page 1 of 177 kemmerly, kenneth , md abbeville general

177
Page 1 of 177 Updated 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.

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Page 1: 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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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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.

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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.

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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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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.

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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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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.

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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.

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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.

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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.

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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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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.

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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.

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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.

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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.

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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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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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.

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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.

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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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.

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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.

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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.

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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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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: Page 1 of 177 Kemmerly, Kenneth , MD Abbeville General

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.