Street
337-374-7566
Begnaud, Charlie , CRNA
New Iberia, LA 70560
Network Provider
2315 E. Main Street
337-374-7566
Bordelon, Christopher , CRNA
New Iberia, LA 70560
Network Provider
2315 E. Main Street
337-374-7566
Champagne, Shawn , CRNA
New Iberia, LA 70560
Network Provider
2315 E. Main Street
337-367-2812
Collins, Stephen A., MD
New Iberia, LA 70560
Network Provider
2315 E. Main Street
337-374-7566
Francois, Douglas , CRNA
New Iberia, LA 70560
Network Provider
2315 E. Main Street
337-374-7566
Lahasky, Stephen , CRNA
New Iberia, LA 70560
Network Provider
2315 E. Main Street
337-367-2812
Landry, Scott , MD
New Iberia, LA 70560
Network Provider
1353 Surrey Street
337-593-5420
McMormic, Laurie , MD
Lafayette, LA 70501
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 48 of 177Updated February 2015
2315 E. Main Street
337-367-2812
Nelson, Larry F., MD
New Iberia, LA 70560
Network Provider
Emergency Medicine Provider
2315 E. Main Street
337-374-7613
Borucki, Simon , MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7613
Cuba, Jon , MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7613
Darbonne, Stephen W., MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7613
Falterman, Thomas , MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7613
Friday, Jean A., MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7613
Greco, Leslie , DO
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7613
Pham, Chinh , MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7613
Prince, Jr., Maurice , MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7613
Romig, Eric , MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7613
Stern, Neil , DO
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7613
Travis, Craig , MD
New Iberia, LA 70560
Non-Network Provider
Other
709 S Lewis Ste B
337-233-4480
Alleman, Tony , MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7606
Chenevert, Kasey , MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7606
Hojalli, Bernard , MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7606
Jack, Avanelle , MD
New Iberia, LA 70560
Non-Network Provider
2309 E Main St, Ste 400
337-367-0271
Menard, Michelle , MD
New Iberia, LA 70560
Network Provider
2309 E Main St Ste 200
337-365-9121
Morvant, Jasen , MD
New Iberia, LA 70560
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 49 of 177Updated February 2015
2315 E. Main Street
337-374-7606
Nguyen, Ken , MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7606
Ramirez-Astacio, Cesar , MD
New Iberia, LA 70560
Non-Network Provider
2315 E. Main Street
337-374-7606
Rulz, Marco , MD
New Iberia, LA 70560
Non-Network Provider
2308 E Main St, Ste B
337-374-7498
Tarantino, Michael , MD
New Iberia, LA 70560
Network Provider
Pathologist
520 North Lewis Street, Ste 204-A
337-365-5944
Altmann, Lisa D., MD
New Iberia, LA 70563
Network Provider
520 North Lewis Street, Ste 204-A
337-364-4193
Lalonde, Chrissy V, MD
New Iberia, LA 70563
Network Provider
1268 Attakapas Drive, Ste 102
337-948-8663
Lastrapes, Deborah , MD
Opelousas, LA 70570
Network Provider
1268 Attakapas Drive, Ste 102
337-948-8663
Montes, Carolina , MD
Opelousas, LA 70570
Network Provider
520 North Lewis Street, Ste 204-A
337-365-5944
Redlich, Gillian , MD
New Iberia, LA 70563
Network Provider
1268 Attakapas Drive, Ste 102
337-948-8663
Simpson, Karen , MD
Opelousas, LA 70570
Network Provider
Radiologist
2309 E. Main Street, Ste 100
337-367-1048
Boudreaux, Jaime , MD
New Iberia, LA 70560
Network Provider
2309 E. Main Street, Ste 100
337-367-1048
Fontenot, David P., MD
New Iberia, LA 70560
Network Provider
2309 E. Main Street, Ste 100
337-367-1048
Lemieux, John G., MD
New Iberia, LA 70560
Network Provider
2309 E. Main Street, Ste 100
337-367-1048
Scurria, Phillip J., MD
New Iberia, LA 70560
Network Provider
2309 E. Main Street, Ste 100
337-367-1048
Snellgrove, Boyd D., MD
New Iberia, LA 70560
Network Provider
2309 E. Main Street, Ste 100
337-367-1048
Stamato, Stephan , MD
New Iberia, LA 70560
Network Provider
Jackson Parish Hospital
Anesthesiologist
165 Beech Springs Road
318-259-4435
Wyatt, Jeffrey , CRNA
Jonesboro, LA 71251
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 50 of 177Updated February 2015
Emergency Medicine Provider
73153 Military Drive
985-249-5600
Correct Care, Inc.
Covington, LA 70435
Non-Network Provider
Pathologist
109 Circle Drive
318-323-1834
Bayou Pathology
West Monroe, LA 71291
Network Provider
Radiologist
P.O. Box 66
866-694-3447
Brown-Folse Radiology
Rayville, LA 71269
Network Provider
Jennings American Legion Hospital
Anesthesiologist
1634 Elton Road
337-616-7150
Caraway, William K., CRNA
Jennings, LA 70546
Non-Network Provider
1634 Elton Road
337-616-7150
Fontenot, William D., CRNA
Jennings, LA 70546
Non-Network Provider
1634 Elton Road
337-616-7150
Marceaux, Michael D, CRNA
Jennings, LA 70546
Non-Network Provider
Emergency Medicine Provider
P.O. Box 400
866-285-0910
Jefferson Davis Emergency Group, LLC
San Antonio, TX 78292
Network Provider
Pathologist
830 Bayou Pines West
337-436-9557
The Pathology Laboratory
Lake Charles, LA 70601
Non-Network Provider
Radiologist
1634 Elton Road
888-871-1500
Gallien, Jerome F., MD
Jennings, LA 70546
Network Provider
1634 Elton Road
888-871-1500
Rozas, III, Aloles J., MD
Jennings, LA 70546
Network Provider
1634 Elton Road
888-871-1500
Schumacher, Robert C., MD
Jennings, LA 70546
Network Provider
Jo Ellen Smith Medical Center
*Information not provided
Kindred Hospital New Orleans
*Information not provided
Lady of the Sea General Hospital
Anesthesiologist
102 West 112th Street
985-632-6233
Gisclair, Elizabeth , MD
Cut Off, LA 70345
Network Provider
200 West 134th Place
985-632-6401
Sayes, Bud , MD
Cut Off, LA 70345
Network Provider
Emergency Medicine Provider
200 West 134th Place
985-632-6401
Crenshaw, William , MD
Cut Off, LA 70345
Network Provider
200 West 134th Place
985-632-6401
Humphries, Shawn , MD
Cut Off, LA 70345
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 51 of 177Updated February 2015
200 West 134th Place
985-632-6401
Jones, Herman , MD
Cut Off, LA 70345
Network Provider
200 West 134th Place
985-632-6401
Lahoud, Chawki , MD
Cut Off, LA 70345
Network Provider
200 West 134th Place
985-632-6401
Mathers, Terrance , MD
Cut Off, LA 70345
Network Provider
200 West 134th Place
985-632-6401
Poche, Mahlon , MD
Cut Off, LA 70345
Network Provider
200 West 134th Place
985-632-6401
Speights, Charles , MD
Cut Off, LA 70345
Network Provider
Other
200 West 134th Place
985-632-8388
LADY OF THE SEA GEN HSP/PROF FEE
Cut Off, LA 70345
Network Provider
200 West 134th Place
985-325-2676
Benson, Ralph , MD
Cut Off, LA 70345
Network Provider
102 West 112th Street
985-632-6233
Birdsall, Gary , MD
Cut Off, LA 70345
Network Provider
102 West 112th Street
985-632-6233
Birdsall, Walter , MD
Cut Off, LA 70345
Network Provider
200 West 134th Place
985-325-8585
Bonneval, Monte , MD
Cut Off, LA 70345
Network Provider
102 West 112th Street
985-632-6233
Bossier, Clayton , MD
Cut Off, LA 70345
Network Provider
102 West 112th Street
985-632-6233
Duplantis, Brett , MD
Cut Off, LA 70345
Network Provider
176 Washington Street
985-475-5200
Folse, Lenny , MD
Golden Meadow, LA 70357
Network Provider
200 West 134th Place
985-632-6401
Gisclair, Rodney , MD
Cut Off, LA 70345
Network Provider
13030 Highway 308
985-798-7000
Hodson, Deanna , MD
Larose, LA 70373
Network Provider
176 Washington Street
985-475-5200
Jackson, John , MD
Golden Meadow, LA 70357
Network Provider
13030 Highway 308
985-798-7000
Luke, Duane , MD
Larose, LA 70373
Network Provider
176 Washington Street
985-475-5200
Matherne, Dwight , MD
Golden Meadow, LA 70357
Network Provider
13030 Highway 308
985-798-7000
McDaniel, Christine , MD
Larose, LA 70373
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 52 of 177Updated February 2015
13030 Highway 308
985-798-7000
Pitre, Camille , MD
Larose, LA 70373
Network Provider
200 West 134th Place
985-632-6401
Smith, Eddie , MD
Cut Off, LA 70345
Network Provider
Radiologist
200 West 134th Place
985-632-6401
Clark, Karen , MD
Cut Off, LA 70345
Network Provider
200 West 134th Place
985-632-6401
Wassell, William , MD
Cut Off, LA 70345
Network Provider
Lafayette General Endoscopy Center,
Inc.
Anesthesiologist
1211 Coolidge Blvd, Ste 302
504-779-5515
Parish Anesthesia Endoscopy of Lafayette
Lafayette, LA 70503
Network Provider
Pathologist
150 Collins Street
901-526-7444
GI Pathology, PLLC
Memphis, TN 38112
Non-Network Provider
Lafayette General Medical Center
Anesthesiologist
3510 N. Causeway Blvd, Ste 404
504-779-5515
Ackal, Todd C., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Blevins, Linda P., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Breaux, Jason P., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Brown, Deborah N., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Chappuis, Cameron C., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Dabadie, Virginia G., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Deranger, Carl S., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Dunn, Christopher M., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Dupre', Jeannette Y., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Fackler, Rosa M., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Fontenot, Kerwin J., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Fouquier, Kim A., CRNA
Metairie, LA 70002
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 53 of 177Updated February 2015
3510 N. Causeway Blvd, Ste 404
504-779-5515
Guillot, Trish A., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Havenar, James S., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Heard, MIchael E., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Johnson, Jeffrey L., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Lafleur, Colby P., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Landry, Susan F., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Lapointe, Dana L., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Leblanc, Yvette L., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Luent-Sonnier, Nicole M., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Mampilly, George A., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Mandell, Steven J., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Palfrey, Richard G., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Patin, Nicholas C., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Rosinia, Francis A., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Rue, Byron T., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Rupe, Brad D., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Starkovich, Kristine D., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Verlander, Leo D., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Villien, Marcus J., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Villien, Richard P., MD
Metairie, LA 70002
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 54 of 177Updated February 2015
3510 N. Causeway Blvd, Ste 404
504-779-5515
Walker, Richard K., CRNA
Metairie, LA 70002
Network Provider
Emergency Medicine Provider
Coolidge Emergency Group
Network Provider
1214 Coolidge Blvd
337-289-7529
Bailey, Brian , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Barras, Marcus , NP
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Castillo, Julio , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Darbonne, Stephen , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Dean, Christy , NP
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Domingue, Scott , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Duplechin, Rochelle , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Garber, Frank , NP
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Glowacki, Gregory , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Greco, Leslie , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Green, Carolyn , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Hamilton, Scott , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Hanks, Athena , NP
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Hebert-Briley, Tammy , NP
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Kordisch, Foster , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Lasseigne, Richard , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Lawrence, Christopher , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Lecky, Robert , MD
Lafayette, LA 70503
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 55 of 177Updated February 2015
1214 Coolidge Blvd
337-289-7529
Peebles, Michael , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Ralidis, Phil , DO
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Sudd, Deeb , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7529
Vallee, Monique D., MD
Lafayette, LA 70503
Network Provider
Neonatologist
1214 Coolidge Blvd
337-984-7828
Ashraf, Mufeed , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-984-7828
De IuIio, David , MD
Lafayette, LA 70503
Network Provider
Pathologist
1214 Coolidge Blvd
337-289-7674
Bozner, Peter , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7674
Carney, Joel , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7674
Gombos, Zoltan , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7674
Moses, Donald , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7674
West, Donald , MD
Lafayette, LA 70503
Network Provider
Radiologist
1214 Coolidge Blvd
337-706-1525
Ibrahim, Mian A., MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-706-1525
Jenkins, David M., MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-706-1525
Osborne, Robert C., MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-706-1525
Prejean, Joseph B., MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-706-1525
Wijayasuriya, Lalith S., MD
Lafayette, LA 70503
Network Provider
Lafayette General Surgical Hospital
Anesthesiologist
3510 N. Causeway Blvd, Ste 404
504-779-5515
Ackal, Todd C., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Blevins, Linda P., CRNA
Metairie, LA 70002
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 56 of 177Updated February 2015
3510 N. Causeway Blvd, Ste 404
504-779-5515
Breaux, Jason P., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Brown, Deborah N., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Chappuis, Cameron C., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Dabadie, Virginia G., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Deranger, Carl S., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Dunn, Christopher M., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Dupre', Jeannette Y., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Fackler, Rosa M., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Fontenot, Kerwin J., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Fouquier, Kim A., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Guillot, Trish A., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Havenar, James S., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Heard, MIchael E., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Johnson, Jeffrey L., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Lafleur, Colby P., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Landry, Susan F., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Lapointe, Dana L., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Leblanc, Yvette L., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Luent-Sonnier, Nicole M., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Mampilly, George A., MD
Metairie, LA 70002
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 57 of 177Updated February 2015
3510 N. Causeway Blvd, Ste 404
504-779-5515
Mandell, Steven J., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Palfrey, Richard G., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Patin, Nicholas C., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Rosinia, Francis A., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Rue, Byron T., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Rupe, Brad D., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Starkovich, Kristine D., CRNA
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Verlander, Leo D., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Villien, Marcus J., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Villien, Richard P., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Walker, Richard K., CRNA
Metairie, LA 70002
Network Provider
Pathologist
1214 Coolidge Blvd
337-289-7674
Bozner, Peter , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7674
Carney, Joel , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7674
Gombos, Zoltan , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7674
Moses, Donald , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7674
West, Donald , MD
Lafayette, LA 70503
Network Provider
Radiologist
1214 Coolidge Blvd
337-706-1525
Ibrahim, Mian A., MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-706-1525
Jenkins, David M., MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-706-1525
Osborne, Robert C., MD
Lafayette, LA 70503
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 58 of 177Updated February 2015
1214 Coolidge Blvd
337-706-1525
Prejean, Joseph B., MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-706-1525
Wijayasuriya, Lalith S., MD
Lafayette, LA 70503
Network Provider
Lafayette Surgery Center
*Information not provided
Lafayette Surgicare
Anesthesiologist
1613 N Harrison Parkway, Suite 200
Sheridan Healthcare of Louisiana, Inc
Sunrise , FL 33323
Network Provider
2173A Centerville Place
850-385-0141
Baudoin, Bryan , DO
Tallahassee, FL 32308
Non-Network Provider
2173A Centerville Place
850-385-0141
Glogover, Philip , MD
Tallahassee, FL 32308
Non-Network Provider
2173A Centerville Place
850-385-0141
Grau, Valerie , MD
Tallahassee, FL 32308
Non-Network Provider
2173A Centerville Place
850-385-0141
Jayagopal, Vijaya , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Myers, Charles , MD
Tallahassee, FL 32308
Non-Network Provider
2173A Centerville Place
850-385-0141
Salcedo, Luis , MD
Tallahassee, FL 32308
Non-Network Provider
Pathologist
1214 Coolidge Blvd.
Preferred Anatomic Pathology Services
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd.
337-289-7679
Barre, Gregg M., MD
Lafayette, LA 70503
Non-Network Provider
1214 Coolidge Blvd.
337-289-7679
Bozner, Peter , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd.
337-289-7679
Carney, Joel , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd.
337-289-7679
Gombos, Zoltan , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd.
337-289-7679
Moses, Donald G., MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd.
337-289-7679
West, Donald W., MD
Lafayette, LA 70503
Network Provider
Radiologist
611 St. Landry Street
Acadiana Radiology Group
Lafayette, LA 70506
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 59 of 177Updated February 2015
611 St. Landry Street
337-289-2882
Billeaud, Paul , MD
Lafayette, LA 70506
Non-Network Provider
611 St. Landry Street
337-289-2882
Florek, Rodney , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Gunderson, Victor , MD
Lafayette, LA 70506
Non-Network Provider
611 St. Landry Street
337-289-2882
Hoppe, Blaine , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Lemoine, Nicholas , MD
Lafayette, LA 70506
Non-Network Provider
611 St. Landry Street
337-289-2882
McLemore, Henry , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Miller, Romney , MD
Lafayette, LA 70506
Non-Network Provider
611 St. Landry Street
337-289-2882
Rideaux, Alecia , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Stephan, Mark , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Vanbergen, Richard , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Wojak, Joan , MD
Lafayette, LA 70506
Network Provider
LaHaye Center for Advanced Eye Care
Other
201 Rue Iberville, Ste 800
337-235-2149
Wyble, Travis K., CRNA
Lafayette, LA 70508
Non-Network Provider
Lake Charles Memorial Hospital
*Information not provided
Lakeside Hospital
*Information not provided
Lakeview Regional Medical Center
Anesthesiologist
3510 N. Causeway Blvd, Ste 404
504-779-5515
Ball, Brian C., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Janssen, Peter , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Johnson, Laura A., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Levine, Kenneth M., MD
Metairie, LA 70002
Network Provider
Emergency Medicine Provider
1816 Industrial Blvd
504-366-7638
Benton, Gregory , MD
Harvey, LA 70058
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 60 of 177Updated February 2015
1816 Industrial Blvd
504-366-7638
Carpenter, Sean , MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Dedinksy, Mark , MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
DeSalvo, Jay , MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Erwin, Kevin , MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Guidry, Brian , MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Lagasse, Scott , MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Lawrence, Julie , MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Mercadel, Robert , MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Morse, Granville , MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Muntan, Chad , MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Vorhaben, Ann , MD
Harvey, LA 70058
Non-Network Provider
Neonatologist
1430 Tulane Avenue, SL-37
504-988-2550
Gordon, Phillip , MD
New Orleans, LA 70112
Non-Network Provider
1430 Tulane Avenue, SL-37
985-867-4360
Martinez-Triana, Bertha T, MD
New Orleans, LA 70112
Non-Network Provider
141 Highway 22, Unit E-4
985-778-4521
Suarez, Albeto , MD
Madisonville, LA 70447
Network Provider
Other
1000 Ochsner Blvd
985-875-2735
Choe, Ella U., MD
Covington, LA 70433
Network Provider
1000 Ochsner Blvd
985-875-2735
Gonzalez, Jessica , MD
Covington, LA 70433
Network Provider
1000 Ochsner Blvd
985-875-2735
Hill, Jason B., MD
Covington, LA 70433
Network Provider
1000 Ochsner Blvd
985-875-2735
Lamartiniere, Randy J., MD
Covington, LA 70433
Network Provider
1000 Ochsner Blvd
985-875-2735
Patel, Smita S., MD
Covington, LA 70433
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 61 of 177Updated February 2015
1000 Ochsner Blvd
985-875-2735
Prabaharan, Velummylum , MD
Covington, LA 70433
Network Provider
Pathologist
2915 Missouri Avenue
318-621-8820
Delta Pathology Group
Shreveport, LA 71109
Non-Network Provider
95 East Fairway Drive
985-867-4046
Bartholomew, Pamela M., MD
Covington, LA 70433
Non-Network Provider
95 East Fairway Drive
985-867-4046
Henderson, Jeremy , MD
Covington, LA 70433
Non-Network Provider
95 East Fairway Drive
985-867-4046
Kaye, Kim S., MD
Covington, LA 70433
Non-Network Provider
95 East Fairway Drive
985-867-4046
Martin, III., Edward J., MD
Covington, LA 70433
Non-Network Provider
Radiologist
95 East Fairway Drive
985-867-4048
Hall, Michael D., MD
Covington, LA 70002
Non-Network Provider
95 East Fairway Drive
985-867-4048
Kite, Roy A., MD
Covington, LA 70002
Non-Network Provider
95 East Fairway Drive
985-867-4048
Pflug, Steven F., MD
Covington, LA 70002
Non-Network Provider
Lallie Kemp Medical Center
Emergency Medicine Provider
200 Corporate Blvd, Ste 201
337-237-1915
Beran, David , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
Bernard, Matthew , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
D'Antonio, Jr., Claude , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
Desormeaux, George , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
Dinkins, Richard , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
Dodge, Vincent , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
Knight, Fredro , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
Lumpkin, Anitricia , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
Melton, David , MD
Lafayette, LA 70508
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 62 of 177Updated February 2015
200 Corporate Blvd, Ste 201
337-237-1915
Mutter, Laura , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
Nanjappa, Nagaraj , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
Peeples, III., Lee , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
Rice, Mark , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
Sikorski, Jr., Theodore , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-237-1915
Skeins, Elizabeth , MD
Lafayette, LA 70508
Non-Network Provider
Pathologist
4648 I-10 Service Road
504-889-2307
Breaux, Barry , MD
Metairie, LA 70001
Network Provider
4648 I-10 Service Road
504-889-2307
Glaudi, Susan , MD
Metairie, LA 70001
Network Provider
4648 I-10 Service Road
504-889-2307
Hoffpauir, Joan , MD
Metairie, LA 70001
Network Provider
4648 I-10 Service Road
504-889-2307
Sartin, Carol , MD
Metairie, LA 70001
Network Provider
4648 I-10 Service Road
504-889-2307
Scully, Stephen , MD
Metairie, LA 70001
Network Provider
Radiologist
621 Hickory Avenue
504-738-2434
Bryce, Thomas , MD
Harrahan, LA 70123
Network Provider
621 Hickory Avenue
504-738-2434
Chen, Oliver , MD
Harrahan, LA 70123
Network Provider
621 Hickory Avenue
504-738-2434
Chrestman, Reuben , MD
Harrahan, LA 70123
Network Provider
621 Hickory Avenue
504-738-2434
Harlin, Daniel , MD
Harrahan, LA 70123
Network Provider
621 Hickory Avenue
504-738-2434
Jackson, Paul , MD
Harrahan, LA 70123
Network Provider
621 Hickory Avenue
504-738-2434
Lacour, Allen , MD
Harrahan, LA 70123
Network Provider
621 Hickory Avenue
504-738-2434
Ovella, Ty , MD
Harrahan, LA 70123
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 63 of 177Updated February 2015
621 Hickory Avenue
504-738-2434
Perdigao, Joseph , MD
Harrahan, LA 70123
Network Provider
621 Hickory Avenue
504-738-2434
Rupley, Daniel , MD
Harrahan, LA 70123
Network Provider
621 Hickory Avenue
504-738-2434
Vaid, Rajesh , MD
Harrahan, LA 70123
Network Provider
621 Hickory Avenue
504-738-2434
Vanderbrook, Richard , MD
Harrahan, LA 70123
Network Provider
621 Hickory Avenue
504-738-2434
Wei, Stephen , MD
Harrahan, LA 70123
Network Provider
621 Hickory Avenue
504-738-2434
Wells, William , MD
Harrahan, LA 70123
Network Provider
Lane Regional Medical Center
Emergency Medicine Provider
3223 8th Street
504-833-7770
C&M Medical Services, Inc.
Metairie, LA 70002
Non-Network Provider
Neonatologist
9000 Airline Highway, Ste 340
225-928-2555
Berry, Angelle L., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Davies, Shelley S., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Dunbar, III, Alston E., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Lindsay, Elizabeth B., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Meyn, Jr., Donald F., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Smith, IV, Henry S., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Spedale, Steven B., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Stewart, Kimberly M., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Voelker, Cynthia A., MD
Baton Rouge, LA 70815
Network Provider
Pathologist
5339 O'Donovan Drive
225-766-4999
Boudreaux, David A., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Cavalier, Deborah S., MD
Baton Rouge, LA 70808
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 64 of 177Updated February 2015
5339 O'Donovan Drive
225-766-4999
Cooper, Shannon , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Eichelberger, Tonya J., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Graham, Richard R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Harton, Anthony , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Jastram-Belcher, Jennifer , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Kascick, Robert L., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Mason, Stephen E., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Ogden, Beverly , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Polk, Peggy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Rauch, Tracy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Simmons, John R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Stromeyer, Wayne , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Webb, Brian W., MD
Baton Rouge, LA 70808
Non-Network Provider
Radiologist
7703 Picardy Avenue
225-675-8363
Diagnostic Radiology Consultants, LLP
Baton Rouge, LA 70808
Network Provider
LaSalle General Hospital
Emergency Medicine Provider
P.O. Box 400
866-285-0910
LaSalle Emergency Group, LLC
San Antonio, TX 78292
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Bennett, Glenn H., MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Blanch, Juan S., MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Chopra, Sanjay K., DO
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Erickson, Mathew C., MD
Lafayette, LA 70508
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 65 of 177Updated February 2015
200 Corporate Blvd, Ste 201
800-893-9698
Flottmann, Jay T., MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Floyd, III., Frederick W., DO
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
George, James S., MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Hernandez, Cary A., MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Hughes, Richard W., MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Khan, Azeem , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Lahoud, Chawki A., MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Levet, Barry M., MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Martinez, Esteban A., MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Mashburn, Jay , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Quayle, Carter W., MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Rohr, Gabriela , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Sokoya, Gbolahan O., MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Tadikonda, Sreenivasa , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Tapia, Jorge Issac, MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Thaljeh, Faisal , MD
Lafayette, LA 70508
Non-Network Provider
Pathologist
109 Circle Drive
318-323-1834
Armstrong, John M., MD
West Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1834
Elias, Abdalla L., MD
West Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1834
Maxwell, John E., MD
West Monroe, LA 71291
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 66 of 177Updated February 2015
109 Circle Drive
318-323-1834
Pankey, Lee R., MD
West Monroe, LA 71291
Network Provider
Radiologist
3704 North Blvd, Ste B
318-442-7500
Allen, Michael D., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Dozier, Timothy J., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Head, Stuart C., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Hogg, Benjamin R., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Jeansonne, Kevin J., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Larson, Paul C., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Long, William D., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Mansour, Alfred A., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Manuel, Nicholas P., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Rice, Stephen D., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Sachasinh, Rachadip S., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Scheuermann, Christian A., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Smith, Paul R., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-442-7500
Tighe, Devin K., MD
Alexandria, LA 71301
Network Provider
Laser and surgery Center of Acadian
*Information not provided
Leesville surgery Center, LLC
*Information not provided
LHCG-XII
*Information not provided
Lifecare Hospitals of Shreveport
Other
8001 Youree Drive, Suite 450
318-212-3952
Abdehou, David M,
Shreveport, LA 71115
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 67 of 177Updated February 2015
8001 Youree Drive, Suite 450
318-212-3952
Ahmad, Umer ,
Shreveport, LA 71115
Non-Network Provider
2551 Greenwood Road, Suite 410
318-621-2929
Blanchard, P. V.,
Shreveport, LA 71103
Non-Network Provider
1801 Fairfield, Suite 301
318-222-9205
Borne, Alan ,
Shreveport, LA 71101
Non-Network Provider
1635 Marvel Street
Chico, Gavin ,
Coushatta, LA 71019
Non-Network Provider
PO Box 52598
Desai, Himanshu ,
Shreveport, LA 71135
Non-Network Provider
8001 Youree Drive, Suite 720
318-798-9881
Fitzgerald, Kenneth ,
Shreveport, LA 71115
Non-Network Provider
2551 Greenwood Road, Suite 410
318-621-2929
Frank, Matthew ,
Shreveport, LA 71103
Non-Network Provider
2551 Greenwood Road, Suite 410
318-635-9855
Gandhi, Rajendra ,
Shreveport, LA 71103
Non-Network Provider
8001 Youree Drive, Suite 400
318-212-3456
Harris, John ,
Shreveport, LA 71115
Non-Network Provider
8001 Youree Drive, Suite 450
318-212-3952
Hernandez, Robert ,
Shreveport, LA 71115
Non-Network Provider
8001 Youree Drive, Suite 880
318-212-3821
Jani, Kamlesh ,
Shreveport, LA 71115
Non-Network Provider
PO Box 52598
318-797-8777
Kamm, Richard ,
Shreveport, LA 71135
Non-Network Provider
2751 Albert Bicknell, Suite 2c
318-631-9190
Kompelli, Ashok ,
Shreveport, LA 71103
Non-Network Provider
2551 Greenwood Road, Suite 410
318-621-2929
Le, Huan ,
Shreveport, LA 71103
Non-Network Provider
8001 Youree Drive, Suite 880
318-212-3906
Liu, Wen ,
Shreveport, LA 71115
Non-Network Provider
8001 Youree Drive, Suite 880
318-212-3821
Manapragada, Prakash ,
Shreveport, LA 71115
Non-Network Provider
2751 Albert Bicknell, Suite 2c
318-631-9190
MatrianoLim, Allan ,
Shreveport, LA 71103
Non-Network Provider
8001 Youree Drive, Suite 880
318-212-3821
Nelson, Jason ,
Shreveport, LA 71115
Non-Network Provider
2551 Greenwood Road, Suite 410
318-621-2929
Nicholis, Timothy ,
Shreveport, LA 71103
Non-Network Provider
2508 Bert Kouns, Suite 301
318-212-5991
O'Young, Andrew ,
Shreveport, LA 71118
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 68 of 177Updated February 2015
2120 Bert Kouns, Suite F
318-686-1668
Patel, Kirit ,
Shreveport, LA 71118
Non-Network Provider
PO Box 51008
318-798-9400
Reeves, Eric ,
Shreveport, LA 71135
Non-Network Provider
6047 Five Oaks Drive
318-686-5255
Singh, Krishna ,
Shreveport, LA 71129
Non-Network Provider
8835 Line Avenue, Suite 200
318-935-6177
Sipes, Richard ,
Shreveport, LA 71106
Non-Network Provider
PO Box 51008
318-798-9400
Smith, Ray ,
Shreveport, LA 71135
Non-Network Provider
2551 Greenwood Road, Suite 410
318-621-2929
Stuart, Anthony ,
Shreveport, LA 71103
Non-Network Provider
2551 Greenwood Road, Suite 410
318-621-2929
Trettin, Karla ,
Shreveport, LA 71103
Non-Network Provider
PO Box 51008
Veerareddy, Srikar ,
Shreveport, LA 71135
Non-Network Provider
8001 Youree drive, Suite 450
318-212-3970
Wilson, Paul ,
Shreveport, LA 71115
Non-Network Provider
Pathologist
PO Box 37589
318-632-8289
Sardenga, Louis ,
Shreveport, LA 71133
Non-Network Provider
2915 Missouri
318-621-8820
Siskron, III, F. Thomas,
Shreveport, LA 71109
Non-Network Provider
2915 Missouri Ave
318-364-2042
Williams, Bruce ,
Shreveport, LA 71109
Non-Network Provider
Radiologist
5995 Opus Parkway, Suite 200
318-212-3952
Aikawa, Taro ,
Minnetonka, MN 55343
Non-Network Provider
5995 Opus Parkway, Suite 200
318-212-3952
Benedetti, Phillip ,
Minnetonka, MN 55343
Non-Network Provider
1801 Fairfield, Suite 301
318-222-9205
Bulczak, Dariusz ,
Shreveport, LA 71101
Non-Network Provider
1801 Fairfield, Suite 301
318-222-9205
Burkholz, Kimberly ,
Shreveport, LA 71101
Non-Network Provider
5995 Opus Parkway, Suite 200
Caldemeyer, Karen ,
Minnetonka, MN 55343
Non-Network Provider
5995 Opus Parkway, Suite 200
318-212-3952
Carlson, Jeffrey ,
Minnetonka, MN 55343
Non-Network Provider
1635 Marvel Street
Cho, Parina ,
Coushatta, LA 71019
Non-Network Provider
11995 Singletree Lane, Suite 500
Davae, Ketan ,
Eden Prarie, MN 55344
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 69 of 177Updated February 2015
5995 Opus Parkway, Suite 200
318-212-3952
Davis, Steven ,
Minnetonka, MN 55343
Non-Network Provider
Diaz-Horsley, Jannell ,
Non-Network Provider
1460 E. Bert kouns Ind. Loop, suite 708
318-425-1001
Holton, Don ,
Shreveport, LA 71105
Non-Network Provider
11995 Singletree Lane, Suite 500
Hoo, Charles ,
Minneapolis, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Jain, Shelly ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Lowery, Patricia ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Mahmmood, Omar ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
McDonnell, Kevin ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Morley, Robert ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Nguyen, John ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Paul, Marc ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Pendarvis, Ranie ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Phillip, Shailendri ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Staib, Jr., Neil ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Strong, Benjamin ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Toothman, Richard ,
Eden Prarie, Mn 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Tran, Ann ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Turner, James ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Uytana, Vinson ,
Eden Prarie, MN 55344
Non-Network Provider
11995 Singletree Lane, Suite 500
Wong, Edward ,
Eden Prarie, MN 55344
Non-Network Provider
LifecareSpeciality Hospital of North
Louisiana
Other
3106 Cypress Street
318-322-0458
Adams, Alyce ,
West monroe, LA 71291
Network Provider
4075 Copper Ridge Drive
888-632-0545
Adgeh, Cherinet ,
Traverse City, MI 49684
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 70 of 177Updated February 2015
510 Alexander Street
318-259-2148
Agarwal, Kushal C.,
Jonesboro, LA 71251
Network Provider
1200 South Farmerville Street
318-251-6306
Blackwelder, Mark A.,
Ruston, LA 71270
Network Provider
401 East Vaughn Street
318-254-2100
Boersma, Mark ,
Ruston, LA 71270
Network Provider
1025 Marion Hwy
318-368-9745
Corley, Holly D.,
Farmerville, LA 71241
Network Provider
206 McMillian Road
318-855-4062
Figueroa, Glenn R.,
West monroe, LA 71291
Network Provider
PO Box 380
318-259-1204
Gwan, Rose O.,
Hodge, LA 71247
Network Provider
912 West Main Street
318-927-3571
haynes, Donald S.,
Homer, LA 71040
Network Provider
1200 South Farmerville Street
318-251-6306
Hild, Allan S.,
Ruston, La 71270
Network Provider
606 Water Street
318-699-0505
Islam, rezaul ,
Farmerville, LA 71241
Network Provider
1200 South Farmerville Street
318-251-6306
Kidd, Holly A.,
Ruston, LA 71270
Network Provider
401 East Vaughn Street
318-254-2100
Krukas, Anatole ,
Ruston, LA 71270
Network Provider
411 East Vaughn Street, Suite 205
318-254-1274
Lacayo, Leonel ,
Ruston, LA 71270
Network Provider
1200 South Farmerville Street
318-251-6306
Mariano, Sheila M,
Ruston, LA 71270
Network Provider
1200 South Farmerville Street
318-251-6306
Marlano, Edward J.,
Ruston, LA 71270
Network Provider
1200 South Farmerville Street
318-251-6306
Morris, Thomas L.,
Ruston, LA 71270
Network Provider
1200 South Farmerville Street
318-251-6306
Owens, Arthur W.,
Ruston, LA 71270
Network Provider
401 East Vaughn Street
318-254-2100
Sheikh, Abdul ,
Ruston, LA 71270
Network Provider
401 East Vaughn Street
318-254-2100
Tadikonda, Sreenivasa ,
Ruston, LA 71270
Network Provider
1200 South Farmerville Street
318-251-6306
Tamakloe, Sedo E.,
Ruston, LA 71270
Network Provider
1200 South Farmerville Street
318-251-6306
Tamakloe, Martina A.,
Ruston, LA 71270
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 71 of 177Updated February 2015
1200 South Farmerville Street
318-251-6306
Tubre, Elvin G,
Ruston, LA 71270
Network Provider
811 James Avenue
318-368-01901
venters, Steven W.,
Farmerville, LA 71241
Network Provider
Pathologist
109 Circle Drive
318-699-0231
Elias, Abdalla ,
West monroe, LA 71291
Network Provider
109 Circle Drive
318-699-0231
Maxwell, John E,
West monroe, LA 71291
Network Provider
401 East Vaughn Street
318-254-2436
Smith, Nancy V.,
Ruston, LA 71270
Network Provider
Radiologist
PO Box 35805
318-387-5909
Atchison, JW David,
West monroe, LA 71294
Network Provider
PO Box 35805
318-387-5909
Braud, John ,
West monroe, LA 71294
Network Provider
PO Box 35805
318-387-5909
Broyles, Micheal O.,
West monroe, La 71294
Network Provider
PO Box 1339
318-387-5909
Green, Warren ,
West monroe, LA 71294
Network Provider
Po Box 1339
318-387-5909
Hollenberg, Henry ,
West Monroe, LA 71294
Network Provider
PO Box 1339
318-387-5909
Patel, Steven ,
West monroe, LA 71294
Network Provider
PO Box 66
318-728-9988
Smith, Stover ,
Rayville, La 71269
Network Provider
1200 South Farmerville Street
318-251-6306
Weeks, Jeffrey ,
Ruston, LA 71270
Network Provider
LLC-I
*Information not provided
Louisiana Extended Care Hospital of
Kenner
*Information not provided
Network Provider
Louisiana Extended Care Hospital of
West Monroe
*Information not provided
Louisiana Heart Hospital
Emergency Medicine Provider
Emergency Physician Services
Network Provider
Louisiana Medical Center & Heart
Hospital
Anesthesiologist
64030 LA Highway 434
985-690-7688
Bronaugh, David , MD
Lacombe, LA 70445
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 72 of 177Updated February 2015
64030 LA Highway 434
985-690-7688
Deasis, Nestor , MD
Lacombe, LA 70445
Network Provider
64030 LA Highway 434
985-690-7688
Gallagher, Timothy M., MD
Lacombe, LA 70445
Network Provider
64030 LA Highway 434
985-690-7688
Lambert, Lee A., MD
Lacombe, LA 70445
Network Provider
64030 LA Highway 434
985-690-7688
Mestayer, Ross , MD
Lacombe, LA 70445
Network Provider
64030 LA Highway 434
985-690-7688
Reddy, Konda D., MD
Lacombe, LA 70445
Network Provider
64030 LA Highway 434
985-690-7688
Scurria, Anthony J., MD
Lacombe, LA 70445
Network Provider
64030 LA Highway 434
985-690-7688
West, Thomas T., MD
Lacombe, LA 70445
Network Provider
Emergency Medicine Provider
200 Corporate Blvd, Ste 201
800-690-7688
Brooks, Derrick D., MD
Lafayette, LA 70508
Network Provider
64030 LA Highway 434
985-690-7500
Dixit, Deepak S., MD
Lacombe, LA 70445
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Donald, Chancellor E., MD
Lafayette, LA 70508
Network Provider
64030 LA Highway 434
985-690-7500
East, Mark D., MD
Lacombe, LA 70445
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Erato, Thaddeus , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Fambro, James E., MD
Lafayette, LA 70508
Network Provider
231 St. Ann Drive, Suite 2
985-871-5420
Gaber, Edward , MD
Covington, LA 70433
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Grace, David M., MD
Lafayette, LA 70508
Network Provider
64030 LA Highway 434
985-690-7500
Gueringer, Jr., Lloyd J., MD
Lacombe, LA 70445
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Huval, William V., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Kerry, Bruce P., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Khan, Azeem R., MD
Lafayette, LA 70508
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 73 of 177Updated February 2015
200 Corporate Blvd, Ste 201
800-893-9698
Knight, Fredro C., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Lamartina, Jr, John J., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Langley, John , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Lozes, Ann N., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Mall , Gary M, MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Morrison, Richard , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Nagendran, Manlkandran , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Overton, III, Clayton J., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Psomas, Nikolas , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Vaidyanathan, Damodharan , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Ward, Felicia M., MD
Lafayette, LA 70508
Network Provider
Other
200 Corporate Blvd, Ste 201
800-893-9698
Ashan, Syed T., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Collins, Bradley , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Dennis, Allen , MD
Lafayette, LA 70508
Network Provider
64030 Hwy 434
985-690-7500
Desse, Jeab , MD
Lacombe, LA 70445
Network Provider
64030 Hwy 434
985-690-7500
East, Mark D., MD
Lacombe, LA 70445
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Fontenot, Eric P., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Grace, David M, MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Mahoney, Marie D., MD
Lafayette, LA 70508
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 74 of 177Updated February 2015
200 Corporate Blvd, Ste 201
800-893-9698
Muthuswamy, murthy , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
800-893-9698
Nagendran, Manikandran , MD
Lafayette, LA 70508
Network Provider
Pathologist
P.O. Box 1750
985-867-4046
Bartholomew, Pamela , MD
Covington, LA 70434
Non-Network Provider
95 East Fairway Drive
985-867-4046
Carlin, Patricia , MD
Covington, LA 70433
Non-Network Provider
71250 Hendry Avenue
985-246-9822
Coker, Gloria B., MD
Covington, LA 70433
Non-Network Provider
PO Box 1750
985-867-4046
Henderson, Jeremy W., MD
Covington, LA 70434
Non-Network Provider
P.O. Box 1750
985-867-4046
Kaye, Kim S., MD
Covington, LA 70434
Non-Network Provider
P.O. Box 1750
985-867-4046
Martin, III., Edward J., MD
Covington, LA 70434
Network Provider
Radiologist
7710 T Cherry Park Drive, #522
877-572-8456
Bhushan, Vikas , MD
Houston, TX 77095
Non-Network Provider
11318 Creek Drive
877-570-8362
Hudkins, Matthew G., MD
Gulfport, MS 39503
Non-Network Provider
11318 Creek Drive
877-570-8362
Jain, Sanjay K, MD
Gulfport, MS 39503
Non-Network Provider
11318 Creek Drive
877-570-8362
Pham, Justin H, MD
Gulfport, MS 39503
Non-Network Provider
11318 Creek Drive
877-570-8362
Saurborn, Daniel P., MD
Gulfport, MS 39503
Non-Network Provider
7710 T Cherry Park Drive, #522
877-572-8456
Schulze, Eric S., MD
Houston, TX 77095
Non-Network Provider
60132 Oaklawn Avenue
985-882-7732
Silvestri, David , MD
Lacombe, LA 70445
Network Provider
60115 Oaklawn Drive
985-882-7732
Silvestri, James , MD
Lacombe, LA 70445
Network Provider
60132 Oaklawn Avenue
985-882-7732
Silvestri, Beata , MD
Lacombe, LA 70445
Network Provider
11318 Creek Drive
877-570-8362
Tan, Kenneth T., MD
Gulfport, MS 39503
Non-Network Provider
Louisiana Specialty Hospital
*Information not provided
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 75 of 177Updated February 2015
Louisiana State University Health
Sciences Center
Anesthesiologist
1501 Kings Hwy
318-675-5061
Abreo, Fleurette W., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Adegboyega, Patrick A., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Beckner, Marie E., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Bonsib, Stephen M., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Cotelingam, James D., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Fowler, Marjorie R., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Gu, Xin , MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Jin, Long , MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Ong, Menchu D., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Thibodeaux, Joel D., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Thomas-Ogunniyi, Jaiyeola O., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Traylor, Jr., James G., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Veillon, Diana , MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Zhang, Songlin , MD
Shreveport, LA 71103
Network Provider
Emergency Medicine Provider
1501 Kings Hwy
318-675-5061
Arnold, Thomas C., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Barish, Robert A., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Ells, Sandra M., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Graham, Derrel D., MD
Shreveport, LA 71103
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 76 of 177Updated February 2015
1501 Kings Hwy
318-675-5061
Mahler, Simon A., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Martin, Brian P., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
McGauly, Patrick L., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Small, James W., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Springhart, Jennifer M., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Swoboda, Thomas K., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Thoma, Todd G., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Wang, Hao , MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Wolcott, Christopher J., MD
Shreveport, LA 71103
Network Provider
Neonatologist
1501 Kings Hwy
318-675-5061
Hussein, Sameh M., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Ibrahim, Hassan M., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Krouskop, Richard W., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Pramanik, Arun K., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Walls, Scott A., MD
Shreveport, LA 71103
Network Provider
Radiologist
1501 Kings Hwy
318-675-5061
Ampil, Federico L., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Baluna, Roxana G., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Carbo, Alberto I., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
D'Agostino, Horacio R., MD
Shreveport, LA 71103
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 77 of 177Updated February 2015
1501 Kings Hwy
318-675-5061
Gates, Thomas R., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Gonzalez-Toledo, Eduardo C., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Grozinger, Kurt T., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Hardjasudarma, Mardjohan , MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Heldmann, Maureen G., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Kemper, Abbie C., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Luraguiz, Nelson D., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Malik, Anil , MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Mirfakhraee, Mansour , MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Nall, Linda A., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Previgliano, Carlos H., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Rosen, Lane R., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Sangster, Guillermo P., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Simoncini, Alberto A., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Takalkar, Amol M., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Vea, Romulo , MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Velnati, Aparna , MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Walker, Gudrun S., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Walker, Robert M., MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Weeks, Jeffrey S., MD
Shreveport, LA 71103
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 78 of 177Updated February 2015
1501 Kings Hwy
318-675-5061
Yang, Zhiyun , MD
Shreveport, LA 71103
Network Provider
1501 Kings Hwy
318-675-5061
Zamani, Ramin , MD
Shreveport, LA 71103
Network Provider
LSU Bogalusa Medical Center
Anesthesiologist
433 Plaza Street
985-730-6700
Devlin, Ray , CRNA
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6700
Hughes, Darryl , CRNA
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6700
Koepp, Mark , CRNA
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6700
Kuhn, Bill , CRNA
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6700
Schanzbach, Mike , CRNA
Bogalusa, LA 70427
Network Provider
Emergency Medicine Provider
200 Corporate Blvd, Ste 201
Emergency Med Physicians - The
Schumacher Group
Lafayette, LA 70508
Network Provider
433 Plaza Street
985-730-6817
Bernard, Matthew , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6817
Brown, Andrew , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6817
Fambro, James , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6817
Feinberg, Jeijei , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6817
Friend, Richard , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6817
Kieffer, Bradley , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6817
Knight, Fredro C., MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6817
McBride, Douglas , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6817
McInnis, Mark , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6817
Mclendon, Ronald , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6817
Naidu, Kanak , MD
Bogalusa, LA 70427
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 79 of 177Updated February 2015
433 Plaza Street
985-730-6817
Nakamoto, Andrew , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6817
Obey, Toria , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6817
Speights, Charles , MD
Bogalusa, LA 70427
Network Provider
Pathologist
433 Plaza Street
985-730-6870
Newman, William P, MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6870
Pei, Leo , MD
Bogalusa, LA 70427
Network Provider
Radiologist
433 Plaza Street
985-730-6804
Efird, Thomas , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6804
Lacour, Allen , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6804
Patel, Jigar , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6804
Perdigao, Joseph , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6804
Reid, Joseph , MD
Bogalusa, LA 70427
Network Provider
433 Plaza Street
985-730-6804
Saenz, Rodrigo , MD
Bogalusa, LA 70427
Network Provider
LTAC of Denham Springs
*Information not provided
LTAC of Feliciana
*Information not provided
LTAC of Slidell
*Information not provided
Madison Parish Hospital
Emergency Medicine Provider
17438 Hard Hat Drive
800-962-3959
Correct Care
Covington, LA 70435
Non-Network Provider
Pathologist
109 Circle Drive
800-738-3273
Bayou Pathology
West Monroe, LA 71291
Network Provider
Radiologist
1240 Richardson Road
866-694-3447
Brown & Folse Radiology
Calhoun, LA 71225
Network Provider
Mercy Regional Medical Center
Anesthesiologist
9858 Neesonwood Drive
318-797-3973
Sanders, Daniel T., MD
Shreveport, LA 71106
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 80 of 177Updated February 2015
Emergency Medicine Provider
200 Corporate Blvd, Ste 201
337-237-1915
Emergency Group of St. Landry, LLC
Lafayette, LA 70508
Network Provider
Pathologist
520 North Lewis Street, Ste 204-A
337-364-4193
ReliaPath, LLC
New Iberia, LA 70563
Network Provider
Radiologist
4766 I49 North
800-334-1889
Radiology Specialty Groups
Opelousas, LA 70571
Non-Network Provider
MGA Gi Diangnostic and Thera Center-
Metairie
*Information not provided
Minden Medical Center
Anesthesiologist
7330 Fern Ave, Ste 402
318-221-2536
Minden Anesthesiology Associates, LLC
Shreveport, LA 71105
Non-Network Provider
Emergency Medicine Provider
110 Rue Jean Lafitte
800-893-9698
Webster Emergency Group, LLC
Lafayette, LA 70508
Network Provider
Pathologist
2915 Missouri Avenue
318-621-8820
Delta Pathology Group
Shreveport, LA 71109
Network Provider
Radiologist
11995 Singletree Lane, Ste 500
800-737-0610
Virtual Radiology
Eden Prairie, MN 55344
Non-Network Provider
7330 Fern Ave, Ste 402
318-221-2535
Stewart, Webster , MD
Shreveport, LA 71105
Non-Network Provider
Monroe Surgical Hospital
*Information not provided
Morehouse General Hospital
Emergency Medicine Provider
Morehouse Emergency Group
3520 Piedmont Road NE, Ste 250
678-904-2590
Abraham, Jacob , MD
Atlanta, GA 30305
Network Provider
420 South Vine Street
318-283-3032
Adams, Alyce R., MD
Bastrop, LA 71220
Network Provider
3711 Cypress Street
318-396-3228
Agarwal, Rita , MD
West Monroe, LA 71291
Network Provider
7887 Picardy Avenue
225-769-6700
Alexander, Albert E., MD
Baton Rouge, LA 70809
Network Provider
13601 Preston Road, Suite 1000W
972-715-5031
Allen, Clara M., CRNA
Dallas, TX 75240
Network Provider
3101 Kilpatrick Blvd.
318-322-5506
Anderson, Danier D., DPM
Monroe, LA 71201
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 81 of 177Updated February 2015
PO Box 66
318-728-9988
Ardoin, Shannon E., MD
Rayville, LA 71269
Network Provider
3520 Piedmont Road NE, Ste 250
678-904-2590
Arjona, Jose L., MD
Atlanta, GA 30305
Network Provider
PO Box 66
318-728-9988
Armington, William G., MD
Rayville, LA 71269
Network Provider
7887 Picardy Avenue
225-769-6700
Aultman, Chad J., MD
Baton Rouge, LA 70809
Network Provider
318-329-4240
Baird, Gregory S., CRNA
West Monroe, LA 71294
Network Provider
221 West hickory Street
318-281-3211
Baker, Edward D., MD
Bastrop, LA 71220
Network Provider
3520 Piedmont Road NE, Ste 250
678-904-2590
Bauer, Amanda F., MD
Atlanta, GA 30305
Network Provider
2915 Missouri Avenue
318-621-8820
Bearden, Carrie L., MD
Shreveport, LA 71109
Network Provider
616 South Washington
318-283-2177
Bhandari, Bal R., MD
Bastrop, LA 71220
Network Provider
309 Jackson Street
318-327-4105
Blanchard, Stephen P., MD
Monroe, LA 71201
Network Provider
309 Jackson Street
318-327-4105
Blanchard, Jr., Richard J., MD
Monroe, LA 71201
Network Provider
PO Box 1060
318-283-3829
Box, Freddy R., CRNA
Bastrop, LA 71220
Network Provider
7887 Picardy Avenue
225-769-6700
Branstetter, III, Robert , MD
Baton Rouge, LA 70809
Network Provider
7887 Picardy Avenue
225-769-6700
Brown, Jason A., MD
Baton Rouge, LA 70809
Network Provider
PO Box 66
318-728-9988
Brown, Edward L., MD
Rayville, LA 71269
Network Provider
323 West Walnut Street
318-283-3852
Bryant, Renita S., MD
Bastrop, LA 71220
Network Provider
PO Box 14530
225-769-6700
Burris, Robert A., MD
Baton Rouge, LA 70809
Network Provider
2332 Sterlington Road
318-537-9320
Caire, Michael J., MD
Monroe, LA 71203
Network Provider
1501 Louisville Ave
318-323-8451
Caldwell, Bernie M., PA
Monroe, LA 71201
Network Provider
323 West Walnut Street
318-283-3896
Chorette, Edward L., MD
Bastrop, LA 71220
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 82 of 177Updated February 2015
327 West Hickory
318-556-3071
Coats, John M., MD
Bastrop, LA 71220
Network Provider
206 South Vine Street
318-281-3521
Cox, Jr., Carter , MD
Bastrop, LA 71220
Network Provider
7887 Picardy Avenue
225-769-6700
De La Bretonne, Jacques , MD
Baton Rouge, LA 70809
Network Provider
PO Box 14530
225-769-6700
DeMars, Thomas A., MD
Baton Rouge, LA 70809
Network Provider
7887 Picardy Avenue
225-769-6700
Demouy, Jeffrey A., MD
Baton Rouge, LA 70809
Network Provider
106 Riverdale Drive
985-273-1030
Dominguez, Mark J., MD
Covington, LA 70433
Network Provider
427 South Vine Street
318-556-3333
Drost, Kelli M., NP
Bastrop, LA 71220
Network Provider
105 Blue Ridge Drive
337-258-6426
Dupre, Neal A., CRNA
Carencro, LA 70520
Network Provider
Po Box 66
318-728-9988
Edwards, Robert L., MD
Rayville, LA 71269
Network Provider
PO Box 1137
318-283-3771
Emanuel, Johnnie M., MD
Bastrop, LA 71220
Network Provider
3017 N Causeway Blvd
504-835-4919
Faulkenbury, Lisa M., NP
Metairie, LA 70002
Network Provider
3520 Piedmont Road NE, Ste 250
678-904-2590
Ferraro, Francis A., MD
Atlanta, GA 30305
Network Provider
416 Gunby street
318-281-6111
Fields, Jr, Thomas H., MD
Bastrop, LA 71220
Network Provider
3520 Piedmont Road NE, Ste 250
678-904-2590
Firouztale, Pejman A., MD
Atlanta, GA 30305
Network Provider
7887 Picardy Avenue
225-769-6700
Fletcher, James D., MD
Baton Rouge, LA 70809
Network Provider
1240 richardson road
318-644-4401
Folse, Craig P., MD
Calhoun, LA 71225
Network Provider
3520 Piedmont Road NE, Ste 250
678-904-2590
Ford, Kerry K., MD
Atlanta, GA 30305
Network Provider
625 South Washington
318-281-5972
Gardner, Chad M., DDS
Bastrop, LA 71220
Network Provider
3101 Kilpatrick Blvd.
318-322-5506
Gardner, David G., DPM
Monroe, LA 71201
Network Provider
917 Lynwood
318-281-7226
Garrett, John P., DDS
Bastrop, LA 71220
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 83 of 177Updated February 2015
3520 Piedmont Road NE, Ste 250
678-904-2590
Goyal, Maheep K., MD
Atlanta, GA 30305
Network Provider
3520 Piedmont Road NE, Ste 250
678-904-2590
Greenfield, Antje L., MD
Atlanta, GA 30305
Network Provider
7887 Picardy Avenue
225-769-6700
Gregoir, William A., MD
Baton Rouge, LA 70804
Network Provider
PO Box 14530
225-769-6700
Grezaffi, Jr., John A., MD
Baton Rouge, LA 70809
Network Provider
309 Jackson Street
318-327-4105
Gulick, Janis J., MD
Monroe, LA 71201
Network Provider
316 Walnut Street
318-281-8555
Guoth, Janos G., MD
Bastrop, LA 71220
Network Provider
PO Box 14530
225-769-6700
Hanson, Richard D., MD
Baton Rouge, LA 70809
Network Provider
7887 Picardy Avenue
225-769-6700
Harris, Adam W., MD
Baton Rouge, LA 70809
Network Provider
PO Box 14530
225-769-6700
Harris, John P., MD
Baton Rouge, LA 70809
Network Provider
2915 Missouri Avenue
318-621-8820
Harrison, Kenneth G., MD
Shreveport, LA 71109
Network Provider
301 Davenport Avenue
318-647-5008
Hayden, Erin E., NP
Mer Rouge, LA 71261
Network Provider
2915 Missouri Avenue
318-621-8820
Heard, Joseph S., MD
Shreveport, LA 71109
Network Provider
PO box 14530
225-769-6700
hebert, Kenneth J., MD
Baton Rouge, LA 70809
Network Provider
75445 Downs Avenue
318-728-9988
henry, Wayne H., MD
Covington, LA 70435
Network Provider
7887 Picardy Avenue
225-769-6700
Hoff, David J., MD
Baton Rouge, LA 70809
Network Provider
420 South Vine Street
318-283-3032
Isaacs, Larry M., MD
Bastrop, LA 71220
Network Provider
312 Durham Street
318-281-3365
Keller, III, douglas , DDS
Bastrop, LA 71220
Network Provider
2615 Missouri Avenue
318-621-8820
Khare, Vivek K., MD
Shreveport, LA 71109
Network Provider
3520 Piedmont Road NE, Ste 250
678-904-2590
Kovash, Nanette L., DO
Atlanta, GA 30305
Network Provider
1501 Louisville Ave
318-323-8451
Langley, Wendy M., PA
Monroe, LA 71201
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 84 of 177Updated February 2015
PO Box 14530
225-769-6700
Lawton, III, James S., MD
Baton Rouge, LA 70809
Network Provider
1717 Main Street, Suite 5200
214-712-2438
LeBlanc, Andre M., CRNA
Dallas, TX 75201
Network Provider
2915 Missouri Avenue
318-621-8820
Lee, James A., MD
Shreveport, LA 71109
Network Provider
309 Jackson Street
318-966-4000
Liles, Jr., William J., MD
Monroe, LA 71201
Network Provider
7887 Picardy Avenue
225-769-6700
Locascio, Jr., Lloyd F., MD
Baton Rouge, LA 70809
Network Provider
200 Corporate Blvd., Suite 201
800-893-9698
Macklin, William H., MD
Lafayette, LA 70508
Network Provider
518 Durham Street
318-283-8887
Malik, Shahzad M., MD
Bastrop, LA 71220
Network Provider
3520 Piedmont Road NE, Ste 250
678-904-2590
Mallampati, Gautham K., MD
Atlanta, Ga 30305
Network Provider
7887 Picardy Avenue
225-769-6700
May, Byron B., MD
Baton Rouge, LA 70809
Network Provider
608 South Washington
318-281-2705
McCue, James R., MD
Bastrop, LA 71220
Network Provider
2509 Broadmoor Blvd., Ste B
318-322-3250
McDonald, Brenton W., MD
Monroe, LA 71201
Network Provider
2915 Missouri Avenue
318-621-8820
McLaren, Bernadette K., MD
Shreveport, LA 71109
Network Provider
323 Walnut Ave
318-283-3852
Meche, JoAnn S., FNP
Bastrop, LA 71220
Network Provider
7887 Picardy Ave
225-769-6700
Miller, Robert W., MD
Baton Rouge, LA 70809
Network Provider
2806 Mark Street
318-388-2996
Minor, Dorothy W., NP
Monroe, LA 71201
Network Provider
2806 Mark Drive
318-388-2996
Minor, Claude , MD
Monroe, LA 71201
Network Provider
200 Corporate Blvd., Suite 201
800-893-9698
Mitchell, Tanya , MD
Lafayette, LA 70508
Network Provider
150 Collins Street
901-526-7444
Moody, Laura O., MD
Memphis, TN 38102
Network Provider
200 Corporate Blvd., Suite 201
800-893-9698
Mosquera, Luis F., MD
Lafayette, LA 70508
Network Provider
427 South Vine Street
318-556-3333
Netherland, Clint A., MD
Bastrop, LA 71220
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 85 of 177Updated February 2015
7887 Picardy Ave
225-769-6700
Newsome, Sr., Robert R., MD
Baton Rouge, LA 70809
Network Provider
7887 Picardy Avenue
225-769-6700
Nussbaumer, III, David P., MD
Baton Rouge, LA 70809
Network Provider
3520 Piedmont Road NE, Ste 250
678-904-2590
O'Loughlin, Terence J., MD
Atlanta, GA 30305
Network Provider
150 Collins Street
901-526-7444
Osborn, Frank D., MD
Memphis, TN 38112
Network Provider
150 Collins Street
901-526-7444
Perrizo, karla M., MD
Memphis, TN 38112
Network Provider
422 Durham
318-281-2188
Pratt, Claude S., DDS
Bastrop, LA 71220
Network Provider
3520 Piedmont Road NE, Ste 250
678-904-2590
Pretorius, E S., MD
Atlanta, GA 30305
Network Provider
710 Oakhurst
318-283-3896
Reynolds, Joseph B., MD
Bastrop, LA 71220
Network Provider
618 South Washington
318-281-5035
Rutz, Jr., Joseph A., MD
Bastrop, LA 71220
Network Provider
7887 Picardy Avenue
225-769-6700
Sage, Joseph A., MD
Baton Rouge, LA 70809
Network Provider
2915 Missouri Avenue
318-621-8820
Sardenga, Louis J., MD
Shreveport, LA 71109
Network Provider
501 Durham
318-281-2008
Sheikh-Khalil, Mahmoud , MD
Bastrop, LA 71220
Network Provider
312 Grammont Street, Suite 300
318-388-4030
Sheppard, Tonya H., MD
Monroe, LA 71201
Network Provider
2915 Missouri Avenue
318-621-8820
Siskron, III, F. T., MD
Shreveport, LA 71109
Network Provider
PO Box 1589
318-281-5600
Smith, James M., MD
Bastrop, LA 71220
Network Provider
PO Box 66
318-728-9988
Smith, Stover L., MD
Rayville, LA 71269
Network Provider
200 Corporate Blvd., Suite 201
800-893-9698
Sokoya, Gbolahan O., MD
Lafayette, LA 70508
Network Provider
7887 Picardy Ave
225-769-6700
Sparks, John D., MD
Baton Rouge, LA 70809
Network Provider
1717 Main Street, Suite 5200
214-712-2438
Spence, Lori Y., CRNA
Dallas, TX 75201
Network Provider
301 Davenport Avenue
318-647-5008
Spires, Allen L., MD
Mer Rouge, LA 71261
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 86 of 177Updated February 2015
1501 Louisville Ave
318-323-8451
Spires, Jr, Timothy D., MD
Monroe, LA 71201
Network Provider
1501 Louisville Ave
318-323-8451
Spires, Sr., Timothy D., MD
Monroe, LA 71201
Network Provider
420 South Vine Street
318-283-3032
Starr, Yolanda L., NP
Bastrop, LA 71220
Network Provider
3520 Piedmont Road NE, Ste 250
678-904-2590
Sulzer, Jana L., MD
Atlanta, GA 30305
Network Provider
17438 Hard Hat Drive
985-249-5600
Tadikonda, Sreenivas , MD
Covington, LA 70435
Network Provider
1501 Louisville Ave
318-323-8451
Thomas, Jr., Lee W., PA
Monroe, LA 71201
Network Provider
1717 Main Street, Suite 5200
214-712-2438
Thompson, Anita , CRNA
Dallas, TX 75201
Network Provider
318-325-0483
Thompson, Lowery L., MD
West Monroe, LA 71291
Network Provider
365 West Hickory
318-283-5999
Tran, Andy V., MD
Bastrop, LA 71220
Network Provider
511 Gunby
318-281-2410
Trejo, Daniel A., MD
Bastrop, LA 71220
Network Provider
7887 Picardy Avenue
225-769-6700
Tsai, Saing-Ting , MD
Baton Rouge, LA 70809
Network Provider
2018 east Madison
318-281-8926
Turpin, Jr., carl T., DDS
Bastrop, LA 71220
Network Provider
200 Corporate Blvd., Suite 201
800-893-9698
Uchendu, Chukwudi B., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd., Suite 201
800-893-9698
Umoh, Daniel F., MD
Lafayette, LA 70508
Network Provider
205 South Davenport
318-647-3720
Webb, G. Wyatt, MD
Mer Rouge, LA 71261
Network Provider
2915 Missouri Avenue
318-621-8820
Wellman, Gregory P., MD
Shreveport, LA 71109
Network Provider
7887 Picardy Avenue
225-769-6700
Wen, Clement C., MD
Baton Rouge, LA 70809
Network Provider
2915 Missouri Avenue
318-621-8820
Werner, David J., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Wesche, William A., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Williams, Robert B., MD
Shreveport, LA 71109
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 87 of 177Updated February 2015
150 Collins Street
901-526-7444
Williams, Susan T., MD
Memphis, TN 38102
Network Provider
PO Box 66
318-728-9988
Yatco, Reynaldo L., MD
Rayville, LA 71269
Network Provider
425 South Vine
318-281-8596
Ziegler, John S., MD
Bastrop, LA 71220
Network Provider
Natchitoches Outpatient Services
Radiologist
3704 North Blvd, Ste B
318-448-8211
Central Louisiana Imaging
Alexandria, LA 71301
Network Provider
3704 North Blvd, Ste B
318-448-8211
Hogg, John , MD
Alexandria, LA 71301
Network Provider
Natchitoches Parish Hospital
*Information not provided
501 Keyser Avenue
318-214-4253
Natchitoches, LA 71457
Anesthesiologist
925 Sherwood Drive
800-444-6110
O'Con, Charles D., MD
Lake Bluff, IL 60044
Non-Network Provider
925 Sherwood Drive
800-444-6110
Pitre, Frederick R., MD
Lake Bluff, IL 60044
Non-Network Provider
Emergency Medicine Provider
501 Keyser Avenue
318-214-4200
NRMC ER Physicians
Natchitoches, LA 71457
Non-Network Provider
501 Keyser Avenue
318-214-4200
Coleman, Thomas , MD
Natchitoches, LA 71457
Non-Network Provider
501 Keyser Avenue
318-214-4200
Collins, Timothy , MD
Natchitoches, LA 71457
Non-Network Provider
501 Keyser Avenue
318-214-4200
Harris, Michelle , MD
Natchitoches, LA 71457
Non-Network Provider
501 Keyser Avenue
318-214-4200
Lemott, Daniel , MD
Natchitoches, LA 71457
Non-Network Provider
501 Keyser Avenue
318-214-4200
Waterfallen, George , MD
Natchitoches, LA 71457
Non-Network Provider
501 Keyser Avenue
318-214-4200
Wheeler, Paul , MD
Natchitoches, LA 71457
Non-Network Provider
501 Keyser Avenue
318-214-4200
Wingo, Susan , MD
Natchitoches, LA 71457
Non-Network Provider
Pathologist
3510 Parliament Court
318-443-0941
Alexandria Pathology
Alexandria, LA 71303
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 88 of 177Updated February 2015
Radiologist
3704 North Blvd, Ste B
318-448-8211
McLeod, Edna , MD
Alexandria, LA 71301
Network Provider
Neuromedical Center Rehab Hospital
*Information not provided
New Iberia Surgery Center
*Information not provided
North Caddo Medical Center
*Information not provided
North Oaks Medical Center
Anesthesiologist
15790 Paul Vega MD Drive
985-230-2198
Ball, Brian , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Bayhi, Daniel , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-2198
Boyne, Jeffrey , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Cordone, Michael , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Dorhauer, Kathryn , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Godeaux, Lacey , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Grisoli, Richard , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Maher, Michael , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
May, Laurence , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Wall, Ryan , MD
Hammond, LA 70403
Network Provider
Emergency Medicine Provider
15790 Paul Vega MD Drive
985-345-2700
Albin-Davenport, Carolyn , NP
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Arceneaux, Leslie , NP
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Blackwell, Dewey , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Cambre, Brandon , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Christner, Michael , MD
Hammond, LA 70403
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 89 of 177Updated February 2015
1900 South Morrison Blvd
985-230-5726
Daunis, Mark , MD
Hammond, LA 70403
Network Provider
1900 South Morrison Blvd
985-230-5726
Foster, Richard , MD
Hammond, LA 70403
Non-Network Provider
15790 Paul Vega MD Drive
985-345-2700
Gaines, Helen , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Granger, Shawn , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Guidry, John , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Haile, Mark , MD
Hammond, LA 70403
Network Provider
1900 South Morrison Blvd
985-230-5726
Harlan, Michael , MD
Hammond, LA 70403
Non-Network Provider
15790 Paul Vega MD Drive
985-345-2700
Hill, Douglas , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Hospodar, Steven , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Hudspeth, Zandi , NP
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-2111
Laborde, Catherine , MD
Walker, LA 70785
Non-Network Provider
15790 Paul Vega MD Drive
985-345-2700
Lumpkin, Melissa , ER NP
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Lyon, Alyssa ,
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Mall, Gary , MD
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-2111
Morris, Dennis , MD
Walker, LA 70785
Non-Network Provider
15790 Paul Vega MD Drive
985-230-1332
Neal, Jacob , NP
Hammond, la 70403
Network Provider
28050 Walker South Road
225-664-2111
Odom, Geoffrey , MD
Walker, LA 70785
Non-Network Provider
15790 Paul Vega MD Drive
985-345-2700
Oliver, Erika , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Parker, Greg , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Reinecke, Thomas , MD
Hammond, LA 70403
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 90 of 177Updated February 2015
15790 Paul Vega MD Drive
985-345-2700
Robert, Agrippa , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Schouest, Frederick , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Sigillito, Robert , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Smith, Stanley , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Smith, Jay , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Smith, Geoffrey , MD
Hammond, LA 70403
Network Provider
1900 South Morrison Blvd
985-230-5726
St. Amant, Sidney , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Toups, David , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Ursone, Richard , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-1332
Varnado, Melissa , NP
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Wellmeyer, David , MD
Hammond, LA 70403
Network Provider
Neonatologist
15790 Paul Vega MD Drive
985-345-2700
Binder, Joseph , NP
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Foley, Bridget , NP
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Landry, Scott , NP
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Rome, George , NP
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Trahan, Pamela , NP
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Veillon, Edward , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Villalta-Wehmeyer, Ivan , MD
Hammond, LA 70403
Network Provider
Other
15790 Paul Vega MD Drive
985-345-2700
Achord, Chad , CRNA
Hammond, LA 70403
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 91 of 177Updated February 2015
28050 Walker South Road
225-664-9618
Agena, Gary , MD
Walker, LA 70785
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Arain, Ghulam , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Arain, Ghulam ,
Hammond, La 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Arapos, Leonidas , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Baker, Channin , CRNA
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Battula, Sarath , MD
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-9618
Beacham, William , MD
Walker, LA 70785
Network Provider
28050 Walker South Road
225-664-9618
Berry, Charles , MD
Walker, LA 70785
Network Provider
28050 Walker South Road
225-664-9618
Black, William , MD
Walker, LA 70785
Network Provider
28050 Walker South Road
225-664-2111
Bowman, Ashley , NP
Walker, LA 70785
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Brooks, Lisa , CRNA
Hammond, LA 70403
Network Provider
17199 Spring ranch Rd, Ste 210
225-686-4960
Browne-Barnum, Michelle ,
Livingston, LA 70754
Network Provider
15770 Paul Vega MD Drive, Ste 204
985-230-7650
Burkes, Keri , NP
Hammond, LA 70403
Network Provider
1902 South Morrison Blvd
985-230-5800
Burrall, Pauline , NP
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, ste 100
985-230-7525
Burtch, Jennifer , NP
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Cabiran, Peter , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Caloian, Paul , CRNA
Hammond, LA 70403
Network Provider
1900 South Morrison Blvd
985-230-5726
Capps, Sandra , NP
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Cardinale, Jane , CRNA
Hammond, LA 70403
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 92 of 177Updated February 2015
15790 Paul Vega MD Drive
985-345-2700
Carter, Benjamin , CRNA
Hammond, LA 70403
Network Provider
1010 C.M. Fagan Drive, Ste 101
985-230-7525
Choudry, Bilal , MD
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-2111
Civello, Michelle , NP
Walker, LA 70785
Network Provider
15813 Paul Vega MD Drive, Suite 100
985-230-2663
Curry, Travis ,
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Diket, Albert , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Doan, Kevin , CRNA
Hammond, LA 70403
Network Provider
15770 Paul Vega MD Drive, Suite 100
985-230-3937
Dodson, Daniel ,
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Domingue, Jody , CRNA
Hammond, LA 70403
Network Provider
1902 South Morrison Blvd
985-230-5800
Drapcho, Michael , MD
Hammond, LA 70403
Network Provider
15770 Paul Vega MD Drive, Ste 204
985-230-7675
Ducombs, Charles , MD
Hammond, LA 70403
Network Provider
15813 Paul vega MD Drive, Suite 100
985-230-2663
Dudoussat, Bryan ,
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-2111
Duncan, Susan , NP
Walker, LA 70785
Network Provider
15790 Paul Vega MD Drive
985-230-3066
East, Mark D, MD
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Ste 200
985-230-7650
Edwards, Jamie , MD
Hammond, LA 70403
Network Provider
28799 Walker South Road, Ste 1
225-664-4398
Ehlers, Phillip , MD
Walker, LA 70785
Network Provider
28799 Walker South Road, Ste 1
225-664-4398
Elkins, Leslie , MD
Walker, LA 70785
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Erwin, James , MD
Hammond, LA 70403
Network Provider
15770 Paul Vega MD Drive, Ste 204
985-230-7650
Erwin, William , MD
Hammond, LA 70403
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 93 of 177Updated February 2015
1010 C.M. Fagan Drive, Ste 101
985-230-7525
Espinosa, Patricio , MD
Hammond, LA 70403
Network Provider
15770 Paul Vega MD Drive, Suite 108
985-230-7460
Fambrough, John ,
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Feucht, Desiree , CRNA
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-2111
Fogg, Deborah , NP
Walker, LA 70785
Network Provider
15790 Paul Vega MD Drive
985-230-2198
Gardner, Erin , CRNA
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Ste 400
985-230-1835
Gauthier, carl ,
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Gautreaux, Benjamin , CRNA
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Gonzales, Leonard , CRNA
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Goodell, Richard , MD
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-9618
Graversen, Jens , MD
Walker, LA 70785
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Gremillion, Minyon , CRNA
Hammond, LA 70403
Network Provider
1902 South Morrison Blvd
985-230-5800
Guilbault, Robert , MD
Hammond, LA 70403
Network Provider
230 Masonic Drive
985-878-4174
Haase, Anthony , MD
Independence, LA 70443
Network Provider
15790 Paul Vega MD Drive
985-2302198
Hahn, Josua , CRNA
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Harris, Samuel , MD
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Suite 301
985-230-2630
Heath, Emily ,
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Heimburger, Stacy , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Heroman, Michael , CRNA
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Herpich, Byron , MD
Hammond, LA 70403
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 94 of 177Updated February 2015
15813 Paul Vega MD drive, Suite 100
985-230-2663
Hill, Mandy ,
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Suite 301
985-230-2630
Hughes, Kathleen ,
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Jahangir, Khawaja , MD
Hammond, LA 70403
Network Provider
1900 South Morrison Blvd
985-230-1860
Jaubert-Miazza, Lisa ,
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Johnson, Ranada , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Johnson, Melanie , CRNA
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Jones, Brandy , CRNA
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Joyce, Julie , CRNA
Hammond, LA 70403
Network Provider
530 West Pine Street, Ste 1
985-370-5656
Kinnett, James , MD
Ponchatoula, LA 70454
Network Provider
15770 Paul Vega MD Drive, Ste 204
985-230-7675
Kumar, Jiveshwar , MD
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Suite 301
985-230-2630
LaCour, Jeffrey ,
Hammond, LA 70403
Network Provider
15813 Paul vega MD Drive, Suite 100
985-230-2663
Ladner, Brian ,
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Lagarde, Judy , CRNA
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Lamb, Hal , CRNA
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Lambert, Rhonda , CRNA
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Lamy, Tami , CRNA
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-2111
Lavigne, Thadd , NP
Walker, LA 70785
Network Provider
1902 South Morrison Blvd
985-230-5800
Leal, Christina M, MD
Hammond, LA 70403
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 95 of 177Updated February 2015
15813 Paul vega MD Drive, Suite 100
985-230-2663
LeFleur, Matthew ,
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Suite 100
985-230-2663
LeGardeur, Paul ,
Hammond, LA 70403
Network Provider
1900 South Morrison Blvd
985-230-5726
Lester, Latisha , NP
Hammond, LA 70403
Network Provider
17199 Spring Ranch Road, Ste 210
225-686-4960
Lewis, Dorothy , MD
Livingston, LA 70754
Network Provider
15813 Paul Vega MD Drive, Suite 100
985-230-7525
Manina, Kimberly , NP
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Suite 100
985-230-7525
Mannia, Kimberly , NP
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Suite 400
985-230-7400
Masel, David , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Maxwell, Martha , CRNA
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Suite 201
985-230-1580
Mayers, Lori , NP
Hammond, LA 70403
Network Provider
42401 Pelican Professional Park
985-542-9155
Mellin, Nancy ,
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Mohammed, Rehan , MD
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-9618
Mooney, Timothy , MD
Walker, LA 70785
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Motarjeme, Steven , MD
Hammond, La 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Newman, Mark , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Nnadi, John , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Parham, Linda , CRNA
Hammond, LA 70403
Network Provider
16070 Doctors Blvd
985-542-5974
Parker, James ,
Hammond, LA 70403
Network Provider
15770 Paul Vega MD Drive, Ste 204
985-230-1580
Pate, Ericka , NP
Hammond, LA 70403
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 96 of 177Updated February 2015
15770 Paul Vega MD Drive, Ste 204
985-230-2630
Peltier, Jacques , MD
Hammond, LA 70403
Network Provider
15770 Paul Vega MD Drive, Ste 204
985-230-7675
Peltier, Robert , MD
Hammond, LA 70403
Network Provider
15813 Paul vega MD Drive, Suite 100
985-230-2663
Penton, Judson ,
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Ste 400
985-230-7400
Pitre, Marc ,
Hammond, LA 70403
Network Provider
17199 Spring Ranch rd
225-686-4930
Pittman, Marie , MD
Livingston, LA 70754
Network Provider
15183 Paul Vega MD Drive, Suite 300
985-230-7675
Plunkett, William ,
Hammond, LA 70403
Network Provider
15770 Paul Vega MD Drive, Ste 204
985-230-7675
Populis, Debralee , NP
Hammond, LA 70403
Network Provider
15770 Paul Vega MD Drive, Ste 204
985-230-7650
Porter, Myra , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Pothineni, Koteswara , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Prowell, Curtis , MD
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-2111
Raphael, Howard , MD
Walker, LA 70785
Network Provider
1900 South Morrison Blvd
985-230-7675
Reddy, Gollamudi ,
Hammond, LA 70403
Network Provider
1900 South Morrison Blvd
985-230-1860
Remson, Ellsworth ,
Hammond, LA 70403
Network Provider
1902 South Morrison Blvd
985-230-5800
Richard, Trenna , NP
Hammond, LA 70403
Network Provider
1902 South Morrison Blvd
985-230-5800
Richard, Trenna , NP
Hammond, LA 70403
Network Provider
15770 Paul Vega MD Drive, Ste 104
985-230-1851
Robertson, Herbert , MD
Hammond, LA 70403
Network Provider
15770 Paul Vega Drive, ste 104
985-230-1850
Robinson, III, Herbert , MD
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-2111
Rogers, Barbara , NP
Walker, LA 70785
Network Provider
1900 South Morrison Blvd
985-230-1860
Roig, Randolph ,
Hammond, LA 70403
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 97 of 177Updated February 2015
15790 Paul Vega MD Drive
985-345-2700
Rube, Philomena , CRNA
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Ruiz, Marco , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Ruziev, Shavkat , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-6306
Sanderson, Dale , NP
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-2111
Sellers, Deborah , NP
Walker, LA 70785
Network Provider
16070 Doctors Blvd
985-230-7350
Shelton, Charlie , NP
Network Provider
15770 Paul Vega MD Drive, Ste 204
985-230-7650
Shuman, Deborah , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Sica, Laura , CRNA
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Snider, Vicky , CRNA
Hammond, LA 70403
Network Provider
1902 South Morrison Blvd
985-230-5800
Spiller, Edmund , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-345-2700
St. Amant, Marshall , MD
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Ste 100
985-230-7525
Stafford, Eva , NP
Hammond, LA 70403
Network Provider
28050 Walker South Road
225-664-9618
Staggers, Samuel , MD
Walker, LA 70785
Network Provider
15790 Paul Vega MD Drive
985-345-2700
Stedman, Charles , MD
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Ste 400
985-230-7400
Stevens, Alice , RN
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Ta, Lan , MD
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Suite 301
985-230-2630
Taylor-Jeanfreau, Jennifer ,
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Suite 300
985-230-7675
Thomas, Jennifer , NP
Hammond, LA 70403
Network Provider
17199 Spring Ranch Road,
225-686-4930
Torres-Cabrera, Felix ,
Livingston, LA 70754
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 98 of 177Updated February 2015
15770 Paul Vega MD Drive, Ste 204
985-230-7650
Tran, Thuc , MD
Hammond, LA 70403
Network Provider
1900 South Morrison Blvd
985-230-1860
Traylor, Vyrl , NP
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Uchendu, Chukwudi , MD
Hammond, LA 70403
Network Provider
1902 South Morrison Blvd
985-230-5800
Valdes, Hugo , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Wynne, Amy , NP
Hammond, LA 70403
Network Provider
15770 Paul Vega MD Drive, Ste 204
985-230-1580
Yertha, Arvind , MD
Hammond, LA 70403
Network Provider
15790 Paul Vega MD Drive
985-230-3066
Youngblood, Steven , MD
Hammond, LA 70403
Network Provider
15770 Paul Vega MD Drive, Ste 204
985-230-7675
Zacharia, Susan , MD
Hammond, LA 70403
Network Provider
15813 Paul Vega MD Drive, Suite 400
985-230-7525
Zapata-Campusano, Socrates , MD
Hammond, LA
Network Provider
15770 Paul Vega MD Drive, Ste 204
985-230-7675
Zerangue, Anthony , MD
Hammond, LA 70403
Network Provider
Pathologist
4648 I-10 Service Road
504-889-2307
Breaux, Barry J., MD
Metairie, LA 70001
Network Provider
4648 I-10 Service Road
504-889-2307
Glaudi Scioneaux, Susan L., MD
Metairie, LA 70001
Network Provider
4648 I-10 Service Road
504-889-2307
Hoffpauir, Joan T., MD
Metairie, LA 70001
Network Provider
4648 I-10 Service Road
504-889-2307
Sartin, Carol M., MD
Metairie, LA 70001
Network Provider
4648 I-10 Service Road
504-889-2307
Scully, Stephen G., MD
Metairie, LA 70001
Network Provider
Radiologist
16070 Doctors Blvd
985-542-5972
Bertrand, Jean , MD
Hammond, LA 70403
Network Provider
P.O. Box 2277
985-542-8190
Divittorio, Roy , MD
Hammond, LA 70404
Network Provider
P.O. Box 2277
985-542-8190
Donner, Michael E., MD
Hammond, LA 70404
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 99 of 177Updated February 2015
16070 Doctors Blvd
985-542-5972
Ducombs, Jheri , MD
Hammond, LA 70403
Network Provider
P.O. Box 2277
985-542-8190
Hernandez, Edward R., MD
Hammond, LA 70404
Network Provider
28050 Walker South Road
225-664-9618
Iteld, Bruce , MD
Walker, LA 70785
Network Provider
16070 Doctors Blvd
985-542-5972
Kopfler, William , MD
Hammond, LA 70403
Network Provider
P.O. Box 2277
985-542-8190
Miller, John P., MD
Hammond, LA 70404
Network Provider
16070 Doctors Blvd
985-542-5972
Nesser, Claude , MD
Hammond, LA 70403
Network Provider
P.O. Box 2277
985-542-8190
Sellers, Randall E., MD
Hammond, LA 70404
Network Provider
P.O. Box 2277
985-542-8190
Smith, Robert E., MD
Hammond, LA 70404
Network Provider
15790 Paul Vega MD Drive
985-230-1100
Wilkerson, Benjamin ,
Hammond, LA 70403
Network Provider
P.O. Box 2277
985-542-8190
Williams, Stephen M., MD
Hammond, LA 70404
Network Provider
Northern Louisiana Medical Center
Anesthesiologist
4350 Fowler Street, Suite 15
800-701-3381
Northern Louisiana Physicians, LLP
Fort Myers, FL 33901
Non-Network Provider
406 Forest Circle
337-280-4637
Arena, Gregg K., MD
Ruston, LA 71270
Non-Network Provider
406 Forest Circle
337-280-4637
Bryan, Brandon D., CRNA
Ruston, LA 71270
Non-Network Provider
406 Forest Circle
337-280-4637
Kennedy, Walter D., CRNA
Ruston, LA 71270
Non-Network Provider
406 Forest Circle
337-280-4637
Lancaster, Christopher E., CRNA
Ruston, LA 71270
Non-Network Provider
406 Forest Circle
337-280-4637
Moore, Kristy H., CRNA
Ruston, LA 71270
Non-Network Provider
406 Forest Circle
337-280-4637
Sehon, Charles K., MD
Ruston, LA 71270
Non-Network Provider
406 Forest Circle
337-280-4637
Smiley, Erin S., CRNA
Ruston, LA 71270
Non-Network Provider
406 Forest Circle
337-280-4637
Strickland, Jr., Gregory A., CRNA
Ruston, LA 71270
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 100 of 177Updated February 2015
Emergency Medicine Provider
4350 Fowler Street, Suite 15
800-701-3381
Northern Louisiana Emergency Physicians
Fort Myers, FL 33901
Non-Network Provider
Neonatologist
3811 Woodside Drive
318-376-3379
Monroe, LA 71201
Non-Network Provider
Pathologist
109 Circle Drive
318-323-1834
Armstrong, III, John M., MD
West Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1834
Elias, Abdalla L., MD
West Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1834
Maxwell, II, John E., MD
West Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1834
Pankey, Lee R., MD
West Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1834
Smith, Nancy V., MD
West Monroe, LA 71291
Network Provider
Radiologist
P.O. Box 3838
318-325-3838
Atchinson, JW D., MD
West Monroe, LA 71294
Non-Network Provider
P.O. Box 3838
318-325-3838
Broyles, Michael O., MD
West Monroe, LA 71294
Non-Network Provider
P.O. Box 3838
318-325-3838
Green, Warren J., MD
West Monroe, LA 71294
Non-Network Provider
P.O. Box 3838
318-325-3838
Hollenberg, III, Henry G., MD
West Monroe, LA 71294
Non-Network Provider
P.O. Box 3838
318-325-3838
Pate, Steven W., MD
West Monroe, LA 71294
Non-Network Provider
Northshore Regional Medical Center
*Information not provided
Ochsner Baptist Medical Center
Anesthesiologist
2820 Napolean Ave, Ste 650
504-899-1114
Anesthesia Consultants of the South
New Orleans, LA 70115
Network Provider
Emergency Medicine Provider
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Pathologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Radiologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 101 of 177Updated February 2015
Ochsner Foundation Hospital
Anesthesiologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Emergency Medicine Provider
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Neonatologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Pathologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Radiologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Ochsner Hospital - Elmwood
Anesthesiologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Pathologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Radiologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Ochsner Medical Center Baton Rouge
Anesthesiologist
8212 Summa Avenue
225-769-4403
Anesthesiology Group Associates
Baton Rouge, LA 70809
Network Provider
Emergency Medicine Provider
1900 Winston Road, Suite 300
800-818-1498
Team Health
Knoxville, TN 37919
Non-Network Provider
Neonatologist
9050 Airline Highway
225-231-5588
Baton Rouge Neonatal Associates
Baton Rouge, LA 70815
Network Provider
Other
1900 Winston Road, Suite 300
800-818-1498
Hospital Medicine Associates
Knoxville, TN 37919
Network Provider
Pathologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Radiologist
5422 Dijon Drive
225-769-9337
Baton Rouge Radiology Clinic
Baton Rouge, LA 70808
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 102 of 177Updated February 2015
Ochsner Medical Center Kenner
Anesthesiologist
1542 Tulane Avenue, Suite 653
504-568-2319
LSU Anesthesia Group
New Orleans, LA 70112
Non-Network Provider
Emergency Medicine Provider
200 Corporate Blvd, Suite 201
800-893-9698
Schumacher Group
Lafayette, LA 70598
Non-Network Provider
180 W. Esplanade Avenue
504-842-5061
Kenner Emergency Group
Kenner, LA 70065
Network Provider
Neonatologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Pathologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Radiologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Ochsner Medical Center Northshore
Anesthesiologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Emergency Medicine Provider
P.O. Box 82368
800-893-9698
St. Tammany Emergency Group
Lafayette, LA 70578
Non-Network Provider
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Neonatologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Other
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic
New Orleans, LA 70121
Network Provider
1570 Lindberg Drive, Suite 10
985-643-5242
Barton, John , MD
Slidell, LA 70458
Network Provider
1570 Lindberg Drive, Suite 10
985-643-5242
Sultan, Aqib , MD
Slidell, LA 70458
Network Provider
Pathologist
100 Medical Center Drive
985-646-5063
Northshore Pathology
Slidell, LA 70461
Network Provider
Radiologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 103 of 177Updated February 2015
Ochsner Medical Center Westbank
Anesthesiologist
1514 Jefferson Hwy
504-842-4000
Parish Anesthesia
New Orleans, LA 70121
Network Provider
Emergency Medicine Provider
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Neonatologist
120 Meadowcrest St, Suite 245
504-391-7690
Pediatric Kid-Med
Gretna, LA 70056
Network Provider
Pathologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Radiologist
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic LLC
New Orleans, LA 70121
Network Provider
Ochsner St. Anne General Hospital
Anesthesiologist
4608 Hwy 1
985-537-6841
Raceland, LA 70394
Non-Network Provider
Emergency Medicine Provider
4608 Hwy 1
985-537-6841
Raceland, LA 70394
Non-Network Provider
Other
1514 Jefferson Hwy
504-842-4000
Ochsner Clinic
New Orleans, LA 70121
Network Provider
Pathologist
602 N. Acadia Road
985-446-1200
Pro Path
Thibodaux, LA 70301
Non-Network Provider
Radiologist
107 E. Shankland Avenue
866-546-6643
US Radiology
Jennings, LA 70542
Network Provider
Opelousas General Health System
Anesthesiologist
539 East Prudhomme
337-948-5120
Fontenot, Jason , MD
Opelousas, LA 70570
Non-Network Provider
539 East Prudhomme
337-948-5120
Gros, Albert , MD
Opelousas, LA 70570
Non-Network Provider
539 East Prudhomme
337-948-5120
Pearce, David , MD
Opelousas, LA 70570
Non-Network Provider
539 East Prudhomme
337-948-5120
Wyble, Steve , MD
Opelousas, LA 70570
Non-Network Provider
Emergency Medicine Provider
P.O. Box 1389
337-948-5119
Opelousas Emergency Group
Opelousas, LA 70571
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 104 of 177Updated February 2015
200 Corporate Blvd, Ste 201
337-354-1400
Allain, Gregory , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Bonner, Everett , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Colligan, Robert , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Dellinger, Chester , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Frederick, Craig , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Fruge, Nicholas , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Godeaux, Kenneth , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Godeaux, Guy , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Guillot, Thomas , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Jewell, Baylor , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Jones, Stacy , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Kaufman, Henry , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Lafleur, Nicole , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Olivier, Mark , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Parks, Kenneth , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Pilgrim, Randal , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Sadeghi, Seyed , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Schumacher, William , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
Skirlis-Zavala, Kondilo , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-354-1400
St. Romain, Miachael , MD
Lafayette, LA 70508
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 105 of 177Updated February 2015
200 Corporate Blvd, Ste 201
337-354-1400
Taylor, Raymond , MD
Lafayette, LA 70508
Network Provider
Pathologist
520 N. Lewis St, Bldg #5, Ste 204-A
337-365-5934
Altmann, Lisa , MD
New Iberia, LA 70563
Network Provider
1307 Crowley Rayne Hwy
337-783-3159
Cristanelli, Martin , MD
Crowley, LA 70526
Network Provider
1307 Crowley Rayne Hwy
337-783-3159
Hanson, Stephanie , MD
Crowley, LA 70526
Network Provider
1268 Attakapas Drive, Ste 102
337-948-8644
Lastrapes, Debbie , MD
Opelousas, LA 70570
Network Provider
1268 Attakapas Drive, Ste 102
337-948-8644
Montes, Carolina , MD
Opelousas, LA 70570
Network Provider
1307 Crowley Rayne Hwy
337-783-3159
Padgett, Ronald , MD
Crowley, LA 70526
Network Provider
520 N. Lewis St, Bldg #5, Ste 204-A
337-365-5934
Redlich, Gillian , MD
New Iberia, LA 70563
Network Provider
1268 Attakapas Drive, Ste 102
337-948-8644
Simpson, Karen , MD
Opelousas, LA 70570
Network Provider
Radiologist
539 E Prudhomme Street
888-471-2155
Radiology Associates of Opelousas
Opelousas, LA 70570
Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Andrews, Robert , MD
Richardson, TX 75080
Non-Network Provider
539 East Prudhomme
337-948-5127
Ballanco, Gerard , MD
Opelousas, LA 70570
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Banks, Kevin , MD
Richardson, TX 75080
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Bostaph, Andrew , MD
Richardson, TX 75080
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Capecci, Kendall , MD
Richardson, TX 75080
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Homer, Gregory , MD
Richardson, TX 75080
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Joglekar, Srilatha , MD
Richardson, TX 75080
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Keenam, Sean , MD
Richardson, TX 75080
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 106 of 177Updated February 2015
539 East Prudhomme
337-948-5127
Lastrapes, Richard , MD
Opelousas, LA 70570
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Lepeska, Michael , MD
Richardson, TX 75080
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Ly, Justin , MD
Richardson, TX 75080
Non-Network Provider
539 East Prudhomme
337-948-5127
McReynolds, Robert , MD
Opelousas, LA 70570
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Rabinowitz, Chad , MD
Richardson, TX 75080
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Rao, Anand , MD
Richardson, TX 75080
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Rose, Gregory , MD
Richardson, TX 75080
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Seay, Thomas , MD
Richardson, TX 75080
Non-Network Provider
539 East Prudhomme
337-948-5127
Sharkey, Paula , MD
Opelousas, LA 70570
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Stone, Alan , MD
Richardson, TX 75080
Non-Network Provider
101 S. Coit Road, Ste 36-324
972-235-7312
Terreri, Anthony , MD
Richardson, TX 75080
Non-Network Provider
539 East Prudhomme
337-948-5127
Willett, Edward , MD
Opelousas, LA 70570
Non-Network Provider
Orthopedic Surgery Center, LLC
*Information not provided
Ouachita Community Hospital
*Information not provided
Our Lady of Lourdes Regional Medical
Center
Anesthesiologist
611 St. Landry Street
337-593-5424
Professional Anesthesia Services
Lafayette, LA 70506
Network Provider
Emergency Medicine Provider
611 St. Landry Street
337-289-2000
DWMcManus APMC
Lafayette, LA 70506
Non-Network Provider
Pathologist
611 St. Landry Street
337-593-5422
Our Lady of Lourdes Pathology Group
Lafayette, LA 70506
Network Provider
Radiologist
611 St. Landry Street
337-593-5420
Acadiana Radiology
Lafayette, LA 70506
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 107 of 177Updated February 2015
Our Lady of the Lake Assumption
Community Hospital
Emergency Medicine Provider
73153 Military Road
985-875-0077
Correct Care ER
Covington, LA 70435
Non-Network Provider
Pathologist
5412 Dijon Drive
225-765-8770
Pathology Group of Louisiana
Baton Rouge, LA 70808
Non-Network Provider
Radiologist
7809 Jefferson Highway
225-926-8686
Radiology Associates
Baton Rouge, LA 70809
Non-Network Provider
Our Lady of the Lake Regional Medical
Center
Anesthesiologist
8212 Summa Drive
225-769-4404
Anesthesiology Group Associates
Baton Rouge, LA 70808
Network Provider
Emergency Medicine Provider
7777 Hennessy Blvd, #208
225-765-8826
Professional Emergency Physicians
Associates
Baton Rouge, LA 70808
Non-Network Provider
Neonatologist
9000 Airline Highway, Ste 340
225-928-2555
Berry, Angelle L., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Davies, Shelley S., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Dunbar, III, Alston E., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Lindsay, Elizabeth B., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Meyn, Jr., Donald F., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Smith, IV, Henry S., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Spedale, Steven B., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Stewart, Kimberly M., MD
Baton Rouge, LA 70815
Network Provider
9000 Airline Highway, Ste 340
225-928-2555
Voelker, Cynthia A., MD
Baton Rouge, LA 70815
Network Provider
Pathologist
5339 O'Donovan Drive
225-766-4999
Boudreaux, David A., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Cavalier, Deborah S., MD
Baton Rouge, LA 70808
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 108 of 177Updated February 2015
5339 O'Donovan Drive
225-766-4999
Cooper, Shannon , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Eichelberger, Tonya J., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Graham, Richard R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Harton, Anthony , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Jastram-Belcher, Jennifer , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Kascick, Robert L., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Mason, Stephen E., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Ogden, Beverly , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Polk, Peggy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Rauch, Tracy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Simmons, John R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Stromeyer, Wayne , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Webb, Brian W., MD
Baton Rouge, LA 70808
Non-Network Provider
Radiologist
7809 Jefferson Highway
225-926-8686
Radiology Associates
Baton Rouge, LA 70809
Non-Network Provider
Outpatient Cath Lab
*Information not provided
Outpatient Eye Surgery Center
Anesthesiologist
P.O. Box 113327
504-309-4211
St. Tammany Anesthesia Group
Metairie, LA 70011
Network Provider
Other
Outpatient Surgery Center for Sight
*Information not provided
P&S Surgery Center
Anesthesiologist
160 Borders Lane
315-285-7281
Borders, Robert W., MD
Bernice, LA 71222
Non-network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 109 of 177Updated February 2015
P.O. Box 14175
318-323-8885
Clark, Hannah C., MD
Monroe, LA 71207
Non-network Provider
312 Grammont Street, Suite 101
318-998-8158
Johnson, Brian B., MD
Monroe, LA 71201
Non-network Provider
312 Grammont Street, Suite 101
318-998-8158
Stage, Rosemary B., MD
Monroe, LA 71201
Non-network Provider
Other
309 Jackson Street
318-327-4105
Bruchhaus, John D., MD
Monroe, LA 71201
Non-network Provider
309 Jackson Street
318-327-4540
Fincher, Richard W., MD
Monroe, LA 71201
Non-network Provider
309 Jackson Street
318-327-4105
George, Jessie A., MD
Monroe, LA 71201
Non-network Provider
309 Jackson Street
318-327-4105
Gullatt, Thomas J., MD
Monroe, LA 71201
Non-network Provider
309 Jackson Street
318-327-4105
Joiner, Sharon K., MD
Monroe, LA 71201
Non-network Provider
309 Jackson Street
318-327-4105
Lawson, Michael R., MD
Monroe, LA 71201
Non-network Provider
309 Jackson Street
318-327-4105
McCarthy, Paul J., MD
Monroe, LA 71201
Non-network Provider
3421 Medical Park Drive
318-255-0161
McIntire, Shaun L., MD
Monroe, LA 71203
Non-network Provider
1501 Kings Highway
O'Neal, Michael D., MD
Shreveport, LA 71130
Non-network Provider
309 Jackson Street
318-327-4105
Smith, Jr., James G., MD
Monroe, LA 71201
Non-network Provider
Pathologist
309 Jackson Street
318-327-4105
Acree, Donald T., MD
Monroe, LA 71201
Network Provider
2915 Missouri
318-621-8820
Ball, Jr., William N., MD
Shreveport, LA 71109
Network Provider
309 Jackson Street
318-327-4105
Blanchard , Stephen P., MD
Monroe, LA 71201
Network Provider
309 Jackson Street
318-327-4105
Blanchard, Jr., Richard J., MD
Monroe, LA 71201
Network Provider
211 Fourth Street
318-621-8820
Eggers, Jordan W., MD
Alexandria, LA 71301
Network Provider
3421 Medical Park Drive
318-621-8820
Gulick, Janis J., MD
Monroe, LA 71211
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 110 of 177Updated February 2015
211 Fourth Street
318-621-8820
Hair, James G., MD
Alexandria, LA 71301
Network Provider
211 Fourth Street
318-364-2043
Harrison, Kenneth , MD
Alexandria, LA 71301
Network Provider
First Saint Mary Place
318-364-2000
Heard, Steven , MD
Shreveport, LA 71101
Network Provider
2915 Missouri
318-621-8820
McLaren, Bernadette K., MD
Shreveport, LA 71109
Network Provider
2915 Missouri
318-621-8820
Siskron, Thomas F., MD
Shreveport, LA 71109
Network Provider
Radiologist
1601 Lamy Lane
318-387-3453
Barraza, John M., MD
Monroe, LA 71201
Non-network Provider
1601 Lamy Lane
318-387-3453
Davidson, Dan B., MD
Monroe, LA 71201
Non-network Provider
1601 Lamy Lane
318-387-3453
Davis, John A., MD
Monroe, LA 71201
Non-network Provider
1601 Lamy Lane
318-387-3453
Halsell, Ann , MD
Monroe, LA 71201
Non-network Provider
1601 Lamy Lane
318-387-3453
Halsell, Robert D., MD
Monroe, LA 71201
Non-network Provider
309 Jackson Street
318-327-4105
Lapietra, Jesse M., MD
Monroe, LA 71201
Non-network Provider
1601 Lamy Lane
318-387-3453
Saterfiel, James L., MD
Monroe, LA 71201
Non-network Provider
1601 Lamy Lane
318-387-3453
Thomas, VI., Lovick P., MD
Monroe, LA 71201
Non-network Provider
1601 Lamy Lane
318-387-3453
Xiong, Lin , MD
Monroe, LA 71201
Non-network Provider
Pain Intervention Center
*Information not provided
Park Place Surgical Hospital
Anesthesiologist
1103 Kaliste Saloom Road, Ste 304
337-769-2480
Anesthesiology & Pain Consultants
Lafayette, LA 70503
Network Provider
611 St. Landry Street
337-593-5421
Ardoin, Reginald , MD
Lafayette, LA 70506
Network Provider
1103 Kaliste Saloom Road, Ste 304
337-769-2480
Gammel, Scott , MD
Lafayette, LA 70503
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 111 of 177Updated February 2015
1103 Kaliste Saloom Road, Ste 304
337-769-2480
Jennings, Michael , MD
Lafayette, LA 70503
Network Provider
1103 Kaliste Saloom Road, Ste 304
337-769-2480
Jindia, Sanjiy , MD
Lafayette, LA 70503
Network Provider
1103 Kaliste Saloom Road, Ste 304
337-769-2480
Kasarla, Amarendar , MD
Lafayette, LA 70503
Network Provider
1103 Kaliste Saloom Road, Ste 304
337-769-2480
Martin, John , MD
Lafayette, LA 70503
Network Provider
1103 Kaliste Saloom Road, Ste 304
337-769-2480
Mitchell, Matthew , MD
Lafayette, LA 70503
Network Provider
Pathologist
1214 Coolidge Blvd
337-289-7679
Preferred Anatomic Pathology Services
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7673
Bozner, Peter , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7673
Burch, Howard , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7681
Carney, Joel , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7654
Gombos, Zoltan , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7682
Moses, Donald , MD
Lafayette, LA 70503
Network Provider
1214 Coolidge Blvd
337-289-7674
West, Donald , MD
Lafayette, LA 70503
Network Provider
Radiologist
611 St. Landry Street
337-593-5421
Acadiana Radiology Group
Lafayette, LA 70506
Network Provider
Physicians' Alliance Hospital of Houma
(St. Anne Rehab Hospital)
Radiologist
629 Dunn Street
985-274-0001
Houma, LA 70360
2461 Santa Monica Blvd, Ste 108
866-487-7621
Fassihi, Amir A., MD
Santa Monica, CA 90404
Network Provider
2461 Santa Monica Blvd, Ste 108
866-487-7621
Huang, Jimmy C., MD
Santa Monica, CA 90404
Network Provider
2461 Santa Monica Blvd, Ste 108
866-487-7621
Nguyen, Kim N., MD
Santa Monica, CA 90404
Network Provider
2461 Santa Monica Blvd, Ste 108
866-487-7621
Wall, Mark B., MD
Santa Monica, CA 90404
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 112 of 177Updated February 2015
Physicians Medical Center
*Information not provided
Pointe Coupee General
Anesthesiologist
3825 Plaza Tower Drive
800-426-2349
JSM Anesthesia
Baton Rouge, LA 70816
Non-Network Provider
Emergency Medicine Provider
3223 8th Street
504-833-7770
C&M Medical Services
Metairie, LA 70002
Non-Network Provider
Other
2647 S. St. Elizabeth Blvd
225-743-2651
Aguillard, Paul , MD
Gonzales, LA 70737
Network Provider
P.O. Box 2018
225-683-3901
Kakarala, Venu , MD
Clinton, LA 70722
Network Provider
2647 S. St. Elizabeth Blvd
225-743-2651
Malur, Satyanarayana , MD
Gonzales, LA 70737
Network Provider
Pathologist
1307 Crowley-Rayne Hwy, Ste D
337-948-8206
Acadiana Pathology
Crowley, LA 70526
Non-Network Provider
Radiologist
324 Dulles Drive
877-284-9984
Opelousas Radiology
Lafayette, LA 70506
Network Provider
Prevost Memorial Hospital
Emergency Medicine Provider
3223 Eighth Street
504-833-7770
C&M Medical Services
Metairie, LA 70002
Non-Network Provider
Other
5231 Brittany Drive
228-769-0933
Baton Rouge Cardiology Group
Baton Rouge, LA 70808
Network Provider
7777 Hennessy Ste 1008
225-766-0416
CVT Vascular Lab
Baton Rouge, LA 70808
Network Provider
12133 Indystruokex
225-769-0933
Southern Medical Corporation
Baton Rouge, LA 70809
Non-Network Provider
827 Pine Street
225-869-9200
St. James Primary Care
Gramercy, LA 70052
Non-Network Provider
4429 Clara Street, Ste 500
504-897-4420
Ferriss, Gregory , MD
New Orleans, LA 70115
Non-network Provider
1212 Riverview, Ste 3020
225-743-2277
Manale, Stephen , MD
Gonzales, LA 70737
Network Provider
14076 Hwy 44
225-647-6900
Nowakowski, Bogdan , MD
Gonzalez, LA 70737
Non-network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 113 of 177Updated February 2015
Pathologist
2390 W Congress Street
337-261-6329
Laga, Emile , MD
Lafayette, LA 70506
Non-network Provider
Radiologist
5422 Duhon Drive
225-769-6700
Baton Rouge Radiology Group
Baton Rouge, LA 70806
Network Provider
Progressive Acute Care Avoyelles
Anesthesiologist
4213 Highway 1192
318-253-8611
Gremillion, Mark , CRNA
Marksville, LA 71351
Network Provider
Emergency Medicine Provider
PO Box 277001
415-435-4591
NES Central Louisiana, Inc.
Atlanta, GA
Network Provider
Other
4239 Hwy 1192, Suite 100
318-253-0866
Hawkeye Medical, LLC
Marksville, LA 71351
Network Provider
Pathologist
2915 Missouri Avenue
318-841-9524
Delta PATHOLOGY GROUP
Shreveport, LA 71109
Network Provider
Radiologist
PO Box 1939
800-334-1889
Radiology Specialty Groups
Opelousas, LA 70571
Network Provider
Progressive Acute Care Oakdale
Anesthesiologist
130 Hospital Drive
318-215-9904
Professional Anesthesia Network, inc
Oakdale, LA 71463
Network Provider
Emergency Medicine Provider
5810 Southwyck Blvd, Ste 205
800-456-1495
NES Central Louisiana, Inc.
Toledo, OH 43614
Network Provider
Pathologist
130 Hospital Drive
318-621-8820
Delta Pathology Group
Oakdale, LA 71463
Network Provider
Radiologist
1800 Ryan Street, Ste 105
318-442-8399
Radiology Associates of Southwest LA
Lake Charles, LA 70601
Network Provider
Promise Hospital of Ascension
*Information not provided
Promise Hospital of Baton Rouge
*Information not provided
Promise Hospital of Louisiana
*Information not provided
Promise Specialty Hospital of Miss Lou
*Information not provided
Rapides Regional Medical Center
Anesthesiologist
1444 Peterman Drive
318-442-5399
Bayonne, Harold J., MD
Alexandria, LA 71301
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 114 of 177Updated February 2015
211 Fourth Street
318-448-4440
Chen, William C., MD
Alexandria, LA 71301
Non-Network Provider
211 Fourth Street
318-448-4440
Cougle, Christopher , MD
Alexandria, LA 71301
Network Provider
212 Fourth Street
318-448-4440
Courtney, Russell T., MD
Alexandria, LA 71301
Network Provider
212 Fourth Street
318-448-4440
Hang, Jian , MD
Alexandria, LA 71301
Non-Network Provider
1444 Peterman Drive
318-442-5399
Lemaire, Mark D., MD
Alexandria, LA 71301
Network Provider
1444 Peterman Drive
318-442-5399
Letsinger, Darren B., MD
Alexandria, LA 71301
Network Provider
1444 Peterman Drive
318-442-5399
Patton, Joseph G., MD
Alexandria, LA 71301
Network Provider
1444 Peterman Drive
318-442-5399
Peterman, Taten H., MD
Alexandria, LA 71301
Network Provider
1444 Peterman Drive
318-442-5399
Ribichaux, Francis X., MD
Alexandria, LA 71301
Network Provider
1 St. Mary's Place
318-681-4440
Robertson, Robert A., MD
Shreveport, LA 71101
Network Provider
Emergency Medicine Provider
PO Box 400
866-285-0910
Ahmad, Mounaf G., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Anderson, William L., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Bird, Ryan T., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Bolton, Valerie T., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Bostick-Field, Kimberly , NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Carrington, Susan R., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Cloud, Mandie H., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Daigle, David J., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Daniel, Eric J., MD
San Antonio, TX
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 115 of 177Updated February 2015
PO Box 400
866-285-0910
Dauzat, Wendy P., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Dickey, Rhonda R., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Doggett, Debbie , NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Duplechien, Erin L., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Edelberg, Jay W., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Edwards, III, George D., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Fremin, Ross J., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Giroir, John , MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Glowacki, Gregory L., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Hebert, Tracee L., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Herbert, James H., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Khan, Taj , MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
LaCaze, Erin D., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
LaHaye, Paula F., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Laskaris, Gus A., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Lauchner, Corey G., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Lloyd-Wims, Katrina , NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
McManus, David W., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Odendahl, Keith W., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Olivier, Mark F., MD
San Antonio, TX
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 116 of 177Updated February 2015
PO Box 400
866-285-0910
Oshikanlu, Olabisi O., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Peacock, Brandy R., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Phillips, carl D., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Porter, Norma , NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Quayle, Carter W., MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Rasberry, Matthew M., MD
San Antonio, TX
Network Provider
501 Medical Center Dr.
318-443-5377
Schroeder, Robert E., MD
Alexandria, LA 71301
Network Provider
PO Box 400
866-285-0910
Sharma, Deepak , MD
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Stallings, Jerry A., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Stevenson, Valerie , NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Tolarmcknight, Celeste M., Np
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Vidrine, Brandon W., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Webb, Patricia R., NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
West, Kerry , NP
San Antonio, TX
Network Provider
PO Box 400
866-285-0910
Witherspoon, Emmanuel , MD
San Antonio, TX
Network Provider
Neonatologist
501 Medical Center Dr.
318-443-5377
Khan, Liaqat H., MD
Alexandria, LA 71301
Non-Network Provider
501 Medical Center Dr.
318-443-5377
Krouskop, Richard W., MD
Alexandria, LA 71301
Non-Network Provider
501 Medical Center Dr.
318-443-5377
Laique, Firdous , MD
Alexandria, LA 71301
Non-Network Provider
501 Medical Center Dr.
318-443-5377
Schroeder, Robert E., MD
Alexandria, LA 71301
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 117 of 177Updated February 2015
501 Medical Center Dr.
318-443-5377
Springer, Shelly C., MD
Alexandria, LA 71301
Non-Network Provider
Other
13737 Noel Road, Ste 1600
800-362-2731
Abi Rafeh, Nidal N., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Ahmad, Umer , MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Ahmed, Hani , MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Arceneaux, Satyra S., NP
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Ashby, Keith M., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Bates, William R., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Brister, christina N., NP
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Cantwell, William S., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Ciecierski, Rafal G., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Gordey, Irina A., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Guillory, Rashauna K., NP
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Gwan, Ofundem R., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Harris, Samuel , MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Harris, John P., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Hutson, Darrell J., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Jaligam, Vijayendra R., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Jalloul, Ahmad S., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Larimer, robert S., MD
Dallas, TX 75240
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 118 of 177Updated February 2015
13737 Noel Road, Ste 1600
800-362-2731
Morgan, Ronald , MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Nguygen, Hong T., PA
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Nnedu, Obinna N., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Opere, Caxton A., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Rabalais, Mia H., NP
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Ramos, Michael P., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Roberts , Rachael Y., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Robinson, Letaya N., NP
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Shannon, Pamela D., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Sheeder, Amy E., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Simpkins, Cuthbert O., MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Verghese, Cherian , MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Zando, Iram , MD
Dallas, TX 75240
Network Provider
13737 Noel Road, Ste 1600
800-362-2731
Zeifman, Claude , MD
Dallas, TX 75240
Network Provider
Pathologist
211 Fourth Street
318-769-3175
Collins, George , MD
Alexandria, LA 71301
Network Provider
2915 Missouri Ave.
318-621-8820
Crosier, M'liss L., MD
Shreveport, LA 71109
Network Provider
211 Fourth Street
318-769-3175
Eggers, Jordan W., MD
Alexandria, LA 71301
Network Provider
2915 Missouri Ave.
318-621-8820
Gray, Sidney B., MD
Shreveport, LA 71109
Network Provider
211 Fourth Street
318-769-3175
Hair, James G., MD
Alexandria, LA 71301
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 119 of 177Updated February 2015
2915 Missouri Ave.
318-621-8820
Hanson, Stephanie B., MD
Shreveport, LA 71109
Network Provider
211 Fourth Street
318-769-3175
Herrington, Bruce , MD
Alexandria, LA 71301
Non-Network Provider
2915 Missouri Ave.
381-621-8820
Khare, Vivek K., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Ave.
381-621-8820
Lee, James A., MD
Shreveport, LA 71109
Network Provider
211 Fourth Street
318-769-3175
Miguez, Michael W., MD
Alexandria, LA 71301
Network Provider
2915 Missouri Ave.
381-621-8820
Padgett, Ronald M., MD
Shreveport, LA 71109
Network Provider
211 Fourth Street
318-769-3175
Robinson, Nancy M., MD
Alexandria, LA 71301
Non-Network Provider
2915 Missouri Ave.
318-621-8820
Werner, David J., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Ave.
318-621-8820
Williams, Robert B., MD
Shreveport, LA 71109
Network Provider
Radiologist
3704 North Blvd.
318-442-8399
Allen, Michael D., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd.
318-442-8399
Dozier, Timothy J., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd.
318-442-8399
Head, Stuart C., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd.
318-442-8399
Hogg, Benjamin R., MD
Alexandria, LA 71301
Non-Network Provider
3704 North Blvd.
318-442-8399
Jeansonne, Kevin J., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd.
318-442-8399
Larson, Paul C., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd.
318-442-8399
Long, William D., MD
Alexandria, LA 71301
Non-Network Provider
3704 North Blvd.
318-442-8399
Mansour, Alfred A., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd.
318-442-8399
Manuel, Nicholas P., MD
Alexandria, LA 71301
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 120 of 177Updated February 2015
3704 North Blvd.
318-442-8399
Rice, Stephen D., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd.
318-442-8399
Sachasinh, Rachadip S., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd.
318-442-8399
Scheuermann, Christian A., MD
Alexandria, LA 71301
Non-Network Provider
3704 North Blvd.
318-442-8399
Smith, Paul R., MD
Alexandria, LA 71301
Network Provider
3704 North Blvd.
318-442-8399
Tighe, Devin K., MD
Alexandria, LA 71301
Non-Network Provider
Regional Eye Surgery Center
*Information not provided
Regional Medical Center of Acadiana
Anesthesiologist
4212 W. Congress, Ste 3200
Anesthesiology and Pain Consultants, Inc.
Lafayette, LA 70506
Network Provider
217 E. Kaliste Saloom Rd
337-769-6327
Ardoin, Reginald , MD
Lafayette, LA 70508
Network Provider
2173A Centerville Place
850-385-0141
Baudoin, Bryan , DO
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Doherty, Maureen , DO
Tallahassee, FL 32308
Network Provider
217 E. Kaliste Saloom Rd
337-769-6327
Gammel, Scott , MD
Lafayette, LA 70508
Network Provider
2173A Centerville Place
850-385-0141
Golgover, Philip , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Grau, Valerie , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Jayagopal, Vijaya , MD
Tallahassee, FL 32308
Network Provider
217 E. Kaliste Saloom Rd
337-769-6327
Jennings, Michael , MD
Lafayette, LA 70508
Network Provider
217 E. Kaliste Saloom Rd
337-769-6327
Jindia, Sanjiv , MD
Lafayette, LA 70508
Network Provider
217 E. Kaliste Saloom Rd
337-769-6327
Kasarla, Amarendar , MD
Lafayette, LA 70508
Network Provider
217 E. Kaliste Saloom Rd
337-769-6327
Martin, John , MD
Lafayette, LA 70508
Network Provider
217 E. Kaliste Saloom Rd
337-769-6327
Mitchell, Matthew , MD
Lafayette, LA 70508
Network Provider
2173A Centerville Place
850-385-0141
Myers, Charles , MD
Tallahassee, FL 32308
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 121 of 177Updated February 2015
2173A Centerville Place
850-385-0141
Salcedo, Luis , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Smith, Arthur , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Stewart, Luther , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Venugopal, Sheena , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Weiss, Careu , MD
Tallahassee, FL 32308
Network Provider
Emergency Medicine Provider
200 Corporate Blvd, Ste 201
337-354-1159
Bordelon, Jevin , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-354-1159
Brooks, Derrick , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-354-1159
Cothern, William , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-354-1159
Dellinger, Chester , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-354-1159
George, James , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-354-1159
Godeaux, Kenneth , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-354-1159
Humble, Stephanie , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-354-1159
Karam, Kevin , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-354-1159
Ryan, Joseph , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-354-1159
Sadeghi, Seyed , MD
Lafayette, LA 70508
Non-Network Provider
200 Corporate Blvd, Ste 201
337-354-1159
Sudd, Debb , MD
Lafayette, LA 70508
Non-Network Provider
Other
Schumacher Group
Network Provider
2810 Ambassador Caffery Pkwy
337-989-6779
Grace, David , MD
Lafayette, LA 70506
Network Provider
2810 Ambassador Caffery Pkwy
337-989-6779
King, Garth , MD
Lafayette, LA 70506
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 122 of 177Updated February 2015
2810 Ambassador Caffery Pkwy
337-989-6779
Muthuswamy, Murthy , MD
Lafayette, LA 70506
Network Provider
2810 Ambassador Caffery Pkwy
337-989-6779
Nagendran, Manikandan , MD
Lafayette, LA 70506
Network Provider
2810 Ambassador Caffery Pkwy
337-989-6779
Novak, Christopher , MD
Lafayette, LA 70506
Network Provider
2810 Ambassador Caffery Pkwy
337-989-6779
Ward, Felicia , MD
Lafayette, LA 70506
Network Provider
Pathologist
520 N. Lewis Street, Ste 204A
337-365-5944
Altmann, Lisa , MD
New Iberia, LA 70563
Network Provider
520 N. Lewis Street, Ste 204A
337-365-5944
Lalonde, chrissy , MD
New Iberia, LA 70563
Network Provider
520 N. Lewis Street, Ste 204A
337-365-5944
Lastrapes, Deborah , MD
New Iberia, LA 70563
Network Provider
520 N. Lewis Street, Ste 204A
337-365-5944
Montes, Carolina , MD
New Iberia, LA 70563
Network Provider
520 N. Lewis Street, Ste 204A
337-365-5944
Redlich, Gillian , MD
New Iberia, LA 70563
Network Provider
520 N. Lewis Street, Ste 204A
337-365-5944
Simpson, Karen , MD
New Iberia, LA 70563
Network Provider
Radiologist
611 St. Landry Street
Acadiana Radiology Group
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Billeaud, Paul , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Florek, Rodney , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Gunderson, Victor , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Hoppe, Blaine , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Lemoine, Nicholas , MD
Lafayette, LA 70506
Network Provider
23625 Commerce
216-925-5809
Mask, William , MD
Beachwood, OH 44122
Network Provider
611 St. Landry Street
337-289-2882
McLemore, Henry , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Miller, Romney , MD
Lafayette, LA 70506
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 123 of 177Updated February 2015
611 St. Landry Street
337-289-2882
Rideau, Alecia , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Stephan, Mark , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Vanbergen, Richard , MD
Lafayette, LA 70506
Network Provider
611 St. Landry Street
337-289-2882
Wojak, Joan , MD
Lafayette, LA 70506
Network Provider
Regional Urology Ambulatory Su LLC
*Information not provided
Richardson Medical Center
*Information not provided
Richland Parish Hospital
Emergency Medicine Provider
508 Broadway Street
318-878-3737
Albritton, Corey G., MD
Delhi, LA 71232
Network Provider
407 Cincinnati Street
318-878-5171
Gonzales, Cesar , MD
Delhi, LA 71232
Non-Network Provider
407 Cincinnati Street
318-878-5171
Ize-Iyamu, Menoni , MD
Delhi, LA 71232
Network Provider
508 Broadway Street
318-878-3737
McDonald, III., Kenneth E., MD
Delhi, LA 71232
Network Provider
407 Cincinnati Street
318-878-5171
Mistry, Fulvantiben , MD
Delhi, LA 71232
Network Provider
407 Cincinnati Street
318-878-5171
Parker, Robert D., DO
Delhi, LA 71232
Network Provider
407 Cincinnati Street
318-878-5171
Tucker, Tyrone , MD
Delhi, LA 71232
Network Provider
508 Broadway Street
318-878-3737
Wagnon, Cynthia , MD
Delhi, LA 71232
Network Provider
407 Cincinnati Street
318-878-5171
Yates, William T., MD
Delhi, LA 71232
Network Provider
Pathologist
407 Cincinnati Street
318-878-6432
BAYOU PATHOLOGY
Delhi, LA 71232
Network Provider
109 Circle Drive
318-323-1834
Elias, Abdalla L., MD
West Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1834
Maxwell, II., John E., MD
West Monroe, LA 71291
Network Provider
109 Circle Drive
318-323-1834
Pankey, Lee R., MD
West Monroe, LA 71291
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 124 of 177Updated February 2015
Radiologist
324 Dulles Drive
877-284-9984
Ardoin, Shannon E., MD
Lafayette, LA 70506
Network Provider
324 Dulles Drive
877-284-9984
Armington, William G., MD
Lafayette, LA 70506
Network Provider
109 Circle Drive
318-323-1834
Armstrong, III., John M., MD
West Monroe, LA 71291
Network Provider
324 Dulles Drive
877-284-9984
Brown, Edward L., MD
Lafayette, LA 70506
Network Provider
324 Dulles Drive
877-284-9984
Folse, Craig P., MD
Lafayette, LA 70506
Network Provider
324 Dulles Drive
877-284-9984
Fontanez, Daniel G., MD
Lafayette, LA 70506
Network Provider
324 Dulles Drive
877-284-9984
Henry, Hebert , MD
Lafayette, LA 70506
Network Provider
324 Dulles Drive
877-284-9984
Mearcantel, Kara Beth , MD
Lafayette, LA 70506
Network Provider
324 Dulles Drive
877-284-9984
Smith, II., Sover L., MD
Lafayette, LA 70506
Network Provider
324 Dulles Drive
877-284-9984
Yatco, Reynaldo , MD
Lafayette, LA 70506
Network Provider
River Parishes Hospital
Anesthesiologist
148 Woodland Drive
985-359-2184
Oberoi, Paul , MD
LaPlace, LA 70068
Network Provider
148 Woodland Drive
985-359-2184
Wadhwa, Manjit , MD
LaPlace, LA 70068
Network Provider
Emergency Medicine Provider
500 Rue De Sante
985-651-1530
St John Emergency Group
LaPlace, LA 70068
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Schumacher Group
Lafayette, LA 70508
Non-Network Provider
Pathologist
4648 I-10 Service Road
504-454-5445
Breaux, Barry , MD
Metairie, LA 70006
Network Provider
4648 I-10 Service Road
504-454-5445
Glaudi, Susan , MD
Metairie, LA 70006
Network Provider
4648 I-10 Service Road
504-454-5445
Sartin, Barry , MD
Metairie, LA 70006
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 125 of 177Updated February 2015
4648 I-10 Service Road
504-454-5445
Scully, Stephen , MD
Metairie, LA 70006
Network Provider
Radiologist
7887 Picardy Avenue
225-769-6700
Brown, Jason , MD
Baton Rouge, LA 70809
Network Provider
7887 Picardy Avenue
225-769-6700
Foreman, Julian , MD
Baton Rouge, LA 70809
Network Provider
7887 Picardy Avenue
225-769-6700
Harris, Adam , MD
Baton Rouge, LA 70809
Network Provider
7887 Picardy Avenue
225-769-6700
Newsome, Rovert , MD
Baton Rouge, LA 70809
Network Provider
7887 Picardy Avenue
225-769-6700
Nussbaumer, David , MD
Baton Rouge, LA 70809
Network Provider
River West Medical Center
*Information not provided
Riverland Medical Center
Emergency Medicine Provider
17438 Hard Hat Drive
985-249-5600
Correct Care
Covington, LA 70435
Non-Network Provider
Pathologist
109 Circle Drive
318-323-1834
Bayou Pathology
West Monroe, LA 71291
Network Provider
Radiologist
307 Highland Blvd
601-442-5042
Radiology Associates
Natchez, MS 39120
Non-Network Provider
Riverside Medical Center
Emergency Medicine Provider
1900 Main Street
985-839-4431
Andry, Jeffrey , MD
Franklinton, LA 70438
Non-network Provider
321 Windermere Oaks East
985-875-1931
Bowden, Thomas E., MD
Madisonville, LA 70447
Non-network Provider
2014 Oak Creek Rd, Apt 247
504-736-0653
Butler, Abida , MD
River Ridge, LA 70123
Non-network Provider
1900 Main Street
985-839-4431
Cohn, Barbara L., MD
Franklinton, LA 70438
Non-network Provider
1900 Main Street
985-839-4431
Collins, Gregory , MD
Franklinton, LA 70438
Non-network Provider
1900 Main Street
985-839-4431
Floyd, Federick , MD
Franklinton, LA 70438
Non-network Provider
1900 Main Street
985-839-4431
Gavin, John , MD
Franklinton, LA 70438
Non-network Provider
550 Highlands Drive
330-666-4820
Gelesh, Gary D., MD
Akron, OH 44333
Non-network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 126 of 177Updated February 2015
1202 South Tyler Street
985-898-4095
Limbaugh, III., Robert S., MD
Covington, LA 70433
Non-network Provider
1900 South Main Street
985-839-4431
Payne, Eric , MD
Franklinton, LA 70438
Non-network Provider
1900 South Main Street
985-839-4431
Weinberger, Michael , MD
Franklinton, LA 70438
Non-network Provider
Other
1900 South Main Street
985-839-4431
Brooks, Lisa , CRNA
Franklinton, LA 70438
Network Provider
1900 Main Street
985-839-4431
Lamb, Hal , CRNA
Franklinton, LA 70438
Network Provider
Pathologist
1202 South Tyler Street
985-898-4095
Morvant, Dale , MD
Covington, LA 70433
Non-network Provider
Radiologist
15837 Paul Vega M.D. Drive
985-543-0210
Braud, John A., MD
Hammond, LA 70403
Non-network Provider
15837 Paul Vega M.D. Drive
985-543-0210
Divittorio, Roy , MD
Hammond, LA 70403
Non-network Provider
15837 Paul Vega M.D. Drive
985-543-0210
Donner, III. , Michael , MD
Hammond, LA 70403
Non-network Provider
15837 Paul Vega M.D. Drive
985-543-0210
Hernandez, Jr., Edward , MD
Hammond, LA 70403
Non-network Provider
15837 Paul Vega M.D. Drive
985-543-0210
Miller, John , MD
Hammond, LA 70403
Non-network Provider
15837 Paul Vega M.D. Drive
985-543-0210
Sellers, Randall E., MD
Hammond, LA 70403
Non-network Provider
P.O. Box 2277
985-542-8190
Smith, Robert E., MD
Hammond, LA 70404
Non-network Provider
P.O. Box 2368
985-230-1100
Williams, Stephen , MD
Hammond, LA 70404
Non-network Provider
Sabine Medical Center
Anesthesiologist
P.O. Box 515
Cypress Anesthesia, LLC
Natchitoches, LA 71458
Non-Network Provider
Emergency Medicine Provider
P.O. Box 6773
318-277-5974
Sabine Emergency Medicine, LLC
Shreveport, LA 71136
Non-Network Provider
Other
2915 Missouri Avenue
318-681-4841
Omega Diagnostics, Inc.
Shreveport, LA 71109
Network Provider
Pathologist
2915 Missouri Avenue
The Delta Pathology Group, LLC
Shreveport, LA 71109
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 127 of 177Updated February 2015
Radiologist
201 West Vermillion, Ste 200
337-704-0415
Precision Radiology Management of
Louisiana, LLC
Lafayette, LA 70501
Network Provider
Savoy Medical Center
Anesthesiologist
801 Poinciana Avenue
337-468-5261
Clarke, Richard , MD
Mamou, LA 70554
Non-Network Provider
801 Poinciana Avenue
337-468-5261
Jayagopal, Vijaya , MD
Mamou, LA 70554
Non-Network Provider
801 Poinciana Avenue
337-468-5261
Robinson, Franklin , MD
Mamou, LA 70554
Non-Network Provider
Emergency Medicine Provider
P.O. Box 400
866-285-0910
Burton, Joshua , MD
San Antonio, TX 78292
Non-Network Provider
P. O. Box 400
866-285-0910
Cantwell, Vernon , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Chaftari, Patrick , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Chambers, Jason , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Elshatory, Kareem , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Esuabana, Asuqui , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Flottmann, Jay , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Floyd, III, Frederick W., MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Fresh, Robert , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Gautam, Chakshu , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Glowacki, Gregory , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Hernandez, Cary , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Ike, Ugochukwu , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Khan, Azeem R., MD
San Antonio, TX 78292
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 128 of 177Updated February 2015
P.O. Box 400
866-285-0910
LeBlanc, Larry , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Lee, Anhtuyet , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Mitchell, Tanya , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Nath, Ashish , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Rainey, John M., MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Savoy, Gregory , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Sharma, Deepak , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Voitier, Thomas , MD
San Antonio, TX 78292
Non-Network Provider
Pathologist
2915 Missouri Avenue
318-681-4471
Ball, William N., MD
Shreveport, LA 71109
Network Provider
300 Jackson Street
318-327-4105
Blanchard, Stephen P., MD
Monroe, LA 71201
Network Provider
300 Jackson Street
318-327-4105
Blanchard, Jr, Richard , MD
Monroe, LA 71201
Network Provider
2915 Missouri Avenue
318-681-4471
Crosier, M'liss , MD
Shreveport, LA 71109
Network Provider
211 4th Street, Box 30113
318-473-3175
Eggers, Jordan , MD
Alexandria, LA 71301
Network Provider
3000 Knight Street
318-841-9522
Gray, Sidney B., MD
Shreveport, LA 71105
Network Provider
211 4th Street, Box 30113
318-473-3175
Hair, James , MD
Alexandria, LA 71301
Network Provider
One St. Mary Place
337-681-4471
Heard, Joseph S., MD
Shreveport, LA 71101
Network Provider
211 4th Street, Box 30113
318-473-3175
Herrington, Bruce , MD
Alexandria, LA 71301
Network Provider
2915 Missouri Avenue
318-681-4471
Khare, Vivek K., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-681-4471
Lee, James A., MD
Shreveport, LA 71109
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 129 of 177Updated February 2015
300 Jackson Street
318-327-4105
Liles, Jr, William , MD
Monroe, LA 71201
Network Provider
211 4th Street, Box 30113
318-473-3175
Miguez, Michael , MD
Alexandria, LA 71301
Network Provider
2915 Missouri Avenue
337-948-8206
Padget, Ronald , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-364-2042
Pillarisetti, Sudha G., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-364-2042
Robinson, Nancy , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-681-4471
Wellman, Gregory , MD
Shreveport, LA 71109
Network Provider
One St. Mary Place
337-681-4471
Werner, David , MD
Shreveport, LA 71101
Network Provider
One St. Mary Place
337-681-4471
Williams, R. Bruce, MD
Shreveport, LA 71101
Network Provider
Radiologist
601 Front Avenue, Ste 400
866-400-4295
Arias, John M., MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Barnes, Patricia , MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Barteau, Catherine , MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Boaz, Travis , MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Boykin, Mark , MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Braunstein, Rachel , MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Cavin, Lillian A., MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Crowder, Eric , MD
Coeur d' Alene, ID 83814
Non-Network Provider
P.O. Box 60670
337-261-5151
Darr, Pamela , MD
Lafayette, LA 70506
Network Provider
601 Front Avenue, Ste 400
866-400-4295
Fakier, David , MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Fiorito, Thomas F., MD
Coeur d' Alene, ID 83814
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 130 of 177Updated February 2015
P.O. Box 60670
337-261-5151
Johnson, David , MD
Lafayette, LA 70506
Network Provider
P.O. Box 60670
337-261-5151
Marcantel, Kara Beth , MD
Lafayette, LA 70506
Network Provider
P.O. Box 60670
337-261-5151
Mask, William K., MD
Lafayette, LA 70506
Network Provider
601 Front Avenue, Ste 400
866-400-4295
Parkey, Joe , MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Patel, Pratual , MD
Coeur d' Alene, ID 83814
Non-Network Provider
P.O. Box 60670
337-261-5151
Reed, Joseph R., MD
Lafayette, LA 70506
Network Provider
P.O. Box 60670
337-261-5151
Reina, Ro R., MD
Lafayette, LA 70506
Network Provider
601 Front Avenue, Ste 400
866-400-4295
Sanders, Lawrence , MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Sarai, Paul , MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Schruff, Louis , MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Shore, Bradley , MD
Coeur d' Alene, ID 83814
Non-Network Provider
P.O. Box 60670
337-261-5151
Trahan, Robert , MD
Lafayette, LA 70506
Network Provider
601 Front Avenue, Ste 400
866-400-4295
Vargo, Jeffery , MD
Coeur d' Alene, ID 83814
Non-Network Provider
601 Front Avenue, Ste 400
866-400-4295
Vreeland, Thomas H., MD
Coeur d' Alene, ID 83814
Non-Network Provider
Shreveport Endoscopy Center Amc
*Information not provided
Shreveport Surgery Center
*Information not provided
Slidell Memorial Hospital
Anesthesiologist
1001 Gause Blvd, Box 41
985-649-8839
Cammatte, Diana , CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
De Lanzac, Kraig S., MD
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Ferlita, Jr., Melvin A., MD
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Fortenberry, Damon , CRNA
Slidell, LA 70458
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 131 of 177Updated February 2015
1001 Gause Blvd, Box 41
985-649-8839
Gaspard, Jeffry R., CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Glendening, Shawn K., CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Hardy, Darlene , CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
House, Glenn A., CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Hoz, Philip , CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Lefevre, Virginia , CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Lowe, Rodney , CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Madden, Susan A., CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Marrione, Cathy , CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Miller, Matthew K., MD
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Repath, Ray , CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Rigol, Jason A., MD
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Rossiter, Kirk N., MD
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Ruiz, Darren P., MD
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Sigler, Maurice , CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Stuart, Frank , CRNA
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 41
985-649-8839
Vega, Jorge E., MD
Slidell, LA 70458
Network Provider
Emergency Medicine Provider
1001 Gause Blvd, Box 29
985-649-8676
Amaraneni, Kumar K., MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 29
985-649-8676
Camero, Luis F., MD
Slidell, LA 70458
Non-network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 132 of 177Updated February 2015
1001 Gause Blvd, Box 29
985-649-8676
Cuba, Jon , MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 29
985-649-8676
Lirette, Edward J., MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 29
985-649-8676
Meka, Ujwal , MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 29
985-649-8676
Mercadel, Robert C., MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 29
985-649-8676
Ragas, Angie , MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 29
985-649-8676
Serpas, Michelle , MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 29
985-649-8676
Stafford, Ursin T., MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 29
985-649-8676
Stern, Neil D., DO
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 29
985-649-8676
Tatford, III, Archie C., MD
Slidell, LA 70458
Non-network Provider
Neonatologist
1001 Gause Blvd, Box 32
985-649-8607
Albrecht, Dianne J., MD
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 32
985-649-8607
Barkemeyer, Brian M., MD
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 32
985-649-8607
Schuth, Claudia R., MD
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 32
985-649-8607
Zatarain, Judith M., MD
Slidell, LA 70458
Network Provider
Pathologist
1001 Gause Blvd, Box 13
985-649-8680
Barnes, Kenneth H., MD
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 13
985-649-8680
Boustany, Patty E., MD
Slidell, LA 70458
Network Provider
1001 Gause Blvd, Box 13
985-649-8680
Hudson, Jerry L., MD
Slidell, LA 70458
Network Provider
Radiologist
1001 Gause Blvd, Box 12
985-649-8545
Digby, Myles C., MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 12
985-649-8545
Henry, Hebert W., MD
Slidell, LA 70458
Non-network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 133 of 177Updated February 2015
1001 Gause Blvd, Box 12
985-649-8545
Kamath, Kishore V., MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 12
985-649-8545
Legnon, Richelle C., MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 12
985-649-8545
MacCurdy, Dale M., MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 12
985-649-8545
McDaniel, Kelvin P., MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 12
985-649-8545
Rovira, Klar A., MD
Slidell, LA 70458
Non-network Provider
1001 Gause Blvd, Box 12
985-649-8545
Summersgill, Luis E., MD
Slidell, LA 70458
Non-network Provider
South Cameron Memorial Hospital
*Information not provided
Specialty Rehabilitation Hospital
*Information not provided
Springhill Medical Center
Emergency Medicine Provider
P.O. Box 400
866-285-0910
Abedhou, David M., MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Chance, Jody D., MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Chandler, John M., MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Cimino, Mark A., MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Eakin, Donald G., MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Eugene, Edwidg , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Ike, Ugochukwu , MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Jones, Jr., Kenneth B., MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Law, David W., MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Mashburn, Jay P., MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Samper, Edward R., MD
San Antonio, TX 78292
Non-Network Provider
P.O. Box 400
866-285-0910
Thaljeh, Faisal , MD
San Antonio, TX 78292
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 134 of 177Updated February 2015
P.O. Box 400
866-285-0910
Wise, William R., MD
San Antonio, TX 78292
Non-Network Provider
Pathologist
2915 Missouri Avenue
318-621-8820
Ball, William N., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Bearden, Carrie L., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Gulick, Janis J., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Harrison, George K., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Heard, Joseph S., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Khare, Vivek K., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Lee, James A., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
McLaren, Bernadette K., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Sardenga, Louis J., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Siskron, Thomas F., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Werner, David J., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Wesche, William A., MD
Shreveport, LA 71109
Network Provider
Radiologist
900 Chapel Street, Ste 620
203-773-0427
Agrawal, Anjali , MD
New Haven, CT 6510
Non-network Provider
900 Chapel Street, Ste 620
203-773-0427
Bhushan, Vikas , MD
New Haven, CT 6510
Non-network Provider
900 Chapel Street, Ste 620
203-773-0427
Chinta, Bharath K., MD
New Haven, CT 6510
Non-network Provider
900 Chapel Street, Ste 620
203-773-0427
Crouch, John E., MD
New Haven, CT 6510
Non-network Provider
2001 Doctors Drive
318-539-1000
Edwards, Robert L., MD
Springhill, LA 71075
Non-network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 135 of 177Updated February 2015
4495 Roosevelt Blvd, Ste 304, # 528
410-504-6513
Eigles, Stephen B., MD
Jacksonville, FL 32210
Non-network Provider
1745 N. Brown Road, Ste 150
678-748-5850
Eline, Mary J., DO
Lawrenceville, GA 30043
Non-network Provider
900 Chapel Street, Ste 620
203-773-0427
Fox, Matthew A., MD
New Haven, CT 6510
Non-network Provider
7710T Cherry Park Drive, #522
877-572-8456
Hudkins, Matthew G., MD
Houston, TX 77095
Non-network Provider
2645 Lawrenceville Hwy
770-491-9800
Islam, Nayyer U., MD
Decatur, GA 30033
Non-network Provider
900 Chapel Street, Ste 620
203-773-0427
Kalyanpur, Arjun , MD
New Haven, CT 6510
Non-network Provider
900 Chapel Street, Ste 620
203-773-0427
Kamath, Sanjay V., MD
New Haven, CT 6510
Non-network Provider
1745 N. Brown Road, Ste 150
678-748-5850
Lalaji, Anand P., MD
Lawrenceville, GA 30043
Non-network Provider
900 Chapel Street, Ste 620
203-773-0427
Pandit, Meenakshi , MD
New Haven, CT 6510
Non-network Provider
7710T Cherry Park Drive, #522
877-572-8456
Schulze, Eric S., MD
Houston, TX 77095
Non-network Provider
900 Chapel Street, Ste 620
203-773-0427
Zeng, Yu G., MD
New Haven, CT 6510
Non-network Provider
SSH Baton Rouge
*Information not provided
St Lukes Surgicanter
*Information not provided
St. Anne Rehabilitation Hospital
*Information not provided
St. Charles Parish Hospital
Anesthesiologist
P.O. Box 1450
985-651-9293
Villarreal, Sabastian , MD
Laplace, LA 70069
Non-network Provider
P.O. Box 1450
985-651-9293
Wadhwa, Manjit , MD
Laplace, LA 70069
Network Provider
Other
1057 Paul Millard Road
985-785-2054
Devarajan, V. , MD
Luling, LA 70070
Network Provider
1057 Paul Millard Road
985-785-2054
Jayakrishnan, C. , MD
Luling, LA 70070
Network Provider
Radiologist
P.O. Box 1450
985-651-9293
Johnson, David , MD
Laplace, LA 70069
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 136 of 177Updated February 2015
St. Elizabeth Hospital
Anesthesiologist
5253 Dijon Drive, Ste A
225-768-1611
Lott, Sheffield , MD
Baton Rouge, LA 70808
Network Provider
Emergency Medicine Provider
3223 8th Street
504-833-7770
C&M Medical Services
Metairie, LA 70002
Non-Network Provider
Other
1125 W Highway 30
225-647-5075
Thammasitboon, Supat , MD
Gonzales, LA 70737
Network Provider
Pathologist
5339 O'Donovan Drive
225-766-4999
Boudreaux, David A., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Cavalier, Deborah S., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Cooper, Shannon , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Eichelberger, Tonya J., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Graham, Richard R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Harton, Anthony , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Jastram-Belcher, Jennifer , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Kascick, Robert L., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Mason, Stephen E., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Ogden, Beverly , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Polk, Peggy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Rauch, Tracy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Simmons, John R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Stromeyer, Wayne , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Webb, Brian W., MD
Baton Rouge, LA 70808
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 137 of 177Updated February 2015
Radiologist
5422 Dijon Drive
225-769-9337
Baton Rouge Radiology Group
Baton Rouge, LA 70808
Network Provider
St. Francis Medical Center
Anesthesiologist
3510 N. Causeway Blvd
504-779-5515
Parish Anesthesia of Monroe
Metairie, LA 70002
Network Provider
Emergency Medicine Provider
309 Jackson Street
318-327-4000
St. Francis ER Group
Monroe, LA 71201
Network Provider
Neonatologist
309 Jackson Street, 4th FL NICU
318-966-4917
Neonatology Associates
Monroe, LA 71201
Non-Network Provider
Pathologist
2915 Missouri Avenue
318-621-8820
The Delta Pathology Group
Shreveport, LA 71109
Network Provider
Radiologist
1601 Lamy Lane
318-387-3453
Radiology Associates
Monroe, LA 71201
Non-Network Provider
St. Francis North Hospital
*Information not provided
St. Helena Parish Hospital
Other
5231 Brittany Drive
225-769-0933
Baton Rouge Cardiology Center, LLC
Baton Rouge, LA 70808
Network Provider
Pathologist
5339 O'Donovan Drive
225-766-4999
Boudreaux, David A., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Cavalier, Deborah S., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Cooper, Shannon , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Eichelberger, Tonya J., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Graham, Richard R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Harton, Anthony , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Jastram-Belcher, Jennifer , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Kascick, Robert L., MD
Baton Rouge, LA 70808
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 138 of 177Updated February 2015
5339 O'Donovan Drive
225-766-4999
Mason, Stephen E., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Ogden, Beverly , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Polk, Peggy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Rauch, Tracy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Simmons, John R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Stromeyer, Wayne , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Webb, Brian W., MD
Baton Rouge, LA 70808
Non-Network Provider
Radiologist
7887 Picardy Avenue
225-769-6700
Baton Rouge Radiology Group, Inc.
Baton Rouge, LA 70809
Network Provider
St. James Parish Hospital
Anesthesiologist
148 Woodland Drive
985-651-9293
Dr. Wadhwa & Dr. Oberio, LLC
Laplace, LA 70069
Network Provider
PO Box 113384
504-669-4369
Zephyr Anesthesia, LLC
Metairie, LA 70011
Network Provider
Emergency Medicine Provider
3223 8th Street
504-833-7770
C&M Medical Services
Metairie, LA 70002
Non-Network Provider
Pathologist
5339 O'Donovan Drive
225-766-4999
Pathology Group of Louisiana
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Boudreaux, David A., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Cavalier, Deborah S., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Cooper, Shannon , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Eichelberger, Tonya J., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Graham, Richard R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Harton, Anthony , MD
Baton Rouge, LA 70808
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 139 of 177Updated February 2015
5339 O'Donovan Drive
225-766-4999
Jastram-Belcher, Jennifer , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Kascick, Robert L., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Mason, Stephen E., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Ogden, Beverly , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Polk, Peggy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Rauch, Tracy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Simmons, John R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Stromeyer, Wayne , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Webb, Brian W., MD
Baton Rouge, LA 70808
Non-Network Provider
Radiologist
7887 Picardy Avenue
225-769-6700
Baton Rouge Radiology Group
Baton Rouge, LA 70809
Network Provider
St. Landry Extended Care Hospital
*Information not provided
St. Martin Hospital
Anesthesiologist
73153 Military Road
800-962-3959
Dease, III, Edward , MD
Covington, LA 70435
Non-Network Provider
Emergency Medicine Provider
Correct Care, Inc.
Non-Network Provider
St Martin Emergency Group
Other
310 Youngsville Hwy, Suite A
337-837-3615
Bozzelle, Joseph , MD
Lafayette, LA 70508
Network Provider
155 Hospital Drive
337-235-4460
Daigle, Wayne , MD
Lafayette, LA 70503
Network Provider
P.O. Box 335
337-332-3500
Degatur, Warren , MD
Breaux Bridge, LA 70517
Network Provider
1027A Martin Street
337-845-4900
Durham, Debra , MD
Parks, LA 70582
Network Provider
206 Champagne Blvd
337-332-3500
Fuselier, Wendy C., PA
Breaux Bridge, LA 70517
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 140 of 177Updated February 2015
118 Hospital Drive
337-236-3030
Gacelon, James , MD
Lafayette, LA 70503
Non-Network Provider
206 Champagne Blvd
337-332-0222
Khorsandi, Jahanyar , MD
Breaux Bridge, LA 70517
Network Provider
1000 W. Pinhook Road, Suite 302
337-232-8230
LaBorde, Kenneth , MD
Lafayette, LA 70503
Network Provider
4630 Ambassador Caffery, Ste 412
337-993-3933
Laville, Mary , MD
Lafayette, LA 70508
Network Provider
P.O. Box 51365
337-289-8429
Mounir, Mike , MD
Lafayette, LA 70505
Network Provider
112 Champagne Blvd
337-332-2242
Stelly, Deidre , MD
Breaux Bridge, LA 70517
Network Provider
112 Champagne Blvd
337-332-2242
Theriot, Jeanne , MD
Breaux Bridge, LA 70517
Network Provider
335 W. Bridge
337-482-6826
Yongue, Marelle , MD
Breaux Bridge, LA 70517
Non-Network Provider
Pathologist
520 North Lewis Street, Suite 240A
337-365-5944
Altmann, Lisa , MD
New Iberia, LA 70563
Network Provider
P.O. Box 1089
337-984-7016
Burch, Howard , MD
Opelousas, LA 70571
Network Provider
P.O. Box 1089
337-365-5944
Lastrapes, Deborah , MD
Opelousas, LA 70571
Non-Network Provider
520 North Lewis Street, Suite 240A
337-365-5944
Redlich, Gillian , MD
New Iberia, LA 70563
Non-Network Provider
102 Parkway Drive
337-289-7674
West, Donald , MD
Lafayette, LA 70508
Network Provider
Radiologist
309 St. Julien, Suite 200
337-237-3424
LaBorde, Jeffery , MD
Lafayette, LA 70506
Non-Network Provider
309 St. Julien, Ste 200
337-237-3424
Lastrapes, Leon , MD
Lafayette, LA 70506
Network Provider
St. Martin Hospital - Hospitalist
Other
St Martin Physician Services
St. Tammany Parish Hospital
Anesthesiologist
1202 South Tyler Street
985-892-3225
Total Anesthesia Care
Covington, LA 70433
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 141 of 177Updated February 2015
Emergency Medicine Provider
1202 South Tyler Street
214-712-2448
Tchefuncta Emergency Physicians
Covington, LA 70433
Non-Network Provider
Neonatologist
1202 South Tyler Street
985-898-4536
Levy, Alma ,
Covington, LA 70433
Non-network Provider
1202 South Tyler Street
985-898-4536
Rome, Cynthia ,
Covington, LA 70433
Non-network Provider
Pathologist
P.O. Box 15239
225-922-7024
St. Tammany Pathology
Baton Rouge, LA 70895
Network Provider
Radiologist
P.O. Box 1608
504-738-2434
Regional Radiology and Pathology
Kenner, LA 70063
Non-Network Provider
Surgery Center of West Monroe, LLC
*Information not provided
Surgical Specialty Center LLC
*Information not provided
Surgical Specialty Center of Baton
Rouge
*Information not provided
Surginet Outpatient surgery LLC
*Information not provided
Teche Regional Medical Center
*Information not provided
Network Provider
Terrebonne General Medical Center
*Information not provided
The Surgery Suite
*Information not provided
Thibodaux Endoscopy
*Information not provided
Thibodaux Regional Medical Center
Anesthesiologist
602 North Acadia Road
985-447-5500
Acosta, Clel , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Bravo, Jorge , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Hargett, Richard , CRNA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Harris, Julie , CRNA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Kimble, Christopher , CRNA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Lacombe, Douglas , CRNA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Ledet, Lloyd , CRNA
Thibodaux, LA 70301
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 142 of 177Updated February 2015
602 North Acadia Road
985-447-5500
Morvant, James , CRNA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Naul, David , CRNA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Nguyen, Tung , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Savoie, Craig , CRNA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Vilcan, Vicky , CRNA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Voisin, Jay , CRNA
Thibodaux, LA 70301
Network Provider
Emergency Medicine Provider
602 North Acadia Road
985-447-5500
Authement, Christopher , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Cummins, Paul , PA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Degruise, Brandi , NP
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Del Riego, Christopher , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Diedrich, Scott , PA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Ferguson, Christopher , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Landry, Travis , PA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Mabry, Sharon , NP
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Nicholas, Blainey , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Ochsner, Isabel , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Owens, Michael , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Pierre, Emile , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Poche, Keith , PA
Thibodaux, LA 70301
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 143 of 177Updated February 2015
602 North Acadia Road
985-447-5500
Powell, Chris , PA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Richard, Allison , PA
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Speights, Charles , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Taylor, Susan , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Teschke, Eric , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Tosh, John , MD
Thibodaux, LA 70301
Network Provider
Pathologist
602 North Acadia Road
985-447-5500
DeMoss, Richard , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Hoffmann, III, Andrew , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Robichaux, William , MD
Thibodaux, LA 70301
Network Provider
Radiologist
602 North Acadia Road
985-447-5500
Arthurs, Blain , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Dobard, Gregory , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Fakier, Jay , MD
Thibodaux, LA 70301
Network Provider
602 North Acadia Road
985-447-5500
Gimenez, Carlos , MD
Thibodaux, LA 70301
Network Provider
Thibodaux Regional Medical Center -
Hospitalist
Other
602 North Acadia Road
985-493-4578
Lafourche Physician Service, LLC
Thibodaux, LA 70301
Network Provider
Touro Infirmary
Anesthesiologist
3510 N. Causeway Blvd, Ste 404
504-779-5515
Parish Anesthesia of New Orleans, LLC
Metairie, LA 70002
Network Provider
Emergency Medicine Provider
P.O. Box 37662
800-527-2145
Foucher Emergency Physicians
Philadelphia, PA 19101
Non-Network Provider
200 Corporate Blvd.
800-893-9698
Foucher Emergencey Group, LLC
Lafayette, LA 70598
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 144 of 177Updated February 2015
Neonatologist
1340 Poydras Street, Suite 1640
504-412-1100
LSU Healthcare Network
New Orleans, LA 70112
Network Provider
Pathologist
PO Box 62755
985-785-2221
Prytania Pathology Associates, LLC
New Orleans, LA 70162
Network Provider
1401 Foucher Street
985-785-2221
Green, Lynn , MD
New Orleans, LA 70115
Network Provider
1401 Foucher Street
985-785-2221
Liuzza, Gerald , MD
New Orleans, LA 70115
Network Provider
1401 Foucher Street
985-785-2221
Olivier, John , MD
New Orleans, LA 70115
Network Provider
1401 Foucher Street
985-785-2221
Ruehl, Paul , MD
New Orleans, LA 70115
Network Provider
Radiologist
1202 South Tyler Street
985-898-4505
Regional Radiology
Covington, LA 70433
Network Provider
745 N. Brown Road, Ste 150
678-748-5845
The Radiology Group, LLC
Lawrenceville, GA 30043
Network Provider
Tri-Ward General Hospital
Other
409 First Street
318-285-9066
Belue, James M., MD
Bernice, LA 71222
Network Provider
409 First Street
318-285-9066
Cox, George , PA
Bernice, LA 71222
Network Provider
409 First Street
318-285-9066
Harris, Brian , MD
Bernice, LA 71222
Network Provider
409 First Street
318-285-9066
Shaw, Mark C., MD
Bernice, LA 71222
Network Provider
Pathologist
P.O. Box 1514
318-323-1834
Bayou Pathology APMC
West Monroe, LA 71294
Network Provider
Radiologist
1240 Richardson Road
Brown-Folse Radiology Group, LLC
Calhoun, LA 71225
Network Provider
Tulane Lakeside Hospital
Emergency Medicine Provider
200 Corporate Blvd, Suite 201
Independence Emergency Group, LLC
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Altaqi, Basel , MD
Lafayette, LA 70508
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 145 of 177Updated February 2015
200 Corporate Blvd, Suite 201
800-893-9698
Brown, Andrew M., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Clark, Dedric , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Conrad, Tracy L., DO
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Dean, Gina L., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Dennar, Princess E., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Haque, Riaz , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Iatchovski-Baronne, Ivo , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Knight, Jr, Fredro C., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Martin, Mary L., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Morris, Michael D., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Naeem, Mohammad , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Nguyen, Tuan , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Obeidou, Bashar , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Oden, Tara R., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Overton, III, Clayton J., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Sandler, Morris A., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Suite 201
800-893-9698
Slick, Julie A., MD
Lafayette, LA 70508
Network Provider
Tulane Medical Center
Anesthesiologist
1415 tulane Ave
TUHC Anesthesia Group
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Baker, Jeffrey T., MD
New Orleans, LA 70112
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 146 of 177Updated February 2015
1415 Tulane Avenue, HC-71
504-988-7535
Bent, Sabrina , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Bienasz, Stanley M., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Borchardt, Jeffrey A., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Celentano, Wayne J., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Christian, Seth Ian, MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Churi, Sajay Briant, MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Comarda, Neal G., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Eagleton, Benard E., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Fish, brian J., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Fox, III, Charles , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Galliano, Dane J., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue HC-73
504-988-6958
Glenn, Eric M., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Gomez, Santiago L., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Hansen, Robert , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Hijazi, Firas R., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Jin, John Y, MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Jones, Lyndia , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Kalarickal, Philip , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Kellum, Jr, Joseph L., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Koveleskie, Joseph , MD
New Orleans, LA 70112
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 147 of 177Updated February 2015
1415 Tulane Avenue, HC-71
504-988-7535
Landry-Pierre, Nakeisha R., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Lazaro, Stephen , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Levin, Louis W., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Liu, Henry , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Lonseth, Eric D., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
McClure, Brian , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
McConville, Ann P, MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Milan, Daniel A., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Musick, Stanley C., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Nguyen, viet H, MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Paul, Akkara J., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Pierre, Nakeisha L., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Primeaux, Paul , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Rosinia, Francis A., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Saulny, Christina M., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Sharma, Sanjay , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Strickland, III, Theodore , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Sukkar, Mohammed S, MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Tahir, Michael , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Toledano, Roulhac , MD
New Orleans, LA 70112
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 148 of 177Updated February 2015
1415 Tulane Avenue, HC-71
504-988-7535
Weed, Jonathan T., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Yarborough, Michael J., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Young, Elizabeth T., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Zhang, Lihua , MD
New Orleans, LA 70112
Network Provider
Emergency Medicine Provider
1816 Industrial Blvd
Van Meter Emergency Physicians, Inc.
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Adhikari, Prateek K., MD
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Alcid, Carla P., MD
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Avegno, Jennifer L., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Bergeron, Nicole A., MD
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Berner, III, August J., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Castillo, Julio C., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Chehardy, Charles , MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Clayton, Marcus K., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Dedinsky, Mark J., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Deschutter, Mathieu W., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Fernandez, Gregory A., MD
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Gentry, Peter C., MD
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Gray, III, Jon H., MD
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Hayman, Bernard W., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Hoffner, Richard J., MD
Harvey, LA 70058
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 149 of 177Updated February 2015
1816 Industrial Blvd
504-366-7638
Joplin, Christopher A., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Keane, Matthew W., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Kirby, Linda C., MD
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Kolinsky, Michaela A., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Le, Audrey H., MD
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Lister, William M., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Longwell, Jr., Sidney M., MD
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Mallernee, Stephen V., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
McDonald, Julia A., MD
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Moises, James P., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Pierce, Diane E., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Tuckler, Victor E., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Van Meter, Keith W., MD
Harvey, LA 70058
Network Provider
1816 Industrial Blvd
504-366-7638
Wilder, Marina S., MD
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Zaheri, Kamran , MD
Harvey, LA 70058
Non-Network Provider
1816 Industrial Blvd
504-366-7638
Zorub, Tania I., MD
Harvey, LA 70058
Non-Network Provider
Neonatologist
1415 Tulane Avenue, HC-71
504-988-7535
Barkemeyer, Brian , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Chong, Euming , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Gershanik, Juan , MD
New Orleans, LA 70112
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 150 of 177Updated February 2015
1415 Tulane Avenue, TW-22
504-988-3324
Gill, William L., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Gordon, Phillip V., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Martinez-Triana, Bertha T., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Reynolds, Jane E., MD
New Orleans, LA 70112
Network Provider
Other
1415 Tulane Avenue, TW-22
Tulane University Medical Group
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-73
504-988-6958
Branting, Scott Briant, MD
New Orleans, LA 70112
Network Provider
10000 I-10 Service Road
504-246-9101
Conrad, Tracy L., DO
New Orleans, LA 70127
Non-Network Provider
10000 I-10 Service Road
504-246-9101
Haque, Riaz , MD
New Orleans, LA 70127
Non-Network Provider
10000 I-10 Service Road
504-246-9101
Iatchovski-Baronne, Ivo , MD
New Orleans, LA 70127
Non-Network Provider
10000 I-10 Service Road
504-246-9101
Nachimuthu, Senthil , MD
New Orleans, LA 70127
Non-Network Provider
10000 I-10 Service Road
504-246-9101
Naeem, Mohammad , MD
New Orleans, LA 70127
Non-Network Provider
10000 I-10 Service Road
504-246-9101
Nguyen, Tuan , MD
New Orleans, LA 70127
Non-Network Provider
10000 I-10 Service Road
504-246-9101
Oberhoff, Scott W., MD
New Orleans, LA 70127
Non-Network Provider
10000 I-10 Service Road
504-246-9101
Sandler, Morris A., MD
New Orleans, LA 70127
Non-Network Provider
Pathologist
1415 Tulane Avenue, TW-22
504-988-3324
Crawford, II, Byron E., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Daroca, Jr., Philip J., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Goswami, Monica , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Kimbrell, Hillary , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Lakey, Meredith A., MD
New Orleans, LA 70112
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 151 of 177Updated February 2015
1415 Tulane Avenue, TW-22
504-988-3324
Martin, III, Edward J., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Meleg-Smith, Suzanne , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Meleg-Smith, Suzanne , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Moroz, Krysztof , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Peterson, Tim G., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Schmid, Janet L., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Schmieg, John J., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Scott, John W., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Shackleford, Rodney E., DO
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Wang, Alun R., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Wu, Tong , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-3324
Xiong, Zhenggang , MD
New Orleans, LA 70112
Network Provider
Radiologist
1415 Tulane Avenue, TW-24
TUHC Radiology Group
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-24
504-988-1115
Anderson, Dwayne , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Beech, Scott , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Blank, Barry , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-24
504-988-1115
Gerscovich, Mark J., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Hanemann, Cynthia , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Jacobs, Alan , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Johnston, Sean , MD
New Orleans, LA 70112
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 152 of 177Updated February 2015
1415 Tulane Avenue, HC-71
504-988-7535
Karl, Deanna , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-24
504-988-1115
Majoria, Ryan N, MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-24
504-988-1115
McNabb, Leslee C., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-1115
Neitzschman, Jr., Harold R., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-24
504-988-1115
Nguyen, Jeremy , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-24
504-988-1115
Palacios, Enrique , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-24
504-988-1115
Patel, Sanjay M., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Porter, Chad , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-24
504-988-1115
Schuber, Scott B, MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Serou, Michael J., MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, HC-71
504-988-7535
Shah, Basil , MD
New Orleans, LA 70112
Network Provider
1415 Tulane Avenue, TW-22
504-988-1115
Weidenhaft, Mandy C., MD
New Orleans, LA 70112
Network Provider
Union General Hospital
Emergency Medicine Provider
17438 Hard Hat Drive
985-626-6133
Correct Care, Inc.
Covington, LA 70435
Non-Network Provider
Other
3510 Magnolia Cove
318-361-9900
Barrow, Jr., Emile A., MD
Monroe, LA 71203
Network Provider
1025 Marion Highway
318-368-9745
Corley, Holly , MD
Farmerville, LA 71241
Network Provider
901 James Avenue
318-855-4062
Figueroa, Glenn , MD
Farmerville, LA 71241
Network Provider
811 James Avenue
318-368-2238
Unkel, Steven , MD
Farmerville, LA 71241
Network Provider
811 James Avenue
318-368-0190
Venters, Steven , MD
Farmerville, LA 71241
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 153 of 177Updated February 2015
Pathologist
2915 Missouri Avenue
318-868-4534
Delta Pathology Group
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-868-4534
Omega Diagnostics, LLC
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-868-4534
Pathology Associates of Mid-LA
Shreveport, LA 71109
Non-Network Provider
Radiologist
788 Pony Greer Road
866-694-3447
Brown-Folse Radiology Group. LLC
Rayville, LA 71269
Network Provider
Urology Specialty and Surgery Center
Anesthesiologist
4150 Nelson Road, Bldg A-4
337-477-7616
Altier, Carole G., MD
Lake Charles, LA 70605
Non-Network Provider
751 Bayou Pines East, Ste L
337-436-8700
Carlin, John B., MD
Lake Charles, LA 70601
Non-Network Provider
751 Bayou Pines East, Ste L
337-436-8700
Doiron, Mark L., MD
Lake Charles, LA 70601
Non-Network Provider
4150 Nelson Road, Bldg A-4
337-477-7616
Harter, Gary L., MD
Lake Charles, LA 70605
Non-Network Provider
751 Bayou Pines East, Ste L
337-436-8700
Laborde, Richard S., MD
Lake Charles, LA 70601
Non-Network Provider
751 Bayou Pines East, Ste L
337-436-8700
Lemoine, Dwight R., MD
Lake Charles, LA 70601
Non-Network Provider
4150 Nelson Road, Bldg A-4
337-477-7616
Price, Jerek , MD
Lake Charles, LA 70605
Non-Network Provider
4150 Nelson Road, Bldg A-4
337-477-7616
Walkin, Patrick P., MD
Lake Charles, LA 70605
Non-Network Provider
751 Bayou Pines East, Ste L
337-436-8700
Wise, Myra C., MD
Lake Charles, LA 70601
Non-Network Provider
4150 Nelson Road, Bldg A-4
337-477-7616
Wise, Myra , MD
Lake Charles, LA 70605
Non-Network Provider
Ville Platte Medical Center
*Information not provided
Virtue Street Medical Pavilion
*Information not provided
Vitalsource Specialty Hospital
*Information not provided
Wallace Laser and Surgery Center
*Information not provided
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 154 of 177Updated February 2015
Washington St. Tammany Regional
Medical Center
Emergency Medicine Provider
200 Corporate Blvd, Ste 201
800-893-9698
Bogalusa Emergency Group, LLC
Lafayette, LA 70508
Non-Network Provider
Pathologist
1340 Poydras Street, Ste 1640
504-568-6031
Louisiana State University School of Medicine
New Orleans, LA 70112
Network Provider
433 Plaza Street
985-730-6700
Washington St. Tammany Regional Medical
Center
Bogalusa, LA 70427
Network Provider
West Calcasieu Cameron Hospital
Anesthesiologist
4150 Nelson Road, Ste 4
337-474-6353
Anesthesia Associates, Inc.
Lake Charles, LA 70605
Non-Network Provider
Emergency Medicine Provider
200 Corporate Blvd, Ste 201
800-893-9698
Sulphur Emergency Group
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
337-371-4729
Sulphur Emergency Group
Lafayette, LA 70508
Non-Network Provider
Other
200 Corporate Blvd, Ste 201
337-521-2557
Calcasieu Physician Services, LLC
Lafayette, LA 70508
Network Provider
1747 Imperial Blvd
337-721-7236
Lake Charles, LA 70605
1114 Stelly Lane
337-527-7087
Bergstedt, Scott , MD
Sulphur, LA 70663
Network Provider
921 First Avenue
337-527-6385
Gamborg, Brian , MD
Sulphur, LA 70663
Network Provider
1200 Stelly Lane
337-527-7048
Green, Tyson , DPM
Sulphur, LA 70663
Network Provider
200 Corporate Blvd, Ste 201
337-521-2557
Lannan, Maureen , MD
Lafayette, LA 70508
Network Provider
622 Cypress Street
337-527-2491
Ramm, Jason , MD
Sulphur, LA 70663
Network Provider
622 Cypress Street
337-527-2491
Schlamp, Kevin , MD
Sulphur, LA 70663
Network Provider
622 Cypress Street
337-527-2491
Thomas, Ken , MD
Sulphur, LA 70663
Network Provider
Pathologist
830 Bayou Pines
337-436-9557
The Pathology Laboratory, APMC
Lake Charles, LA 70601
Non-Network Provider
Radiologist
1800 Ryan Street, Suite 105
337-439-4706
Radiology Associates of Southwest Louisiana
Lake Charles, LA 70601
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 155 of 177Updated February 2015
West Carroll Memorial Hospital
*Information not provided
West Feliciana Parish Hospital
*Information not provided
West Jefferson Medical Center
Anesthesiologist
3510 N. Causeway Blvd, Ste 404
504-779-5515
Brennan, Ann M., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Celentano, Wayne , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Comarda, Neal G., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Gillen, Grant K., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Harris, George M., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Levin, Louis W., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Mimeles, Derek M., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Partesotti, Sebastian M., MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Tahir, Ash , MD
Metairie, LA 70002
Network Provider
3510 N. Causeway Blvd, Ste 404
504-779-5515
Towns, Peter H., MD
Metairie, LA 70002
Network Provider
1101 Medical Center Blvd
504-349-2323
Vadlamudi, Ramamohana , MD
Marrero, LA 70072
Network Provider
Emergency Medicine Provider
1101 Medical Center Blvd
504-349-1554
Bellino, Elizabeth C., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1670
Bracey, Scott , MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1670
Bryant, Sara , MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1533
Callaghan, James W., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1533
Chugden, Robert J., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1533
DeHart, Brian C., MD
Marrero, LA 70072
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 156 of 177Updated February 2015
1101 Medical Center Blvd
504-349-1554
Del Toro, Kamill R., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1554
deSchutter, Mathieu W., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1533
Dietrich, Damon M., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1554
Edell, Dean S., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1533
Gruner, Robert E., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd.
504-349-1554
Hill, Richard S., MD
Marrero, LA 70072
Non-network Provider
1101 Medical Center Blvd.
504-349-1533
Landry, Megan L., MD
Marrero, LA 70072
Non-network Provider
1101 Medical Center Blvd
504-349-1533
Mayer, Andrew P., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd.
504-349-1554
McMahon, Nicole S., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1670
Meadows, Mary K., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1670
Meyn, Madelyn M., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1533
Milton, Sterling , MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1670
Rubin, Mitchell I., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd.
504-349-1533
Ryan, Katherine S., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1533
Smith, Geoffrey K., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1670
Thompson, Aaron D., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1533
Volner, Michael A., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1533
Vorhaben, Harry S., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1533
Whitcomb, Darren E., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1533
Zickerman, Eric S., MD
Marrero, LA 70072
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 157 of 177Updated February 2015
Neonatologist
120 Meadowcrest Street, Suite 245
504-391-7690
Anand, Harish , MD
Gretna, LA 70056
Network Provider
1303 Henry Clay Avenue
504-896-2229
Bautista, Imelda , MD
New Orleans, LA 70118
Non-network Provider
1303 Henry Clay Avenue
504-896-2229
Gershanik, Juan J., MD
New Orleans, LA 70118
Network Provider
Other
1101 Medical Center Blvd
(504) 3491656
Adames, Hernan A., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd.
504-349-1656
Argote, Christopher M., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1656
Coignet, Kenneth C., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1656
Dalinkus, Christopher A., MD
Marrero, LA 70072
Non-network Provider
1101 Medical Center Blvd.
504-349-1656
Davis, Troy J., MD
Marrero, LA 70072
Non-network Provider
1101 Medical Center Blvd.
504-349-1656
Davis, Michael P., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1656
Desse, Jean , MD
Marrero, LA 70072
Non-network Provider
1101 Medical Center Blvd
504-349-1656
Gasquet-Johnson, Bonnie D., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1656
Guillen, Julio , MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1554
Kosarek, Angela M., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1656
Le, Kiet T., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1554
Lefort, Athena , MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1656
Moll, Christina L., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1656
Morris, Sophia L., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd.
504-349-1656
Ruziev, Shavkat R., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1554
Saturno, Emilio J., MD
Marrero, LA 70072
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 158 of 177Updated February 2015
1101 Medical Center Blvd
504-349-1656
Sherling, Daniel B., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1656
Sinclair, Heidi L., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1656
St. Martin, Kristi L., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1656
Thoppil, Deepu R., MD
Marrero, LA 70072
Non-network Provider
1101 Medical Center Blvd
504-349-1656
Waggenspack, Jeremy L., MD
Marrero, LA 70072
Network Provider
Pathologist
1101 Medical Center Blvd
504-349-1414
Brown, James E., MD
Marrero, LA 70072
Non-network Provider
1101 Medical Center Blvd
504-349-1415
Farris, Kenneth B., MD
Marrero, LA 70072
Non-network Provider
1101 Medical Center Blvd
504-349-1415
Long, William P., MD
Marrero, LA 70072
Non-network Provider
1101 Medical Center Blvd
504-349-1416
Luer, William H., MD
Marrero, LA 70072
Non-network Provider
1101 Medical Center Blvd
504-349-1400
Martin, Edward J., MD
Marrero, LA 70072
Non-network Provider
1101 Medical Center Blvd
504-349-1415
McGoey, Robin R., MD
Marrero, LA 70072
Non-network Provider
120 Meadowcrest Street, Suite 245
504-391-7690
Sharma, Rajesh K., MD
Gretna, LA 70056
Non-network Provider
1303 Henry Clay Avenue
504-896-2229
Thelin, Olivier P., MD
New Orleans, LA 70118
Non-network Provider
Radiologist
1111 Medical Center Blvd, N108
504-349-1450
Alline, Michael J., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1450
Balart, John T., MD
Marrero, LA 70072
Non-network Provider
1111 Medical Center Blvd, N108
504-349-1450
D'Antonio, Michael G., MD
Marrero, LA 70072
Network Provider
1111 Medical Center Blvd, N108
504-349-1450
Hanemann, James D., MD
Marrero, LA 70072
Network Provider
1111 Medical Center Blvd, N108
504-349-1450
Helgason, Jay W., MD
Marrero, LA 70072
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 159 of 177Updated February 2015
1101 Medical Center Blvd
504-349-1450
Kogos, Philip G., MD
Marrero, LA 70072
Network Provider
1111 Medical Center Blvd, N108
504-349-1450
Sutton, Curtis L., MD
Marrero, LA 70072
Network Provider
1111 Medical Center Blvd, N108
504-349-1450
Vitter, John M., MD
Marrero, LA 70072
Network Provider
1101 Medical Center Blvd
504-349-1461
Yellin, Steven D., MD
Marrero, LA 70072
Network Provider
Willis Knighton Bossier Health Center
Emergency Medicine Provider
3000 34th Street
504-834-2062
Fletcher, Deborah , MD
Metairie, LA 70001
Network Provider
3000 34th Street
504-834-2062
Florea, Craig , MD
Metairie, LA 70001
Network Provider
3000 34th Street
504-834-2062
Harris, Jason , MD
Metairie, LA 70001
Network Provider
3000 34th Street
504-834-2062
Horan, John , MD
Metairie, LA 70001
Network Provider
3000 34th Street
504-834-2062
Rainer, Michael , MD
Metairie, LA 70001
Network Provider
3000 34th Street
504-834-2062
Rider, Carla , MD
Metairie, LA 70001
Network Provider
3000 34th Street
504-834-2062
Smith, Brandon , MD
Metairie, LA 70001
Network Provider
3000 34th Street
504-834-2062
VanHoy, Tess , MD
Metairie, LA 70001
Network Provider
3000 34th Street
504-834-2062
Williams, Michael , MD
Metairie, LA 70001
Network Provider
Willis Knighton Medical Center
Anesthesiologist
2600 Greenwood Road
888-274-9585
Allen, Larry , MD
Shreveport, LA 71103
Non-Network Provider
2600 Greenwood Road
888-274-9585
Harrel, Jason , MD
Shreveport, LA 71103
Non-Network Provider
2600 Greenwood Road
888-274-9585
Hawley, Maurice , MD
Shreveport, LA 71103
Non-Network Provider
2600 Greenwood Road
888-274-9585
Negron, Hector , MD
Shreveport, LA 71103
Non-Network Provider
2600 Greenwood Road
888-274-9585
Renda, David , MD
Shreveport, LA 71103
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 160 of 177Updated February 2015
2600 Greenwood Road
888-274-9585
Singh, Vijay , MD
Shreveport, LA 71103
Non-Network Provider
Emergency Medicine Provider
2600 Greenwood Road
504-834-2062
Aycock, Richard , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Brandhurst, Roy E., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Davis, Jerry E., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Dillon, Brian , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Easterling, David R., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Edwards, Eustace , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Farquhar, Joseph , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Felty, John J., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Fletcher, Deborah , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Florea, Craig T., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Gallagher, Patrick T., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Haynes, Andrew T., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Horan, John J., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Laskaris, Gus A., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Parikh, Nikunj K., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Paul, Edward , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Rainer, Michael V., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Reeves, John , MD
Shreveport, LA 71103
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 161 of 177Updated February 2015
2600 Greenwood Road
504-834-2062
Rider, Carla D., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Smith, Brent , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Smith, Brandon P., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Sorkey, Alan , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Sullivan, Michael J., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Vanhoy, Tess B., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Williams, Michael R., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Willis, Fred S., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
504-834-2062
Willis, Spence , MD
Shreveport, LA 71103
Network Provider
Pathologist
2600 Greenwood Road
318-868-0932
Ball, William , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
318-868-0932
Bearden, Carrie , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
318-868-0932
Harrison, George K., MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
318-868-0932
Khare, Vivek , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
318-868-0932
McLaren, Bernadette , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
318-868-0932
Sardenga, Louis , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
318-868-0932
Siskron, III, Fredric , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
318-868-0932
Wellman, Gregory , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
318-868-0932
Wesche, William , MD
Shreveport, LA 71103
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 162 of 177Updated February 2015
Radiologist
2600 Greenwood Road
877-243-8416
Alba, Jose , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Bos, Cornelius , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Boudreaux, Brent , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Coffman, Clifton , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Henley, Ravis , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Hennigan, Daniel , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Homza, Wayne , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Majeste, Donald , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Marsala, Andrew , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Mirfakhraee, Mansour , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Patterson, Eugene , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Price, James , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Williams, Michael , MD
Shreveport, LA 71103
Network Provider
2600 Greenwood Road
877-243-8416
Zamani, Ramin , MD
Shreveport, LA 71103
Network Provider
Willis Knighton Pierremont Health
Center
Emergency Medicine Provider
3000 34th Street
504-834-2062
Brandhurst, Roy , MD
Metairie, LA 70001
Network Provider
3000 34th Street
504-834-2062
Davis, Jerry , MD
Metairie, LA 70001
Network Provider
3000 34th Street
504-834-2062
Edwards, Eustace , MD
Metairie, LA 70001
Network Provider
3000 34th Street
504-834-2062
Laskaris, Gus , MD
Metairie, LA 70001
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 163 of 177Updated February 2015
3000 34th Street
504-834-2062
Paul, Edward , MD
Metairie, LA 70001
Network Provider
Willis Knighton South
Anesthesiologist
2510 Bert Kouns Ind. Loop
318-797-3980
Cheek, John , MD
Shreveport, LA 71118
Non-Network Provider
2510 Bert Kouns Ind. Loop
318-797-3980
Lilley, Douglas , MD
Shreveport, LA 71118
Non-Network Provider
2510 Bert Kouns Ind. Loop
318-797-3980
Patel, Alpesh , MD
Shreveport, LA 71118
Non-Network Provider
2510 Bert Kouns Ind. Loop
318-797-3980
Wheeler, Dana , MD
Shreveport, LA 71118
Non-Network Provider
Emergency Medicine Provider
2510 Bert Kouns Ind. Loop
504-834-2062
Aycock, Richard , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
504-834-2062
Easterling, David , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
504-834-2062
Felty, John , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
504-834-2062
Gallagher, Patrick , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
504-834-2062
Haynes, Andrew , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
504-834-2062
Sullivan, Michael , MD
Shreveport, LA 71118
Network Provider
Neonatologist
2510 Bert Kouns Ind. Loop
318-212-8946
Bonifacio, Lea A., MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
318-222-2229
Manchandia, Bharti , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
318-212-8946
Whitton, Gerald , MD
Shreveport, LA 71118
Network Provider
Pathologist
2510 Bert Kouns Ind. Loop
318-868-0932
Ball, William , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
318-868-0932
Bearden, Carrie , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
318-868-0932
Harrison, George K., MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
318-868-0932
Khare, Vivek , MD
Shreveport, LA 71118
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 164 of 177Updated February 2015
2510 Bert Kouns Ind. Loop
318-868-0932
McLaren, Bernadette , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
318-868-0932
Sardenga, Louis , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
318-868-0932
Siskron, III, Fredric , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
318-868-0932
Wellman, Gregory , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
318-868-0932
Wesche, William , MD
Shreveport, LA 71118
Network Provider
Radiologist
2510 Bert Kouns Ind. Loop
877-243-8416
Alba, Jose , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Bos, Cornelius , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Boudreaux, Brent , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Coffman, Clifton , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Henley, Ravis , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Hennigan, Daniel , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Homza, Wayne , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Majeste, Donald , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Marsala, Andrew , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Mirfakhraee, Mansour , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Patterson, Eugene , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Price, James , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Williams, Michael , MD
Shreveport, LA 71118
Network Provider
2510 Bert Kouns Ind. Loop
877-243-8416
Zamani, Ramin , MD
Shreveport, LA 71118
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 165 of 177Updated February 2015
Winn Parish Medical Center
Anesthesiologist
301 West Boundary Avenue
318-648-3000
Wyatt, Jeffery D., CRNA
Winnfield, LA 71483
Non-Network Provider
Emergency Medicine Provider
200 Corporate Blvd, Ste 201
800-893-9698
Winn Emergency Group, LLC
Lafayette, LA 70508
Network Provider
301 West Boundary Avenue
800-377-8721
NES Central Louisiana, Inc.
Winnfield, LA 71483
Non-Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Chandler, Jennifer , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Chui, Peter , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Edwards, III, George D., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Elshatory, Kareem M., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Esuabana, Asuquo A., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Hendrix, Ricky D., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Iglesias, Julio E., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Jones, Jr., Kenneth B., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Mashburn, Jay , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
McClure, Allen W., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Prosperie, Michael D., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Quayle, Carter W., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Reid, Fred M., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Samper, Edward R., MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Thaljeh, Faisal , MD
Lafayette, LA 70508
Network Provider
200 Corporate Blvd, Ste 201
866-285-0910
Whitehead, III, Clarence M., MD
Lafayette, LA 70508
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 166 of 177Updated February 2015
Other
4239 Highway 1192, Ste 100
318-253-0866
Hawkeye Medical, LLC
Marksville, LA 71351
Non-Network Provider
Pathologist
P.O. Box 9600, Dept 09-021
866-875-0415
Delta Pathology Group
Texarkana, TX 75505
Network Provider
309 Jackson Street
318-327-4105
Acree, Donald T., MD
Monroe, LA 71201
Network Provider
2915 Missouri Avenue
318-621-8820
Ball, William N., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Bearden, Carrie L., MD
Shreveport, LA 71109
Network Provider
309 Jackson Street
318-327-4105
Blanchard , Stephen P., MD
Monroe, LA 71201
Network Provider
309 Jackson Street
318-327-4105
Blanchard, Jr., Richard J., MD
Monroe, LA 71201
Network Provider
211 4th Street, Box 30113
318-473-3175
Eggers, Jordan W., MD
Alexandria, LA 71301
Network Provider
343 W. Walnut Avenue
318-283-3771
Emanuel, John M., MD
Bastrop, LA 71301
Network Provider
3421 Medical Park Drive
318-388-7800
Gulick, Janis L., MD
Monroe, LA 71203
Network Provider
211 4th Street, Box 30113
318-473-3175
Hair, James G., MD
Alexandria, LA 71301
Network Provider
2915 Missouri Avenue
318-621-8820
Harrison, George K., MD
Shreveport, LA 71109
Network Provider
One St. Mary Place
318-681-4471
Heard, Joseph S., MD
Shreveport, LA 71101
Network Provider
211 4th Street, Box 30113
318-473-3175
Herrington, Bruce , MD
Alexandria, LA 71301
Network Provider
2915 Missouri Avenue
318-621-8820
Khare, Vivek K., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Lee, James A., MD
Shreveport, LA 71109
Network Provider
3421 Medical Park Drive
318-388-7800
Liles, Jr., William J., MD
Monroe, LA 71203
Network Provider
One St. Mary Place
318-681-4471
McLaren, Bernadette K., MD
Shreveport, LA 71101
Network Provider
211 4th Street, Box 30113
318-473-3175
Miguez, Michael , MD
Alexandria, LA 71301
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 167 of 177Updated February 2015
2915 Missouri Avenue
318-621-8820
Sardenga, Louis J., MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Siskron, III, Thomas , MD
Shreveport, LA 71109
Network Provider
2915 Missouri Avenue
318-621-8820
Wellman, Gregory P., MD
Shreveport, LA 71109
Network Provider
One St. Mary Place
318-681-4471
Werner, David J., MD
Shreveport, LA 71101
Network Provider
2915 Missouri Avenue
318-621-8820
Wesche, William A., MD
Shreveport, LA 71109
Network Provider
One St. Mary Place
318-681-4471
Williams, Robert B., MD
Shreveport, LA 71101
Network Provider
Radiologist
7887 Picardy Avenue
225-769-6700
Baton Rouge Radiology Group
Baton Rouge, LA 70809
Network Provider
P.O. Box 52767
877-284-9984
Brown-Folse Radiology Group, LLC
Lafayette, LA 70505
Network Provider
44 Colony Road
501-960-2422
Ardoin, Shannon , MD
Little Rock, AR 72227
Network Provider
2111 Exchange Street
503-338-7525
Armington, William , MD
Astoria, OR 97103
Network Provider
254 Highway 3048
225-929-7380
Brown, Edward , MD
Rayville, LA 71269
Network Provider
254 Highway 3048
225-929-7380
Folse, Craig , MD
Rayville, LA 71269
Network Provider
250 Vincent Avenue
504-831-1535
Smith, II, Stover , MD
Metairie, LA 70005
Network Provider
503 McMillan Road
318-325-3838
Yatco, Reynaldo , MD
West Monroe, LA 71291
Network Provider
WK Bossier Health Center
Anesthesiologist
2400 Hospital Drive
318-797-8119
Hutchison, Ronald , MD
Bossier City, LA 71111
Non-Network Provider
2400 Hospital Drive
318-797-8119
Jones, Craig R., MD
Bossier City, LA 71111
Non-Network Provider
2400 Hospital Drive
318-797-8119
Keston, Richard , MD
Bossier City, LA 71111
Non-Network Provider
2400 Hospital Drive
318-797-8119
Turakhia, Daksha , MD
Bossier City, LA 71111
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 168 of 177Updated February 2015
Emergency Medicine Provider
2400 Hospital Drive
504-834-2062
Fletcher, Deborah , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
504-834-2062
Florea, Craig , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
504-834-2062
Harris, Jason , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
504-834-2062
Horan, John , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
504-834-2062
Rainer, Michael , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
504-834-2062
Rider, Carla , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
504-834-2062
Smith, Brandon , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
504-834-2062
VanHoy, Tess , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
504-834-2062
Williams, Michael , MD
Bossier City, LA 71111
Network Provider
Pathologist
2400 Hospital Drive
318-868-0932
Ball, William , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
318-868-0932
Bearden, Carrie , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
318-868-0932
Harrison, George K., MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
318-868-0932
Khare, Vivek , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
318-868-0932
McLaren, Bernadette , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
318-868-0932
Sardenga, Louis , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
318-868-0932
Siskron, III, Fredric , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
318-868-0932
Wellman, Gregory , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
318-868-0932
Wesche, William , MD
Bossier City, LA 71111
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 169 of 177Updated February 2015
2400 Hospital Drive
318-868-0932
Williams, Robert , MD
Bossier City, LA 71111
Network Provider
Radiologist
2400 Hospital Drive
877-243-8416
Alba, Jose , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Bos, Cornelius , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Boudreaux, Brent , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Coffman, Clifton , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Henley, Ravis , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Hennigan, Daniel , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Homza, Wayne , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Majeste, Donald , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Marsala, Andrew , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Mirfakhraee, Mansour , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Patterson, Eugene , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Price, James , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Williams, Michael , MD
Bossier City, LA 71111
Network Provider
2400 Hospital Drive
877-243-8416
Zamani, Ramin , MD
Bossier City, LA 71111
Network Provider
WK Pierremont Health Center
Anesthesiologist
8001 Youree Drive
318-797-1743
Fuller, Colleen , MD
Shreveport, LA 71115
Non-Network Provider
8001 Youree Drive
318-797-1743
Hubbard, Lex , MD
Shreveport, LA 71115
Non-Network Provider
8001 Youree Drive
318-797-1743
Mayfield, Keith , MD
Shreveport, LA 71115
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 170 of 177Updated February 2015
8001 Youree Drive
318-797-1743
Miciotto, Christopher , MD
Shreveport, LA 71115
Non-Network Provider
8001 Youree Drive
318-797-1743
Noles, John , MD
Shreveport, LA 71115
Non-Network Provider
8001 Youree Drive
318-797-1743
Taylor, Maxwell , MD
Shreveport, LA 71115
Non-Network Provider
Emergency Medicine Provider
8001 Youree Drive
504-834-2062
Brandhurst, Roy , MD
Shreveport, LA 71115
Network Provider
8001 Youree Drive
504-834-2062
Davis, Jerry , MD
Shreveport, LA 71115
Network Provider
8001 Youree Drive
504-834-2062
Edwards, Eustace , MD
Shreveport, LA 71115
Network Provider
8001 Youree Drive
504-834-2062
Laskaris, Gus , MD
Shreveport, LA 71115
Network Provider
8001 Youree Drive
504-834-2062
Paul, Edward , MD
Shreveport, LA 71115
Network Provider
Pathologist
8001 Pierremont
318-868-0932
Ball, William , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
318-868-0932
Bearden, Carrie , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
318-868-0932
Harrison, George K., MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
318-868-0932
Khare, Vivek , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
318-868-0932
McLaren, Bernadette , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
318-868-0932
Sardenga, Louis , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
318-868-0932
Siskron, III, Fredric , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
318-868-0932
Wellman, Gregory , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
318-868-0932
Wesche, William , MD
Shreveport, LA 71115
Network Provider
Radiologist
8001 Pierremont
877-243-8416
Alba, Jose , MD
Shreveport, LA 71115
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 171 of 177Updated February 2015
8001 Pierremont
877-243-8416
Bos, Cornelius , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
877-243-8416
Boudreaux, Brent , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
877-243-8416
Coffman, Clifton , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
877-243-8416
Henley, Ravis , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
877-243-8416
Hennigan, Daniel , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
877-243-8416
Homza, Wayne , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
877-243-8416
Majeste, Donald , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
877-243-8416
Marsala, Andrew , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
877-243-8416
Mirfakhraee, Mansour , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
877-243-8416
Patterson, Eugene , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
877-243-8416
Price, James , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
877-243-8416
Williams, Michael , MD
Shreveport, LA 71115
Network Provider
8001 Pierremont
877-243-8416
Zamani, Ramin , MD
Shreveport, LA 71115
Network Provider
Woman's Hospital
Anesthesiologist
100 Woman's Way
225-924-8149
Louisiana Anesthesiology Group
Baton Rouge, LA 70817
Network Provider
Neonatologist
500 Rue de la Vie, Ste 405
225-928-2555
Berry, Angelle L., MD
Baton Rouge, LA 70817
Network Provider
500 Rue de la Vie, Ste 405
225-928-2555
Davies, Shelley S., MD
Baton Rouge, LA 70817
Network Provider
500 Rue de la Vie, Ste 405
225-928-2555
Dunbar, III, Alston E., MD
Baton Rouge, LA 70817
Network Provider
500 Rue de la Vie, Ste 405
225-928-2555
Lindsay, Elizabeth B., MD
Baton Rouge, LA 70817
Network Provider
500 Rue de la Vie, Ste 405
225-928-2555
Meyn, Jr., Donald F., MD
Baton Rouge, LA 70817
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 172 of 177Updated February 2015
500 Rue de la Vie, Ste 405
225-928-2555
Smith, IV, Henry S., MD
Baton Rouge, LA 70817
Network Provider
500 Rue de la Vie, Ste 405
225-928-2555
Spedale, Steven B., MD
Baton Rouge, LA 70817
Network Provider
500 Rue de la Vie, Ste 405
225-928-2555
Stewart, Kimberly M., MD
Baton Rouge, LA 70817
Network Provider
500 Rue de la Vie, Ste 405
225-928-2555
Voelker, Cynthia A., MD
Baton Rouge, LA 70817
Network Provider
Other
100 Woman's Way
225-924-8338
Woman's Maternal Fetal Medicine Center
Baton Rouge, LA 70817
Network Provider
100 Woman's Way
225-927-1300
Woman's Assessment Center Physicians
Baton Rouge, LA 70817
Network Provider
Pathologist
5339 O'Donovan Drive
225-766-4999
Boudreaux, David A., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Cavalier, Deborah S., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Cooper, Shannon , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Eichelberger, Tonya J., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Graham, Richard R., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Harton, Anthony , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Jastram-Belcher, Jennifer , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Kascick, Robert L., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Mason, Stephen E., MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Ogden, Beverly , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Polk, Peggy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Rauch, Tracy , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Simmons, John R., MD
Baton Rouge, LA 70808
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 173 of 177Updated February 2015
5339 O'Donovan Drive
225-766-4999
Stromeyer, Wayne , MD
Baton Rouge, LA 70808
Non-Network Provider
5339 O'Donovan Drive
225-766-4999
Webb, Brian W., MD
Baton Rouge, LA 70808
Non-Network Provider
Radiologist
8230 Summa Ave, Ste C
225-757-0552
Radiology Associates
Baton Rouge, LA 70809
Network Provider
9050 Airline Highway
225-296-0041
RadSouth Imaging, LLP
Baton Rouge, LA 70815
Network Provider
Women and Children's Hospital
Anesthesiologist
4150 Nelson Road, MOB A, Ste 4
337-474-6353
Anesthesia Associates
Lake Charles, LA 70605
Non-Network Provider
Emergency Medicine Provider
200 Corporate Blvd, Ste 201
800-893-9698
Calcasieu Emergency Group, LLC
Lafayette, LA 70508
Network Provider
Pathologist
830 Bayou Pines Drive
337-439-3085
The Pathology Laboratory, Inc.
Lake Charles, LA 70601
Non-Network Provider
Radiologist
1800 Ryan Street, Ste 105
337-439-4706
Radiology Associates of Southwest
Louisiana, Inc.
Lake Charles, LA 70601
Network Provider
Women's and Children's Hospital
Anesthesiologist
1613 N. Harrison Parkway, Ste 200
Sheridan Healthcare of Louisiana
Sunrise, FL 33323
Network Provider
2173A Centerville Place
850-385-0141
Baudoin, Bryan , DO
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Brown-Woods, Ebonique , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Corry, Mary Ellen , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Doherty, Maureen , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Glogover, Philip , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Grau, Valerie , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Jayagopal, Vijaya , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Luccioni, Divini , MD
Tallahassee, FL 32308
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 174 of 177Updated February 2015
2173A Centerville Place
850-385-0141
Myers, Charles , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Salcedo, Luis , MD
Tallahassee, FL 32308
Network Provider
2173A Centerville Place
850-385-0141
Venugopal, Sheela , MD
Tallahassee, FL 32308
Network Provider
Emergency Medicine Provider
3001 President George Bush Turnpike, Ste 250
Pediatrix Medical Group of Louisiana, LLC
Richardson, TX 75082
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Awotwi, Joseph , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Borne, Glenn , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Boudreaux, Tonya , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Doise, Rebecca , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Fukuda, Juan , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Gaspard, Toye , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Gaspard, Joshua , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Glowacki, Gregory , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Golan, Tomas , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Kilpatrick, Robert , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Kobbah, Piayon , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
McKenzie, Sandi , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Myers, Deborah , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Vallee, Monique , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Zeretzke, Cristina , MD
Lafayette, LA 70503
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 175 of 177Updated February 2015
Neonatologist
107 Montrose Avenue, Ste D
337-981-9316
Adams, Jim , DO
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Belizaire, Josseline , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Bisquera, Jennifer , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Cong, Vo , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Goldsmith, Jay , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Seago, Neva , MD
Lafayette, LA 70503
Non-Network Provider
107 Montrose Avenue, Ste D
337-981-9316
Stewart, Cecilia , MD
Lafayette, LA 70503
Non-Network Provider
Other
4600 Ambassador Caffery Parkway
337-521-9362
Barnes, Donald , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9300
Bediako, Ebenzer , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9362
Carey, Floyd , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9362
Dean, Rashonda , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9362
Johns, Robert , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9362
Joseph, Alex , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9362
Middleton, Jamie , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9300
Raghuram, Nandkishore , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9300
Ross, Gerald , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9362
Rousset, Kirk , MD
Lafayette, LA 70508
Non-Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 176 of 177Updated February 2015
4600 Ambassador Caffery Parkway
337-521-9362
Soules, Karen , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9300
Valcourt, Karl , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9362
Webb, Kelsey , MD
Lafayette, LA 70508
Non-Network Provider
Pathologist
4600 Ambassador Caffery Parkway
337-521-9113
Crosier, M'Liss , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9113
Gray, Sidney , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9203
Hanson, Stephanie , MD
Lafayette, LA 70508
Network Provider
4600 Ambassador Caffery Parkway
337-521-9113
Lee, James , MD
Lafayette, LA 70508
Non-Network Provider
4600 Ambassador Caffery Parkway
337-521-9113
Marshak, Joan , MD
Lafayette, LA 70508
Network Provider
4600 Ambassador Caffery Parkway
337-521-9113
Padgett, Ronald , MD
Lafayette, LA 70508
Non-Network Provider
Radiologist
500 Ambassador Caffery Pkwy, Building 10
337-993-8300
Elaine Junca Women's Imaging Center
Lafayette, LA 70508
Non-Network Provider
611 St. Landy Street
337-289-2882
Billeaud, Paul , MD
Lafayette, LA 70506
Network Provider
611 St. Landy Street
337-289-2882
Burns, Rodney , MD
Lafayette, LA 70506
Network Provider
611 St. Landy Street
337-289-2882
Florek, Rodney , MD
Lafayette, LA 70506
Network Provider
611 St. Landy Street
337-289-2882
Gunderson, Victor , MD
Lafayette, LA 70506
Network Provider
611 St. Landy Street
337-289-2882
Hoppe, Blaine , MD
Lafayette, LA 70506
Network Provider
611 St. Landy Street
337-289-2882
Kelsey, Judith , MD
Lafayette, LA 70506
Network Provider
611 St. Landy Street
337-289-2882
Lemoine, Nicholas , MD
Lafayette, LA 70506
Network Provider
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.
Page 177 of 177Updated February 2015
611 St. Landy Street
337-289-2882
McLemore, Henry , MD
Lafayette, LA 70506
Network Provider
500 Ambassador Caffery Pkwy, Building 10
337-993-8300
Meyer, Philip , DO
Lafayette, LA 70508
Non-Network Provider
611 St. Landy Street
337-289-2882
Miller, Romney , MD
Lafayette, LA 70506
Network Provider
500 Ambassador Caffery Pkwy, Building 10
337-993-8300
Rhoden, Sandra , MD
Lafayette, LA 70508
Non-Network Provider
611 St. Landy Street
337-289-2882
Rideau, Alecia , MD
Lafayette, LA 70506
Network Provider
500 Ambassador Caffery Pkwy, Building 10
337-993-8300
Ruiz, James , MD
Lafayette, LA 70508
Non-Network Provider
611 St. Landy Street
337-289-2882
Stallmeyer, Mary , MD
Lafayette, LA 70506
Network Provider
611 St. Landy Street
337-289-2882
Stephan, Mark , MD
Lafayette, LA 70506
Network Provider
611 St. Landy Street
337-289-2882
Vanbergen, Richard , MD
Lafayette, LA 70506
Network Provider
611 St. Landy Street
337-289-2882
Wojak, Joan , MD
Lafayette, LA 70506
Network Provider
Women's and Children's Hospital -Reg
Med Ctr Acadiana- Consults
Other
Ambassador Physician Services
Network Provider
Young Eye Surgery Center
*Information not provided
**Please Note - the physician addresses shown have been provided to us by the hospital or ambulatory surgery facility. If a state other than Louisiana is indicated, it is likely the address of the physician's billing office.