run time: 11:10 am for the state of louisiana … 1023020872 affronti, john p md new orleans la...

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Report: RP130 Envision Mississippi Division of Medicaid Provider Subsystem PRESCRIBING PROVIDER LISTING FOR THE STATE OF LOUISIANA Run Date: 5/20/2018 Run Time: 11:10 AM PROVIDER ID NPI PROVIDER NAME CITY STATE 05935806 1518252220 ABADCO, DUSTIN A MD KENNER LA 01301720 1912142761 ABDALLAH, TAREK M MD BATON ROUGE LA 05680831 1568471993 ABDEHOU, DAVID M MD FERRIDAY LA 00011449 1346207354 ABI-SAMRA, FREDDY M MD NEW ORLEANS LA 03205700 1174883722 ABRAHAM, SHAUN MD BATON ROUGE LA 03755751 1477997492 ABUSOUFEH, RANA MD NEW ORLEANS LA 00126091 1629099536 ACCOUSTI, WILLIAM K MD NEW ORLEANS LA 04436081 1114479680 ACKEL, NOELL S PA BATON ROUGE LA 05370037 1942614607 ACKERSON, MEGAN B PA SLIDELL LA 01780013 1174974596 ACOSTA, ERIN J NP WALKER LA 03307566 1649579525 ADAMS, ERIN F MD NEW ORLEANS LA 06734277 1174813018 ADAMS, JERIELLE L MD KENNER LA 07234392 1942657192 ADAMS, JESSICA L NP LULING LA 01874854 1952430142 ADAMS, MICHAEL G DDS SLIDELL LA 07932261 1972893816 ADKINS, LACEY K MD BATON ROUGE LA 00113782 1548227549 ADOLPH, VINCENT R MD NEW ORLEANS LA 00404554 1023020872 AFFRONTI, JOHN P MD NEW ORLEANS LA 03758247 1750472692 AFRICK, DIANE K MD NEW ORLEANS LA 04035502 1235191586 AGARWAL, RITA MD WEST MONROE LA 07737385 1306367586 AGUILLARD, QUIANNE S NP KENNER LA 08356207 1164683074 AHMED, EMILY B MD NEW ORLEANS LA 09037391 1942443080 AHMED, SHAWN I MD NEW ORLEANS LA 00654772 1124463179 AHSAN, IRFAN DPM MARRERO LA 02035806 1033154406 AKINGBOLA, ADERONKE F MD KENNER LA 00117125 1407881550 AKINGBOLA, OLUGBENGA A MD NEW ORLEANS LA 06870890 1295000545 AKINNIYI, DEBORAH A MD NEW ORLEANS LA 06108704 1467886143 AL-BUSAYYES, GHALIA M MD NEW ORLEANS LA 05259551 1720353006 AL-DUJAILI, LENA J MD NEW ORLEANS LA May 20, 2018 1 11:10:45 AM

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Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

05935806 1518252220 ABADCO, DUSTIN A MD KENNER LA

01301720 1912142761 ABDALLAH, TAREK M MD BATON ROUGE LA

05680831 1568471993 ABDEHOU, DAVID M MD FERRIDAY LA

00011449 1346207354 ABI-SAMRA, FREDDY M MD NEW ORLEANS LA

03205700 1174883722 ABRAHAM, SHAUN MD BATON ROUGE LA

03755751 1477997492 ABUSOUFEH, RANA MD NEW ORLEANS LA

00126091 1629099536 ACCOUSTI, WILLIAM K MD NEW ORLEANS LA

04436081 1114479680 ACKEL, NOELL S PA BATON ROUGE LA

05370037 1942614607 ACKERSON, MEGAN B PA SLIDELL LA

01780013 1174974596 ACOSTA, ERIN J NP WALKER LA

03307566 1649579525 ADAMS, ERIN F MD NEW ORLEANS LA

06734277 1174813018 ADAMS, JERIELLE L MD KENNER LA

07234392 1942657192 ADAMS, JESSICA L NP LULING LA

01874854 1952430142 ADAMS, MICHAEL G DDS SLIDELL LA

07932261 1972893816 ADKINS, LACEY K MD BATON ROUGE LA

00113782 1548227549 ADOLPH, VINCENT R MD NEW ORLEANS LA

00404554 1023020872 AFFRONTI, JOHN P MD NEW ORLEANS LA

03758247 1750472692 AFRICK, DIANE K MD NEW ORLEANS LA

04035502 1235191586 AGARWAL, RITA MD WEST MONROE LA

07737385 1306367586 AGUILLARD, QUIANNE S NP KENNER LA

08356207 1164683074 AHMED, EMILY B MD NEW ORLEANS LA

09037391 1942443080 AHMED, SHAWN I MD NEW ORLEANS LA

00654772 1124463179 AHSAN, IRFAN DPM MARRERO LA

02035806 1033154406 AKINGBOLA, ADERONKE F MD KENNER LA

00117125 1407881550 AKINGBOLA, OLUGBENGA A MD NEW ORLEANS LA

06870890 1295000545 AKINNIYI, DEBORAH A MD NEW ORLEANS LA

06108704 1467886143 AL-BUSAYYES, GHALIA M MD NEW ORLEANS LA

05259551 1720353006 AL-DUJAILI, LENA J MD NEW ORLEANS LA

May 20, 2018 1 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00121844 1073530960 ALAGARSAMY, SENTHIL MD NEW ORLEANS LA

07702529 1962639211 ALARCON, ANDRES E MD NEW ORLEANS LA

07307721 1407142946 ALBORES, JESSICA R FNP GRETNA LA

00112913 1073604872 ALCHEDIAK, THOMAS MD NEW ORLEANS LA

03179527 1578789434 ALDRIDGE, JOSZI C MD BATON ROUGE LA

03031572 1013350206 ALENCHERRY, SONIA S MD LULING LA

00138349 1013422765 ALEXANDER, HEATHER PA NEW ORLEANS LA

03538275 1962469890 ALEXANDER, PEGGY A NP NEW ORLEANS LA

06506814 1851493803 ALI, GHOLAM H MD NEW ORLEANS LA

03427813 1831557024 ALLEN, KATHERINE L NP PLAQUEMINE LA

02675714 1801158886 ALLEN, NICOLE NP BATON ROUGE LA

01173018 1538150701 ALLEN, PHILLIP G MD BATON ROUGE LA

04758290 1255353983 ALLEN, ROBERT J MD NEW ORLEANS LA

04978792 1366465080 ALLEVA, DAVID Q MD BATON ROUGE LA

08056508 1255660338 ALLEYN, CIELO R MD NEW ORLEANS LA

09585213 1558610576 ALLEYNE, KATHERINE B PA NEW ORLEANS LA

04822279 1740238385 ALLINE, MICHAEL J MD MARRERO LA

00834752 1558502237 ALMERICO, SANDRA R NP NEW ORLEANS LA

04950274 1952323727 ALONSO RUBIANO, ELIZABETH MD NEW ORLEANS LA

00124673 1477509107 ALPER, ARNOLD B MD NEW ORLEANS LA

05281265 1275832081 ALQUIST, CAROLINE R MD NEW ORLEANS LA

00018333 1194010652 AMADON, JOHN P MD BATON ROUGE LA

06024379 1942566799 AMARA, SHILPA MD NEW ORLEANS LA

08453212 1831280668 AMEDEE, RONALD G NEW ORLEANS LA

08829225 1447460985 AMENTA, PETER S MD NEW ORLEANS LA

00118934 1881696086 AMKIEH, ALI M MD COVINGTON LA

01700716 1376078022 AMMON, BRIAN G PA NEW ORLEANS LA

00126584 1447305768 AMUSA, KWELI J MD MANDEVILLE LA

May 20, 2018 2 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07088352 1700105640 ANAND, KIRAN K MD GRETNA LA

07158331 1750680567 ANDERSON II, GARLAND E MD METAIRIE LA

00876731 1568468171 ANDERSON, DEREK J MD BATON ROUGE LA

06121831 1275513947 ANDERSON, DWAYNE MD NEW ORLEANS LA

06035893 1477983856 ANDERSON, EMILY C PA NEW ORLEANS LA

08706568 1801978937 ANDERSON, MARGOT H MD NEW ORLEANS LA

00119824 1386601243 ANDERSON, MILTON W MD NEW ORLEANS LA

00975212 1528353372 ANDERSON, ODETTE A MD NEW ORLEANS LA

07087511 1568991420 ANDERSON, VALERIE B NNP NEW ORLEANS LA

00113166 1801987664 ANDERSSON, HANS C MD NEW ORLEANS LA

05672361 1184163248 ANDRAS, COREY NP NEW ORLEANS LA

05353850 1043653686 ANDRES, ROBERT B MD SLIDELL LA

03476781 1356637649 ANDREW, KIANA A MD MP NEW ORLEANS LA

00005242 1467803882 ANNALORO, KRISTIN E PA BATON ROUGE LA

06757743 1710328703 ANWAR, ALI S DO NEW ORLEANS LA

06421700 1154568574 ANWAR, ASIF H MD NEW ORLEANS LA

02928505 1093956542 ANWAR, DOMINIQUE M MD NEW ORLEANS LA

06877773 1285637710 ANZALONE, THOMAS MD COVINGTON LA

04774321 1912205998 ANZOLA, YAKELIS O APRN NEW ORLEANS LA

06530011 1508845744 ARAIN, GHULAM MD FRANKLINTON LA

00122197 1790887792 ARCEMENT, CHRISTOPHER M MD NEW ORLEANS LA

04073868 1558810036 ARCENEAUX, HAYLEY C PA BATON ROUGE LA

05303212 1053575506 ARDOIN, SHANNON E MD CALHOUN LA

00579551 1225486681 AREAUX, ASHLEY E PA NEW ORLEANS LA

00016679 1972560985 AREND, LAURENCE W MD NEW ORLEANS LA

00782347 1770019754 ARNOLD, ADRIENNE D NP NEW ORLEANS LA

06327314 1912902941 ARRIAGA, MOISES A MD NEW ORLEANS LA

03706040 ARTECONA, JOSE F MD NEW ORLEANS LA

May 20, 2018 3 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07420519 1437244670 ASCUITTO, NANCY MD NEW ORLEANS LA

00117336 1780775551 ASCUITTO, ROBERT J MD NEW ORLEANS LA

02927857 1730594763 ASH, TESHAWN L NP KENNER LA

07402307 1609072214 ASHOOR, ISA MD NEW ORLEANS LA

05431896 1679538102 ASHTON, LISA O NP COVINGTON LA

05559765 1306004460 ASLAM, RIZWAN DO NEW ORLEANS LA

05707019 1821352345 ATHIRAMAN, HEMANTHKUMAR MD SLIDELL LA

08777094 1487844668 ATKINSON IV, JAMES D MD BATON ROUGE LA

04138350 1255655262 ATKINSON, EVAN M MD NEW ORLEANS LA

07030893 1386173086 ATTAWAY, ASHLEIGH DDS SLIDELL LA

05579367 1801256144 AUCOIN, JIMI A CNM BATON ROUGE LA

00570003 1205125200 AUCOIN, MICHELLE MD COVINGTON LA

09852257 1902826233 AULTMAN, CHAD J MD BATON ROUGE LA

06936506 1679780373 AVATI NANJUDAPPA, RAVI PRASAD MD NEW ORLEANS LA

00122248 1538182548 AVILES, DIEGO H MD NEW ORLEANS LA

01637882 1932575206 AYMOND, MARK B PA BATON ROUGE LA

07221512 1801078522 AYSENNE, AIMEE M MD NEW ORLEANS LA

00121866 1356395404 AYYALA, RAMESH S MD NEW ORLEANS LA

05301567 1245222439 AZAR, SUSAN E MD NEW ORLEANS LA

05906568 1073872834 AZUORU, MIRIAM C MD NEW ORLEANS LA

01905879 1376897165 BABIN, LINDY PA LAPLACE LA

00114686 1740247741 BABYCOS, CHRISTOPHER R MD NEW ORLEANS LA

07455236 1952732869 BACKSTROM, BRONWYN E NP METAIRIE LA

01385509 1851555874 BADARI, AMBUGA R MD NEW ORLEANS LA

03334568 1851574909 BADEAUX, CATHERINE P CNM NEW ORLEANS LA

02005067 1518168806 BADER, LUCAS MD BATON ROUGE LA

00119141 1932166410 BAEZ, RAYMOND MD SLIDELL LA

01605813 1174589824 BAGERT, BRIDGET A MD NEW ORLEANS LA

May 20, 2018 4 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

02200561 1083935878 BAGHIAN, ALI MD NEW ORLEANS LA

07256368 1770882664 BAGHIAN, SALMAN MD BATON ROUGE LA

00284091 1346483708 BAIG, MIRZA K MD NEW ORLEANS LA

02083564 1194952119 BAIJNATH, CHARITRAHEEN A MD NEW ORLEANS LA

07650259 1740238336 BAILEY, COLIN G MD LAPLACE LA

00626893 1588034466 BAILEY, TAYLOR A NP NEW ORLEANS LA

00272349 1942503743 BAIN, EMILY N PA-C BATON ROUGE LA

03328362 1275905572 BAKER, CAITLIN C PA NEW ORLEANS LA

03037513 1255354767 BAKER, JEFFERY A MD NEW ORLEANS LA

09088390 1194997338 BAKHOS, SAMER MD BATON ROUGE LA

04023069 1174903348 BALAMANE SALASSI, KRISTINA PA NEW ORLEANS LA

06976733 1518130756 BALART, JOHN T MD MARRERO LA

04651206 1326069345 BALART, LUIS A MD NEW ORLEANS LA

00537761 1457328999 BALDRIDGE, LISA L DO BATON ROUGE LA

00112700 1710929187 BALIGA, RADHAKRISHNA MD NEW ORLEANS LA

05209025 1497707616 BALL, JAMES MD TALLULAH LA

05775557 1891001772 BALLARD, ARDEN N PA NEW ORLEANS LA

03058791 1750811758 BALLARD, LAUREN C NP NEW ORLEANS LA

01108235 1619296613 BAND, ALEXANDRA W DO NEW ORLEANS LA

08327872 1912343799 BANKS, DALE NP GRETNA LA

03805804 1922219815 BANSAL, ADITYA MD NEW ORLEANS LA

02289807 1285166744 BAQUE, BRANDIE NP COVINGTON LA

07888057 1700075462 BARBARIN, AYANA K MD NEW ORLEANS LA

09678765 1831140649 BARBIERO, LISA M MD NEW ORLEANS LA

00302081 1427014612 BARFIELD, WILLIAM T MD COVINGTON LA

09105762 1750759601 BARHAM, ANNA A PA WEST MONROE LA

07906701 1144463613 BARHAM, HENRY P MD BATON ROUGE LA

00121989 1003858523 BARKEMEYER, BRIAN M MD NEW ORLEANS LA

May 20, 2018 5 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

05174803 1023245222 BARKERDING, AMY PA BOGALUSA LA

02582767 1184791493 BARNEBEE III, JAMES H MD TALLULAH LA

04021248 1659328045 BARNES, JEANEE MD COVINGTON LA

05430001 1962453399 BARNETT III, VERNIE T MD NEW ORLEANS LA

08401328 1437204518 BARNETT, LUANN H MD BATON ROUGE LA

00689372 1225482102 BAROUSSE, LAUREN L PA NEW ORLEANS LA

03989843 1578777058 BASIREDDY, MAHESHREDDY MD BATON ROUGE LA

05731518 1326380221 BASKIND, HEATHER A MD NEW ORLEANS LA

08504033 1720353956 BATEMAN, KRISTIN M MD NEW ORLEANS LA

05875837 1316267370 BATEMAN, LAURA E MD NEW ORLEANS LA

01727036 1699013607 BATES, ALICIA A NP BATON ROUGE LA

04433007 1932310604 BATES, MICHAEL J MD NEW ORLEANS LA

08851398 1538305404 BATISTA, REBECCA B MD NEW ORLEANS LA

01729542 1578896122 BATSON, JERRY W NP WEST MONROE LA

04907862 1942456660 BATTLEY III, TOUSSAINT NP KENNER LA

08425517 1497987580 BATWAR, PALLAVI K MD SLIDELL LA

09835031 1396120176 BAUDIER, JESSICA M NP NEW ORLEANS LA

01727536 1154555654 BAUDY, ADRIAN J MD NEW ORLEANS LA

00122532 1972569168 BAUMGARTEN, KATHERINE L NEW ORLEANS LA

08905066 1356427199 BEAN, BRANDON MD COVINGTON LA

07482329 1104015718 BEAR, CELESTE PA METAIRIE LA

05103562 1770901720 BECERRIL, JORDAN D MD NEW ORLEANS LA

00527350 1861450900 BECK, DAVID E MD NEW ORLEANS LA

00124619 1316159700 BECKER, MARK O MD NEW ORLEANS LA

07020371 1992703920 BECKER, MICHAEL J MD LACOMBE LA

00016676 1225095896 BECKMAN, EDWIN N MD NEW ORLEANS LA

05253373 1013262047 BECNEL, BRENT NP NEW ORLEANS LA

04358037 1962424697 BEECH, SCOTT MD NEW ORLEANS LA

May 20, 2018 6 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

04301721 1801870415 BEENE, STEPHEN M MD SLIDELL LA

03824026 1700985694 BEGUE, CARMEN R MD NEW ORLEANS LA

00114448 1023031077 BEGUE, RODOLFO E MD NEW ORLEANS LA

00011947 1942268099 BELL, KENNETH A MD NEW ORLEANS LA

00277211 1881832715 BELL-PITTS, JANE K NP SLIDELL LA

00053712 1801863352 BELLEMARE, NANCY A DO KENNER LA

07987095 1952529695 BELLEVILLE, FRANCINE MD NEW ORLEANS LA

02726762 1093840944 BENEVENTO, JOSEPH MD NEW ORLEANS LA

00111946 1790774081 BENGHOZI, TAWFIK M MD ALEXANDRIA LA

00085221 1043286388 BENINATO, MICHAEL A PA SLIDELL LA

00233213 1982845962 BENJAMIN, WRIGHT M MD SLIDELL LA

06935791 1174884431 BENNETT, GARRETT M MD NEW ORLEANS LA

03223248 1386755809 BENNETT, JASON A MD BATON ROUGE LA

07156869 1023288792 BENNETT, WILLIAM L MD SLIDELL LA

00934711 1891029856 BENNING, GURPAL S MD COVINGTON LA

05305560 1790233286 BENOIT, CATHERINE R PA NEW ORLEANS LA

07721840 1609017771 BENOIT, MICHAEL E PA MARRERO LA

01832896 1831418599 BENSUSAN, ARIANA P DO METAIRIE LA

07329039 1588626782 BENYAHIA, SALLY A NP KENNER LA

01126310 1013089424 BERAULT, GREGORY L MD SLIDELL LA

00036083 1538366828 BERGERON, KATHERINE PA BATON ROUGE LA

01483556 1144669995 BERGERON, LAUREN M MD NEW ORLEANS LA

01237540 1821036948 BERGERON, NICKLES P MD BATON ROUGE LA

07958335 1497079404 BERGSTEDT, MATTHEW R MD NEW ORLEANS LA

00124139 1225076169 BERKOWITZ, WAYNE MD COVINGTON LA

04484545 1811129000 BERMUDEZ, RICHARD S MD COVINGTON LA

00078329 1629267893 BERNAL, MARIA D MD NEW ORLEANS LA

01353298 1396892287 BERNARD, MICHAEL L MD NEW ORLEANS LA

May 20, 2018 7 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07221839 1609931591 BERNER III, AUGUST J MD NEW ORLEANS LA

04234559 1558327577 BERNER, TARA G MD NEW ORLEANS LA

09173375 1972750099 BERNHARD, LISA M MD NEW ORLEANS LA

06700555 1851333587 BERNSTEIN, MARC MD SLIDELL LA

01029252 1205858941 BERRY, SUSAN MD NEW ORLEANS LA

07605598 1629243431 BERRY, THOMAS J LACOMBE LA

09472242 1477656015 BERTETTI, RICHARD DMD SLIDELL LA

00012516 1942316450 BERTUCCI, BRYAN J MD CHALMETTE LA

00110414 1548263999 BETHALA, VASANTH K MD SLIDELL LA

01078003 1073714358 BEZAN, HERNAN A MD NEW ORLEANS LA

01328787 1912999046 BHANSALI, SIDDHARTH K MD NEW ORLEANS LA

08305059 1205039294 BHATNAGAR, DEEPA MD NEW ORLEANS LA

04731739 1669896775 BHATTARAI, PALLAV MD BATON ROUGE LA

09186861 1437104668 BIGGIO, JOSEPH R MD NEW ORLEANS LA

05089890 1679702716 BIGLANE, JOHN B MD NEW ORLEANS LA

06936890 1891731329 BILELLO, JULIE O NP NEW ORLEANS LA

08688828 1811158637 BILLEAUD, NEIL B MD NEW ORLEANS LA

06081508 1386735645 BINCK, BRIAN W MD BATON ROUGE LA

02750572 1386153591 BINET, KAYLEIGH PA KENNER LA

00629888 1952580839 BIRKHOFF, JANICE D NP GRETNA LA

02178390 1902065758 BIRO, ERIN E MD NEW ORLEANS LA

00112168 1508964990 BISHOP, LAURIE A M.D. SLIDELL LA

00027250 1669467809 BISSANT, FRANK J MD NEW ORLEANS LA

00118407 1346231834 BITAR, KAMIL N CHALMETTE LA

08321818 1427014638 BIZETTE, GREG A MD COVINGTON LA

00876530 1568621472 BLACK, BEAU S MD NEW ORLEANS LA

03421744 1861480915 BLAIS, CHRISTOPHER M MD NEW ORLEANS LA

09023261 1073570479 BLALOCK, WILLIAM O MD NEW ORLEANS LA

May 20, 2018 8 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

03554881 1346565827 BLANCANEAUX, MICHAEL C MD NEW ORLEANS LA

01550284 1053752808 BLANCHARD, LAURA C NP RACELAND LA

00833355 1710286604 BLANCHARD, MICHAEL J MD RACELAND LA

09306824 1235370230 BLAND, KIM S MD NEW ORLEANS LA

05150823 1780818286 BLANTON, CHRISTIE J MD NEW ORLEANS LA

09086350 1477812675 BLASIAR, BRADLEY J MD KENNER LA

09839074 1730165911 BLATT, ELLEN R MD NEW ORLEANS LA

03877098 1457556417 BLEMUR JR, PIERRE R MD NEW ORLEANS LA

00126698 1467488163 BLESSEY, PETER B MD COVINGTON LA

02157571 1912273244 BLUETT-MILLS, GABRIELLA M MD NEW ORLEANS LA

00011594 1598723462 BLUTH, EDWARD I MD NEW ORLEANS LA

04625594 1962469841 BOBER, ROBERT M MD NEW ORLEANS LA

00729751 1770794067 BODANA, SHIRISHA DO NEW ORLEANS LA

00981710 1841412442 BOEDEFELD II, WILLIAM M MD BATON ROUGE LA

08203893 1417300898 BOEHM, BRIDGITTE M NP NEW ORLEANS LA

00117131 1790797454 BOH, ERIN E MD NEW ORLEANS LA

04105324 1477733087 BOHORQUEZ, HUMBERTO E MD NEW ORLEANS LA

05255090 1427284868 BOLTON, DAYNA L DPM NEW ORLEANS LA

00011599 1154389039 BOLTON, JOHN S MD NEW ORLEANS LA

07985837 1972563088 BONE, ROBIN B MD NEW ORLEANS LA

03208741 1013177013 BONILLA, JONATHAN MD NEW ORLEANS LA

00651248 1639348931 BONIN, EDWARD C MNFNP NEW ORLEANS LA

00126212 1649237090 BONNER, KIRK L MD NEW ORLEANS LA

02154365 1588961403 BOOTH, BRITTANY D PA GRETNA LA

06173361 1659755395 BORDES, TRANG B NP NEW ORLEANS LA

01627334 1396034468 BORDLEE, BRUCE P MD NEW ORLEANS LA

08037883 1710979075 BORRESON, ANN E MD MARRERO LA

05677541 1851319602 BOSSIER, TODD NP BATON ROUGE LA

May 20, 2018 9 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07038244 1982946471 BOTTORFF, JENNA M DO NEW ORLEANS LA

06887342 1306351267 BOUDREAUX, ALANA A NP BATON ROUGE LA

08658853 1407879455 BOUDREAUX, JOHN P MD KENNER LA

01780565 1316010663 BOUSTANY, PATTY E MD SLIDELL LA

08903745 1922001890 BOWDEN JR, THOMAS E MD FRANKLINTON LA

04508362 1497956403 BOWIE, CHARLES R MD BATON ROUGE LA

06554858 1255607404 BOWLES, ELIZABETH H MD NEW ORLEANS LA

01439346 1427287614 BOWMAN, BLYTHE E MD SLIDELL LA

08770810 1376737866 BOXBERGER, NICOLE DDS SLIDELL LA

00057810 1265483432 BOYSEN, PHILIP G MD NEW ORLEANS LA

03801243 1598058141 BRAATEN, JENNIFER N MD NEW ORLEANS LA

03406247 1598290009 BRADBURN, MARKHAM D PA NEW ORLEANS LA

00122752 1447217336 BRADEN, CHAD C MD BATON ROUGE LA

09939203 1841296258 BRADFORD, LETONNA M MD NEW ORLEANS LA

01100291 1407386691 BRADY, MARIA B NP NEW ORLEANS LA

00121945 1679530562 BRAGG JR, JAMES MD NEW ORLEANS LA

08656232 1457316283 BRALY, PATRICIA S COVINGTON LA

08772538 1578887527 BRANDT, VICTORIA L APRN NEW ORLEANS LA

07524868 1578710448 BRANFORD, SHANNON B NP NEW ORLEANS LA

03559877 1497778146 BRANSTETTER, ROBERT M MD BATON ROUGE LA

05729781 1114241122 BRASHEAR, JARRET M MD KENNER LA

04770246 1770882672 BRATTON, LAURA E MD NEW ORLEANS LA

07731876 1316328909 BRAUER, SHELBY CNM BATON ROUGE LA

00120307 1245221738 BRAXTON, MICHAEL A MD SLIDELL LA

04254007 1811139454 BREAKSTONE, NINA J MD LULING LA

08475046 1851320980 BREAULT, JOSEPH L MD NEW ORLEANS LA

09839017 1902807167 BREAUX, DARRIN M MD BATON ROUGE LA

08133854 1801823679 BREAUX, JERYL P MD BATON ROUGE LA

May 20, 2018 10 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00852514 1447575915 BREAUX, RACHEL A MD SLIDELL LA

03271778 1316342165 BREEN, EMILY A NP NEW ORLEANS LA

06705221 1417320532 BREWER, LISA M NP KENNER LA

09470241 1205126562 BREWER, MINDY T NP SLIDELL LA

02076211 1740399146 BRIDGES, SONSEEAHRAY J MD NEW ORLEANS LA

01032318 1316960362 BRIERRE, STEPHEN P MD BATON ROUGE LA

09158870 1285845925 BRIGNAC, JEANENNE C MD CENTRAL LA

00938829 1588063325 BRIGNAC, MARY P NP NEW ORLEANS LA

00111813 1093779092 BRINGAZE III, WALTER L MD BATON ROUGE LA

02384881 1003282377 BRINGAZE, ANGIE J NP BATON ROUGE LA

06183567 1497802573 BRINSTER, CLAYTON J MD NEW ORLEANS LA

06289856 1316922131 BROGLE, BRIAN N MD LULING LA

02809596 1861569527 BRONAUGH, DAVID S MD SLIDELL LA

07223773 1144211632 BRONAUGH, HEATHER R MD SLIDELL LA

00011523 1023075488 BRONFIN, DANIEL R MD NEW ORLEANS LA

08276294 1578677647 BRONSTEIN, YULIA MD NEW ORLEANS LA

09376053 1407385578 BROOKS, ASHLEY NP RIVER RIDGE LA

05880237 1518991975 BROOKS, BURKE J MD BATON ROUGE LA

03851896 1679686158 BROOKS, DERRICK MD KENNER LA

09126892 1306100672 BROOKS, HEATHER L NP SLIDELL LA

00277559 1548686033 BROOME, CAMILLE E PA NEW ORLEANS LA

07279798 1871768341 BROUSSARD, CHRISTOPHER J MD NEW ORLEANS LA

00780574 1760414106 BROUSSARD, DAVID M MD NEW ORLEANS LA

08625534 1437341146 BROUSSARD, ERICA M NEW ORLEANS LA

07303370 1720048226 BROUSSARD, GERARD J MD BATON ROUGE LA

00011582 1780642553 BROWN, ARCHIBALD W MD NEW ORLEANS LA

01052576 1578730388 BROWN, CRISTAL L MD NEW ORLEANS LA

05031551 1053314088 BROWN, DAVID A MD NEW ORLEANS LA

May 20, 2018 11 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

06835554 1336567486 BROWN, EDDIE D DO NEW ORLEANS LA

09770096 1508817966 BROWN, EDWARD L MD BATON ROUGE LA

00138267 1144650672 BROWN, ELISECIA O NP MARRERO LA

05456577 1932542198 BROWN, FALON DO NEW ORLEANS LA

09070383 1518386598 BROWN, HARRISON MD BOGALUSA LA

09776251 1245238773 BROWN, JAMES E MD NEW ORLEANS LA

03353341 1639134356 BROWN, JASON A MD BATON ROUGE LA

05653811 1346283983 BROWN, JOHN MD COVINGTON LA

05526374 1275590176 BROWN, KEFLA G OD NEW ORLEANS LA

05625354 1184971673 BROWN, KIMBERLY P FNP BATON ROUGE LA

05682530 1952733651 BROWN, LESLIE H NP GRETNA LA

00125038 1972560860 BROWN, PAUL W MD METAIRIE LA

00127082 1578585204 BROWN, RAYNORDA F MD NEW ORLEANS LA

01956758 1851581763 BROWN, RUSSELL E MD NEW ORLEANS LA

02227746 1427205608 BROWN, SAMIRA L MD NEW ORLEANS LA

01539085 1073062550 BROWN, TAYLOR R PA BATON ROUGE LA

01526256 1417048653 BROWN-JACKSON, ERICA M MD NEW ORLEANS LA

04582209 1790075844 BROWNING, BENJAMIN B MD BATON ROUGE LA

04235056 1043213069 BRUCE, DAVID S MD NEW ORLEANS LA

00623069 1265806905 BRUCH, HANNAH PA JEFFERSON LA

09723331 1518415959 BRUMFIELD, ROCHELLE B NP NEW ORLEANS LA

00123612 1669471074 BRUMUND, MICHAEL R MD NEW ORLEANS LA

09922235 1972802130 BRUNET, BARBARA A MD BATON ROUGE LA

05529883 1740470657 BRUNET, JENNIFER L MD NEW ORLEANS LA

02632247 1528473212 BRUNSON, LINDSAY B PA BATON ROUGE LA

05884005 1831376581 BRYANT, SARA J MD NEW ORLEANS LA

08952206 1750580981 BUBSY, STUART MD NEW ORLEANS LA

05283357 1083682009 BUELL, JOSEPH F MD NEW ORLEANS LA

May 20, 2018 12 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

01474278 1750574992 BUI, CUONG MD NEW ORLEANS LA

05525035 1881623775 BUKARA, MIRJANA MD NEW ORLEANS LA

00123359 1831281658 BULAT, ROBERT S MD NEW ORLEANS LA

06226235 1043637119 BUMGARDNER, MATTHEW P MD BATON ROUGE LA

02983056 1891199113 BURCHFIELD, SYDNEY J NP SLIDELL LA

07704042 1982602470 BURDETTE, DAVID D MD NEW ORLEANS LA

02100758 1982071353 BURKE, AMANDA L NP NEW ORLEANS LA

04174201 1902311053 BURKE, EMILY C ACNP BATON ROUGE LA

04559811 1053695288 BURKE, EMILY G PA NEW ORLEANS LA

09824754 1386900439 BURKE, REBECCA V MD NEW ORLEANS LA

07088338 1053554782 BURKE, VICTORIA E MD NEW ORLEANS LA

00979504 1417914169 BURKHOLZ, KIMBERLY J MD NEW ORLEANS LA

00016649 1730147513 BURNS, C BRADDOCK MD NEW ORLEANS LA

08376592 1598946337 BURNS, MOLLY D DDS SLIDELL LA

09626801 1639191703 BURRIS, ROBERT MD BATON ROUGE LA

04271259 1528025806 BURSHELL, ALAN L MD JEFFERSON LA

08908064 1104814763 BURSTAIN, TODD L MD NEW ORLEANS LA

04789221 1205074374 BURTCH, JENNIFER A NP SLIDELL LA

09235370 1629036405 BUSCH, ERIC H MD NEW ORLEANS LA

09277317 1366492068 BUSENLENER, TANYA S MD METAIRIE LA

04587759 1679940530 BUSH, ANGELLE D NP DENHAM SPRINGS LA

03839501 1659541233 BUSH, STEPHANIE NP NEW ORLEANS LA

08051039 1639348915 BUTLER, ISOLDE F NEW ORLEANS LA

09930015 1609960541 BUTLER, JAMES C MD SLIDELL LA

00532257 1023371564 BUTLER, MEGAN F MD GRETNA LA

00125336 1902992894 BUTT, GLENN A MD PEARL RIVER LA

07608867 1265435754 BUTZ, MONICA A FNPC COVINGTON LA

00324209 1215080510 BYARS, MARY E CNM NEW ORLEANS LA

May 20, 2018 13 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

01580398 1356528616 BYRAM, ROBERT K FNP NEW ORLEANS LA

05685252 1801003827 BYRD, ANGELA S MD BATON ROUGE LA

04936559 1235196122 BYRD, KENNETH J MD NEW ORLEANS LA

09937551 1912299447 BYRNE, REBEKAH A MD NEW ORLEANS LA

06071281 1831116722 BZOWEJ, NATALIE H MDPHD NEW ORLEANS LA

01374846 1104054832 CABLE, MATTHEW G MD NEW ORLEANS LA

03683766 1619066792 CAIN III, WALTER P MD ZACHARY LA

07408265 1285173344 CAIRE, ASHLEY M NP NEW ORLEANS LA

04659300 1043375363 CALABRESI, ALLEN R MD SLIDELL LA

00125205 1053403881 CALDWELL, DELMAR R MD NEW ORLEANS LA

04209277 1982022919 CALDWELL, PETER C MD NEW ORLEANS LA

02406260 1902829898 CAMILO, OSVALDO A MD NEW ORLEANS LA

04432857 1528248671 CAMPION, CAROLINE A MD NEW ORLEANS LA

00371241 1881035889 CAMPO, RAY NP KENNER LA

03259865 1356585228 CANNIZZARO, III, LEON A MD BATON ROUGE LA

09206378 1891038790 CANNIZZARO, LOUIS A MD NEW ORLEANS LA

09852041 1689730061 CANTER, DANIEL J MD NEW ORLEANS LA

02821771 1245558766 CARALOPOULOS, ILIAS N MD COVINGTON LA

05509523 1508080664 CARAWAY, AARON MD MARRERO LA

04383061 1396717773 CARIDI, JAMES G MD NEW ORLEANS LA

02881062 1336285790 CARINCI, ADAM J BATON ROUGE LA

00126302 1245408368 CARLEY, MICHELLE E MD ZACHARY LA

01870255 1700058310 CARLSON, JOHN MD NEW ORLEANS LA

05700019 1932166824 CARMODY, IAN C MD NEW ORLEANS LA

03400891 1225228133 CAROLLO, DOMINIC J MD NEW ORLEANS LA

03706525 1235453242 CARONA, ADRIENNE A MD SLIDELL LA

07925209 1174032163 CAROSONE-LINK, CAYLA PA NEW ORLEANS LA

08537093 1376073270 CARPENTER, JOSEPH E FNP BATON ROUGE LA

May 20, 2018 14 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

04923575 1376574921 CARPENTER, SHAUN R MD BATON ROUGE LA

06174072 1932541885 CARR, SHELITA S NP GRETNA LA

02550713 1447449681 CARRIER, ARIANE MD GRETNA LA

08606863 1952620940 CARRILLO, CAROL O MD NEW ORLEANS LA

09838541 1447636626 CARRION, NATHALY NP SLIDELL LA

07004261 1346595014 CARROLL, MATTHEW L PA-C BATON ROUGE LA

00435346 1235405044 CARSTARPHEN, KATHY J MD NEW ORLEANS LA

09286022 1336416403 CARTER, CHONTEL M NP NEW ORLEANS LA

09871341 1336188960 CARTER, JACQUELINE MD NEW ORLEANS LA

07508779 1932425311 CARTER, JOHN M MD NEW ORLEANS LA

04424251 1942404454 CARTER, WILLIAM J MD NEW ORLEANS LA

07302273 1184891954 CARTWRIGHT, KEVIN D MD NEW ORLEANS LA

06357567 1851751218 CARUSO, ELIZABETH M NP NEW ORLEANS LA

03770768 1255511887 CASH, MICHAEL E MD NEW ORLEANS LA

07227535 1326347501 CASHMAN, CATHERINE C DO NEW ORLEANS LA

00118417 1508968884 CASPI, JOSEPH MD NEW ORLEANS LA

05452854 1619081932 CASSIDY, MARK M MD NEW ORLEANS LA

03956266 1598889388 CASTINE, MICHAEL R MD GRETNA LA

07634810 1336561539 CASTLE, KATHERINE O MD BATON ROUGE LA

05584224 1114359858 CASTRO-GUSMAN, VARSHA L PA NEW ORLEANS LA

04013696 1649341082 CAZALOT, LISA D FNP VIDALIA LA

05482578 1073634861 CAZAYOUX, WALTER R MD COVINGTON LA

00015487 1881695088 CEFALU, JOSEPH M BATON ROUGE LA

06323894 1093237760 CELESTIN, KATHERYN M NP NEW ORLEANS LA

04220780 1396988366 CELESTRE, MIRANDA S MD NEW ORLEANS LA

08820221 1366626558 CELESTRE, PAUL C MD NEW ORLEANS LA

00287527 1558701631 CENAC, AMANDA P PA NEW ORLEANS LA

05937707 1689910705 CERISE, MONIQUE A NNP NEW ORLEANS LA

May 20, 2018 15 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00124169 1326046020 CERNIGLIA JR, FRANK R MD NEW ORLEANS LA

04958870 1922157627 CERRI, GIANLUCA MD BATON ROUGE LA

01952241 1427176957 CHADHA, MONISHA MD RACELAND LA

07159821 1962682112 CHAFFIN, ABIGAIL E MD NEW ORLEANS LA

05425346 1861653842 CHAIBAN, GASSAN M MD NEW ORLEANS LA

08502857 1174830178 CHAINANI, VINOD A MD NEW ORLEANS LA

08972594 1457300535 CHAKRABORTI, CHAYAN MD NEW ORLEANS LA

05289848 1447258462 CHALASANI, LALITHA MD BATON ROUGE LA

00119942 1558384594 CHALEW, STUART A MD NEW ORLEANS LA

03971341 1265669295 CHAMBERLAIN, JENNIFER C MD SLIDELL LA

08456391 1235373093 CHAMBERLAIN, RYAN J MD COVINGTON LA

05478041 1225348238 CHAMPAGNE, VERNE A NP NEW ORLEANS LA

08171047 1740470665 CHANDLER, BERYL K NP NEW ORLEANS LA

00137080 1821053695 CHANDRASEKARAN, NAGARAJAN MD GRETNA LA

02205772 1194914705 CHAPPELL, RACHEL PA METAIRIE LA

00012189 1942202627 CHASUK, ROBERT M MD THIBODAUX LA

08052257 1144647298 CHAU, HEATHER H MD NEW ORLEANS LA

07401811 1770802761 CHAUHAN, RAVI R DO NEW ORLEANS LA

06430597 1134630254 CHAUVIN, JAMIE M NP KENNER LA

01303541 1629176771 CHAVA, KIRAN MD KENNER LA

08122350 1154511079 CHAVA, PAVAN DO COVINGTON LA

02907307 1518177229 CHEHEBAR, DANIEL M DO COVINGTON LA

01579864 1356433106 CHEN, JING MD NEW ORLEANS LA

00118956 1568554319 CHENG, PUI C MD NEW ORLEANS LA

01200592 1245648195 CHENTHA, ANANTHA MD SLIDELL LA

08972391 1952507519 CHEUK, JOAN W MD NEW ORLEANS LA

07000251 1417189218 CHICHRA, ASTHA MD NEW ORLEANS LA

09189769 1093034084 CHINEA, ANTONIO G MD NEW ORLEANS LA

May 20, 2018 16 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07936894 1861682791 CHOATE, WALTER S MD JEFFERSON LA

09928251 1932169141 CHOE, ELLA U MD GRETNA LA

00822825 1912378274 CHOTTO, SADIE J PA NEW ORLEANS LA

04203516 1629155841 CHRISMAN, PAMELA J CRNP SLIDELL LA

03522251 1932658002 CHRISTENSEN, TAYLOR M PA NEW ORLEANS LA

07821020 1992980718 CHRISTIAN, SETH I MD LACOMBE LA

02786520 1912939026 CHRISTNER, MICHAEL R MD HAMMOND LA

02433768 1154301869 CHRISTOPHER, JAMES W MD FRANKLINTON LA

08933368 1598779118 CLARK JR, WILLIAM R MD ZACHARY LA

09329296 1982894812 CLARK, ALLISON G MD NEW ORLEANS LA

06455367 1780037994 CLARK, KIMBERLY R NP KENNER LA

06325203 1972920841 CLARK, LAURA P DO NEW ORLEANS LA

01135874 1164425682 CLAROS-OLIVA, MARIO S MD COVINGTON LA

08179352 1295179968 CLASSEN, LAURA E MD METAIRIE LA

00116473 1417958240 CLAUSEN, HAROLD G MD BATON ROUGE LA

02550870 1669463915 CLAVIN, DIANA MD SLIDELL LA

03426281 1063592327 CLAYCOMB, STEPHEN H MD CHALMETTE LA

04971241 1720512114 COCHRAN, CATHERINE L NP NEW ORLEANS LA

03675567 1417057811 COFFELT, GRIFFIN C MD COVINGTON LA

00102392 1851323786 COFFIN, DAVID T MD NEW ORLEANS LA

00125765 1144286436 COHEN, ARI J MD NEW ORLEANS LA

00118039 1174565758 COIT, CATHERINE S MD NEW ORLEANS LA

08384733 1518925916 COLE, JOHN T MD NEW ORLEANS LA

00112656 1750429502 COLEMAN, CHARLES C MD NEW ORLEANS LA

09352709 1942478805 COLLINS BURROW, BRIDGETTE M MD NEW ORLEANS LA

07952874 1629034541 COLLINS, BRADLEY T MD METAIRIE LA

09705229 1811437866 COLLINS, ELISHA R FNP NEW ORLEANS LA

07489740 1609833748 COLLINS, GREGORY MD LAPLACE LA

May 20, 2018 17 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

09281851 1205026143 COLLINS, JARED F MD NEW ORLEANS LA

05772545 1215453139 COLLINS, JOSHUA M PA RIVER RIDGE LA

09774082 1457393423 COLLINS, SEAN M MD NEW ORLEANS LA

06880855 1083672471 COLLINS, TYRONE J MD JEFFERSON LA

00805769 1326587262 COLOGNESI-CAPOGROSSI, MAURIZIO MD NEW ORLEANS LA

09439898 1225250251 COLON, JIMMIE E MD NEW ORLEANS LA

04007743 1982794640 COLON, RICHARD MD FRANKLINTON LA

02009040 1013242825 COLWART, ANNE B NP DESTREHAN LA

09421371 1235163627 COMBS, BRENT K DO NEW ORLEANS LA

05682277 1518390376 COMFORT, GENEVIEVE T PA JEFFERSON LA

00074827 1316049422 CONGENI, JANE D MD NEW ORLEANS LA

09873000 1558788752 CONLIN, ERIN M MD MANDEVILLE LA

06925021 1154386712 CONNERS III, MICHAEL S MD BATON ROUGE LA

00123877 1639136518 CONNOLLY, SEAN E MD NEW ORLEANS LA

00473009 1801854203 CONRAD, KEVIN M MD NEW ORLEANS LA

04107218 1962693184 CONRAVEY, ALLISON H MD NEW ORLEANS LA

01125577 1356308274 CONWAY, JAMES D M.D. METAIRIE LA

07954044 1023469913 COOK, DANIELLE V NP NEW ORLEANS LA

00127075 1437244266 COOK, RUSTY S MD METAIRIE LA

08709205 1578796025 COOK, STEPHANIE M ARNP BATON ROUGE LA

03624093 1568662674 COOL, ALICIA J MD NEW ORLEANS LA

00012276 1629039946 COOPER, EDGAR S MD NEW ORLEANS LA

09305086 1003151945 COOPER, RICHARD T NP SLIDELL LA

02029710 1033381793 CORBETT, NICOLA S MD SLIDELL LA

02783343 1164845947 CORBIN, CHRISTINE M PA NEW ORLEANS LA

00820396 1083067235 CORLEY, MADISON PA LAPLACE LA

08086063 1144671538 CORNU, OLIVIA L NP NEW ORLEANS LA

00471517 1790782068 CORONA, RAYNOLD J MD BATON ROUGE LA

May 20, 2018 18 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00125807 1750341863 CORSETTI, RALPH L MD NEW ORLEANS LA

00132000 1689695603 CORSINO, DANIEL P MD NEW ORLEANS LA

00127079 1922097377 CORSTEN, LUKE A MD BATON ROUGE LA

03385328 1790785376 COSSE, MICHELLE P MD ZACHARY LA

02334287 1205152162 COURSEAULT, JACQUES L MD NEW ORLEANS LA

03536265 1912948654 COUSIN, DARREN S MD SLIDELL LA

07572374 1952662447 COX, CASEY H APRN SLIDELL LA

03150596 1639555790 COX, MELINDA APRN COVINGTON LA

00126599 1245255371 CRABTREE-HARTMAN, ELIZABETH C MD NEW ORLEANS LA

04976558 1417408279 CRADDOCK, CAITLIN V PA SLIDELL LA

00054813 1689634453 CRAIGHEAD III, CLAUDE MD LAPLACE LA

07504540 1598190837 CRAIN, CRISTEN M NP BATON ROUGE LA

09658376 1548379043 CRAPANZANO, CHAM N MD NEW ORLEANS LA

00117505 1811996184 CRAPANZANO, MICHAEL S MD BATON ROUGE LA

01058309 1518962653 CRAVEN IV, JAMES E MD BATON ROUGE LA

00119101 1336238773 CRAWFORD II, BYRON E MD NEW ORLEANS LA

03075014 1902125834 CREEK, GRADY P MD NEW ORLEANS LA

09753056 1720196991 CREEL, AMY M MD NEW ORLEANS LA

00126942 1437108321 CRESSY JR, DAVID S DO COVINGTON LA

05908795 1184838674 CRIPE, PATRICK J MD NEW ORLEANS LA

03420027 1114139656 CRITTON III, IVORY MD NEW ORLEANS LA

04409566 1821369885 CROCHET, FRANCES K PAC NEW ORLEANS LA

05953070 1992156434 CROTWELL, KATHERINE C NP BATON ROUGE LA

00978571 1073889853 CROUCH, THOMAS C MD LULING LA

03809238 1316237803 CRUZ, BRIAN R MD NEW ORLEANS LA

05953227 1891989380 CRUZ, JORGE L MD KENNER LA

05109778 1174933030 CRUZ, RIZA E MD BATON ROUGE LA

08126845 1649614397 CRUZ- CRUZ, AMANDA E MD GRETNA LA

May 20, 2018 19 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

06230062 1841450707 CSAKI, RACHEL B MD SLIDELL LA

01125266 1124126388 CUBA, JON M MD SLIDELL LA

00034366 1053717876 CULOTTA, MARY G PA NEW ORLEANS LA

07229544 1871900936 CULPEPPER, LEIGH H PA KENNER LA

09255751 1215985213 CUMMISKEY, ROBERT D MD LULING LA

06578237 1134443161 CUNNINGHAM, ERIN T MD GRETNA LA

01653233 1104884352 CUSCO JR, JOSE M MD LPLACE LA

02084269 1306228135 CUSIMANO, ASHLEY J NP METAIRIE LA

00621709 1437101110 CVITANOVICH, GERALD A MD KENNER LA

00037334 1184915118 CYRIAC, MATHEW MD NEW ORLEANS LA

05775556 1811158645 CZAIKOWSKI, ADAM J MD NEW ORLEANS LA

01228254 1548420706 D ANTONIO JR, CLAUDE MD COVINGTON LA

00116608 1972558500 DABDOUB, WILLIAM H DPM SLIDELL LA

01650066 1265825723 DABON, ANITA J FNPC NEW ORLEANS LA

00122909 1063411361 DAFTARY, MAHMOUD MD SLIDELL LA

04902578 1053761866 DAIGLE, AMANDA M PA NEW ORLEANS LA

02757321 1639541204 DAIGLE, ANNA-CHERIE PA NEW ORLEANS LA

07634841 1033382973 DAIGLE, DAVE J MD BATON ROUGE LA

08357591 1194157933 DAIGLE, LISA A NP NEW ORLEANS LA

04454850 1427085893 DAIR, MARVIN P MD MARRERO LA

04404551 1972967610 DAIRE, DANIEL J FNP BATON ROUGE LA

09121221 1740588516 DAJANI, COZETTE NP NEW ORLEANS LA

02157721 1770745770 DAJANI, KHALED A MD NEW ORLEANS LA

07958097 1326060336 DAL CORSO, MARK MD NEW ORLEANS LA

06354594 1780685453 DALE, DENNIS M MD SLIDELL LA

04537331 1255687109 DALE, STEFANIE L NP BATON ROUGE LA

04001719 1144458704 DALOVISIO, ANDREW P MD NEW ORLEANS LA

00110917 1548228968 DALOVISIO, JOSEPH R MD NEW ORLEANS LA

May 20, 2018 20 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00123153 1063481760 DALY, JR., WILLIAM M.D. NEW ORLEANS LA

06028063 1780961763 DAMM, CHRISTOPHER J MD NEW ORLEANS LA

02108565 1891923330 DANG, LAN T MD SLIDELL LA

05305794 1114954849 DANG, SON M MD NEW ORLEANS LA

06502031 1285620773 DANIELS, BERTHA H MD NEW ORLEANS LA

01803203 1275902694 DANIELS, KYLIE I PA NEW ORLEANS LA

07352719 1659575215 DANNA, SAMUEL C MD NEW ORLEANS LA

05054550 1992754097 DANTONIO, MICHAEL G MD MARRERO LA

08931754 1215336631 DARDAR, DEANNA A NP SLIDELL LA

00117136 1336218155 DAROCA JR, PHILIP J MD NEW ORLEANS LA

09283574 1659794501 DASSEY, AMY A PA ALGIERS LA

06356020 1124287149 DASTE REED, CASEY MD SLIDELL LA

06200266 1265521629 DATES, CRAIG A MD KENNER LA

00908793 1740572270 DATTA, SUMIT MD NEW ORLEANS LA

00111022 1700066289 DAUL, CAROLYN B MD NEW ORLEANS LA

09179842 1376578070 DAUTERIVE JR, FRANCIS R MD BATON ROUGE LA

04832859 1720302730 DAUTERIVE, EDWARD W MD SLIDELL LA

01132720 1578937157 DAUTERIVE, KIRSTEN B NP NEW ORLEANS LA

03906399 1639468721 DAVIES, LOGAN L MD NEW ORLEANS LA

03122859 1003006206 DAVIS II, LAMAR MD NEW ORLEANS LA

00120843 1538123534 DAVIS JR, PAUL M MD BATON ROUGE LA

05474096 1407146418 DAVIS, CARTER T MD NEW ORLEANS LA

07682721 1679980148 DAVIS, CINNAMON R NP NEW ORLEANS LA

05504704 1003234642 DAVIS, DIANE M MD NEW ORLEANS LA

08553591 1033451893 DAVIS, HALEY MD COVINGTON LA

06125779 1104918879 DAVIS, JOHN A LACOMBE LA

02156742 1972963700 DAVIS, MARY KATE NP BATON ROUGE LA

03901261 1629061726 DAVIS, MICHAEL P MD METAIRIE LA

May 20, 2018 21 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

06153844 1265722037 DAVIS, ROBIN C MD KENNER LA

00010951 1932194131 DAVIS, SCOTT H MD NEW ORLEANS LA

01289041 1821295510 DAVIS, TIFFANY L MD BATON ROUGE LA

05523841 1639375504 DAVIS, TROY J MD COVINGTON LA

04279300 1891753216 DAVIS, WILLIAM E MD NEW ORLEANS LA

00110918 1033212725 DAVIS, WILLIAM E MD NEW ORLEANS LA

05657743 1336370899 DAVULURI, SURYA K MD NEW ORLEANS LA

09455821 1821291915 DAWSON, WILLIAM T MD MARRERO LA

04184583 1891764999 DE IULIO, DAVID M MD LAFAYETTE LA

09479279 1033162300 DE JESUS, MYRIAM A MD BATON ROUGE LA

02827302 1609879139 DE LANZAC, KRAIG S MD SLIDELL LA

03006752 1609862002 DEAKTER, DANIEL R MD NEW ORLEANS LA

05306730 1205021987 DEAN, GINA L MD COVINGTON LA

08920856 1750385118 DEAN, JOHN A MD BATON ROUGE LA

03726303 1457609828 DEBAUTTE, ALICIA C NP NEW ORLEANS LA

01903009 1285671610 DEBLANC, DONALYN M NP GRETNA LA

00114105 1750324463 DEBOISBLANC, BENNETT P MD NEW ORLEANS LA

06030522 1669652723 DEBORD, JESSICA M MD NEW ORLEANS LA

00018907 1386655967 DECK JR, ROBERT E MD NEW ORLEANS LA

00703214 1922028752 DEENEY, TARA T MD SLIDELL LA

05372271 1942300280 DEGRAVELLES, CHARLES E MD BATON ROUGE LA

03380711 1912901315 DEICHMANN, RICHARD E MD NEW ORLEANS LA

00112686 1811954910 DEITELZWEIG, STEVEN B MD NEW ORLEANS LA

00676366 1710929328 DEJONG, ESTHER B CNM NEW ORLEANS LA

08327248 1083885875 DEL TORO, KAMILL R MD NEW ORLEANS LA

01934201 1619973237 DELANEY JR, PATRICK A MD COVINGTON LA

03423047 1942211016 DELEON, JOANNE MD NEW ORLEANS LA

08330271 1851709109 DELEONARDO, EMILY S NP NEW ORLEANS LA

May 20, 2018 22 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

04554501 1689850620 DELRIE JR, RONALD D MD BATON ROUGE LA

00123481 1972645786 DELVALLE MAHONEY, MARIE L MD SLIDELL LA

06000067 1083994263 DEMESIA, SUSAN M NP KENNER LA

00137004 1528081254 DEMOUY, JEFFREY A MD BATON ROUGE LA

05526019 1851610844 DENDY, JARED A MD NEW ORLEANS LA

04473368 1184031627 DENIS, DANIEL R MD KENNER LA

00981301 1043641038 DENLEY, BRITTNEY D PA BATON ROUGE LA

03987268 1003906298 DENNAR, PRINCESS E MD NEW ORLEANS LA

00282745 1215946207 DENNARD, EDWIN W MD NEW ORLEANS LA

09629296 1538189881 DENSON, BOBBY G NP HOUMA LA

00378091 1093795551 DENTON II, GERALD D MD NEW ORLEANS LA

00118537 1932137064 DEPUTY, STEPHEN R MD NEW ORLEANS LA

03371574 1386648822 DERY, MARKALAIN DO NEW ORLEANS LA

09026296 1538335500 DESAI, SAPNA V MD NEW ORLEANS LA

01873263 1861652570 DESROSIERS, LAUREPHILE DO NEW ORLEANS LA

00126659 1942223862 DESSELLE, BONNIE C MD NEW ORLEANS LA

00123623 1891734455 DETRINIS, ROBERT B MD NEW ORLEANS LA

07403824 1407986912 DEUBLER, DEBORAH E PA NEW ORLEANS LA

00120886 1912944364 DEVENPORT, LISA B MD KENNER LA

03274210 1871910752 DEVLIN JR, VINCENT P DO NEW ORLEANS LA

00113080 1780642108 DEVUN JR, DANIEL A MD NEW ORLEANS LA

07733720 1619962032 DEYO, JEFFREY E M.D. BATON ROUGE LA

07570015 1093982852 DHAND, MONICA MD NEW ORLEANS LA

07972396 1164613949 DHEMECOURT JR, JOHN P MD COVINGTON LA

08628020 1750332292 DIBIASE, STEVEN J MD NEW ORLEANS LA

07582225 1508057688 DIBUONO, BRYAN D MD SLIDELL LA

02923788 1831341007 DICAMILLO, PAUL A MD PH NEW ORLEANS LA

02074511 1043271612 DICORTE, CHARLES J MD COVINGTON LA

May 20, 2018 23 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

01753275 1184065880 DIEBOLD, ERIN P PA NEW ORLEANS LA

00172050 1629222120 DIETRICH WOMACK, JENNIFER D PA BATON ROUGE LA

07181551 1033176169 DIGGS, ERICA A MD NEW ORLEANS LA

02406857 1760999429 DIMITRI, ASHLEY G NP NEW ORLEANS LA

09685205 1285700732 DIMITRI, ELIZABETH M DO SLIDELL LA

06052765 1154775930 DINOSO, LIV M NP NEW ORLEANS LA

00120850 1578521605 DINSHAW, HOMEYAR K MD METAIRIE LA

03437829 1265489603 DIPP, SUSAN L MD NEW ORLEANS LA

07220551 1437448768 DISALVO, NICHOLAS J MD NEW ORLEANS LA

00112924 1518059146 DISE, THERESA L MD NEW ORLEANS LA

00117903 1629057856 DIXIT, DEEPAK S MD MANDEVILLE LA

07529347 1750649489 DIXIT, GAUTAM D MD LULING LA

08624268 1669564159 DO, THUYTIEN T MD NEW ORLEANS LA

09070594 1144739202 DODD, JUDITH FNP NEW ORLEANS LA

00119316 1063511590 DOLA, CHI P MD NEW ORLEANS LA

04506266 1538460720 DOLS, KATHERINE M DDS SLIDELL LA

00069160 1417015512 DONALDSON, EDWARD L DDS SLIDELL LA

09724541 1568619153 DONALDSON, EMILIE E MD NEW ORLEANS LA

00226875 1124186226 DONALDSON, JILL M DDS SLIDELL LA

00112202 1962502591 DONALDSON, JR, DAVID J M.D. SLIDELL LA

09357021 1740498880 DONEYHUE, WENDY G MD COVINGTON LA

09858253 1023374378 DOOSE, MOLLY M MD NEW ORLEANS LA

00781849 1942627203 DORAN, TARA D MD COVINGTON LA

03159002 1902946965 DOROTAN, JAMIE G MD NEW ORLEANS LA

00016938 1770541732 DOUGLAS JR, JAMES R MD NEW ORLEANS LA

05755532 1558505826 DOUGLAS, LEAH A MD METAIRIE LA

00074040 1447263694 DOULENS, KEVIN M MD SLIDELL LA

04773569 1982970646 DOWDY, ZACHARY M MD NEW ORLEANS LA

May 20, 2018 24 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00125840 1669483277 DOWLING, ADAM M MD KENNER LA

00372527 1740665470 DOWNEY, AMANDA K PA NEW ORLEANS LA

02508321 1316365265 DOWNING, ASIA D MD NEW ORLEANS LA

05809264 1174580245 DRAKE, KIMBERLY A NP NEW ORLEANS LA

00676833 1932381431 DRAVID, SANJAY G MD GRETNA LA

04670074 1114066842 DRENNAN, PATRICK D MD NEW ORLEANS LA

02052813 1316945116 DRURY, STACY S MD NEW ORLEANS LA

08483805 1306845201 DSOUZA, TERENCE C MD NEW ORLEANS LA

02325556 1003103532 DU, LINGLING MD NEW ORLEANS LA

02228081 1376624213 DUCHESNE, JUAN C MD NEW ORLEANS LA

01526531 1801025648 DUCOIN, CHRISTOPHER G MD NEW ORLEANS LA

07956874 1154500056 DUCOIN, MATTIE G CNM NEW ORLEANS LA

00478502 1770573313 DUCOTE, CARLYSS NP ALEXANDRIA LA

09436868 1447797279 DUET, KENDALL PA LAPLACE LA

04938867 1730149329 DUFFOUR, RORY J MD SLIDELL LA

05370501 1245292515 DUGAN, VERONICA T MD SLIDELL LA

00180850 1992701288 DUGAS, PAUL E DDS SLIDELL LA

04488261 1750519815 DUGGAL, ANSHU MD BATON ROUGE LA

09282877 1750303525 DUHON, GARY L MD NEW ORLEANS LA

06836782 1376522425 DUKE, KELLY L PA-C BATON ROUGE LA

08631046 1952579443 DUKE, TIMOTHY T MD BATON ROUGE LA

05636864 1932355393 DUMANI, DONNY A MD NEW ORLEANS LA

04954701 1598967697 DUMAS, SARAH A MD NEW ORLEANS LA

01281856 1124040308 DUMONT, AARON S MD NEW ORLEANS LA

07170779 1124027123 DUNBAR, ALSTON E MD NEW ORLEANS LA

03972547 1427025675 DUNHAM, MICHAEL E MD NEW ORLEANS LA

01703067 1588807549 DUNN, CASEY R MD NEW ORLEANS LA

08523543 1972602951 DUPLECHIN, ROCHELLE MD COVINGTON LA

May 20, 2018 25 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00903235 1306943121 DUPONT, GREG MD SLIDELL LA

01022353 1982063574 DUPRE, LYNDI R APRN NEW ORLEANS LA

01574561 1023438140 DUREL, TIMOTHY M MD BATON ROUGE LA

01303297 1043396609 DURKES, SHANE MD LAPLACE LA

08482011 1245558162 DURST, JENNIFER K MD NEW ORLEANS LA

05057700 1649787227 DUVALL, ALLE NP NEW ORLEANS LA

06702363 1376741157 DYM, JEAN PAUL MD NEW ORLEANS LA

08687556 1619403078 EASTER, MALLORY PA NEW ORLEANS LA

02588309 1083964928 EASTON, STEPHANIE FNP COVINGTON LA

00019078 1518960962 ECHENIQUE, VICTOR M MD SLIDELL LA

07283809 1164489233 ECKHARDT, LYNN S NP NEW ORLEANS LA

00125455 1649232133 ECKHOLDT, GREGORY J MD COVINGTON LA

04923351 1568458073 EDELL, DEAN S MD NEW ORLEANS LA

04501337 1841365780 EDMISTON, JULIE S PA HAMMOND LA

07323301 1043355837 EDOUARD, MIRIAM NP KENNER LA

01783202 1033479878 EDWARDS, CHRISTOPHER O MD NEW ORLEANS LA

03470361 1578098661 EDWARDS, LAUREN P NP BATON ROUGE LA

00057343 1972957116 EDWARDS, Y'ANNIKA A NP LULING LA

05476860 1598139362 EFFRON, MARK B MD NEW ORLEANS LA

03636052 1427597459 EGAN, JULIE H NP BATON ROUGE LA

00123583 1538127618 EHRENSING, CRAIG A MD MARRERO LA

00122178 1992779581 EHRENSING, ERIC R MD NEW ORLEANS LA

00012200 1376501627 EICK, JOHN J NEW ORLEANS LA

00035733 1376701243 EILERS, PARRISH T MD NEW ORLEANS LA

08435573 1205121993 EISCHEN, MALIA G MD BATON ROUGE LA

07081263 1649238734 EISSA, HAZEM MD NEW ORLEANS LA

04258806 1477538726 EISWIRTH, JR, CLEMENT C MD NEW ORLEANS LA

09225779 1215168760 EL CHAFIC, ABDUL HAMID MD NEW ORLEANS LA

May 20, 2018 26 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07406899 1124380647 EL KHOURY, RAMY MD COVINGTON LA

01336560 1316946262 EL-ABBASSI, IBRAHIM MD NEW ORLEANS LA

09003033 1396837845 EL-DAHR, JANE M MD NEW ORLEANS LA

01372015 1861440380 EL-DAHR, SAMIR MD NEW ORLEANS LA

02724095 1174766273 ELDER, LAUREN S MD MANDEVILLE LA

02053740 1073536074 ELENDU, SEBASTINE I MD SLIDELL LA

01733897 1689600488 ELIAS, FRANCIS D MD CALHOUN LA

06789778 1770825549 ELLENT, ELIZABETH S MD NEW ORLEANS LA

04958558 1174733489 ELLERBE, WILLIAM M MD COVINGTON LA

05353549 1528017084 ELLIOTT, CLINT E MD NEW ORLEANS LA

04455091 1144511650 ELLIOTT, LINDSAY DO NEW ORLEANS LA

00013616 1700828613 ELLIS, JR., GEORGE S M.D. NEW ORLEANS LA

00321520 1689731242 ELLIS, THOMAS W MD KENNER LA

00580093 1720345184 ELLISON, ASHLEY G MD NEW ORLEANS LA

03078754 1609057967 ELNAGGAR, MINI J MD NEW ORLEANS LA

00121036 1619966900 ELSEA, DEANNA S MD DESTREHAN LA

02552005 1043733033 ELUMELU, JENNIFER OD NEW ORLEANS LA

00379037 1598198111 ELUWOLE, AYOBAMI O MD FERRIDAY LA

07478552 1912188640 EMERENINI, UZODINMA C MD NEW ORLEANS LA

01821396 1093874422 EMERSON, NOAH A DO NEW ORLEANS LA

08003322 1407844574 EMMONS, ROBERT V MD NEW ORLEANS LA

07509524 1881887206 EMORY, LOGAN S MD NEW ORLEANS LA

00111138 1760440028 EMORY, WILLIAM B MD NEW ORLEANS LA

07525061 1174782783 ENGLAND, AMANDA R MD NEW ORLEANS LA

06005205 1659513141 ENGLE, JOHN F MD SLIDELL LA

00125452 1194747600 ENGLISH, MARCIA R MD NEW ORLEANS LA

05032076 1629412390 ENGMANN, CLARA MD NEW ORLEANS LA

07602355 1174627806 ENIKOVA, GUERGANA H MD NEW ORLEANS LA

May 20, 2018 27 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

05404874 1639134901 ENNIS, BRUCE M MD MANDEVILLE LA

05057569 1356312193 ENRIQUEZ, JOSE R MD DELHI LA

07151317 1518930072 ENTREKIN, LAURA FNP COVINGTON LA

04609769 1962429985 ERATO, THADDEUS R MD SLIDELL LA

08037561 1508165481 ERICKSON, HELENE M MD SLIDELL LA

04529393 1265642508 ERICKSON, MATHEW MD FERRIDAY LA

00687066 1457552424 ESTAPA, AMANDA H ACNP COVINGTON LA

01334057 1629441282 ESTES, CALLIE NP SLIDELL LA

04729521 1255381687 ESTES, JACOB M MD NEW ORLEANS LA

00959758 1477597102 ESTES, VINEETA A MD NEW ORLEANS LA

00014931 1831157957 EUSTIS JR, HORATIO S MD NEW ORLEANS LA

03485845 1760414866 EVANS, ADELE K MD NEW ORLEANS LA

00351871 1386744704 EVANS, BETH A MD ABITA SPRINGS LA

05623559 1043278310 EVANS, BRYAN M MD NEW ORLEANS LA

04579066 1326076233 EVANS, JOHN A MD KENNER LA

08771565 1831325356 EVANS, KENDRIX J MD LAKE CHARLES LA

07175592 1568632685 EVANS, NATALIE B MD BATON ROUGE LA

09638023 1376052514 EVANS, SHANNA PA NEW ORLEANS LA

07279205 1215105853 EZELL, MARY B MD NEW ORLEANS LA

02172508 1124447131 FABER, ANDREW J MD NEW ORLEANS LA

06125575 1114187366 FABRE, JARED M MD BATON ROUGE LA

00119142 1669491288 FAIRBANKS, JR., JOHN H MD FERRIDAY LA

03401342 1023046158 FAIRLEY, THOMAS R OD BATON ROUGE LA

05836366 1316481310 FALGOUST, YVETTE J NP NEW ORLEANS LA

03678778 1417149238 FALKNER, BRIAN S DO KENNER LA

06820054 1932127552 FALTERMAN, JASON B MD NEW ORLEANS LA

09408065 1114246105 FARES, HASSAN A MD NEW ORLEANS LA

04671301 1558603316 FARGE, DIANA D MD KENNER LA

May 20, 2018 28 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

06830767 1053713990 FARRELL, AMANDA E PA NEW ORLEANS LA

06276551 1841551157 FAUCHEUX, ANN E PA COVINGTON LA

02355851 1194232330 FAUCHEUX, AUNJEL M FNP-C SLIDELL LA

08530856 1760652408 FAURIA, CHRISTIAN A MD NEW ORLEANS LA

01653761 1588108070 FAUST, JONATHAN M NP NEW ORLEANS LA

05274392 1942385703 FAUTHEREE, GREGORY L MD BATON ROUGE LA

04575061 1124040639 FAZEKAS MAY, MARY A MD NEW ORLEANS LA

06034388 1255515888 FEDERICO, TERAN J MD NEW ORLEANS LA

05503531 1679833925 FEE, COLIN D MD NEW ORLEANS LA

00118381 1396724530 FEINBERG, JILL J MD BOGALUSA LA

00122180 1932139896 FELBERG, ROBERT A MD NEW ORLEANS LA

04721012 1790724466 FELDMAN, MICHAEL D MD COVINGTON LA

08078306 1184814659 FELIPE RAMIREZ, DANIA L MD NEW ORLEANS LA

06705549 1730169715 FELIX, STEVEN D MD BATON ROUGE LA

07933517 1295858967 FENDLEY, GARNEY H MD NEW ORLEANS LA

04325201 1851398622 FERDINAND, KEITH C MD NEW ORLEANS LA

02739882 1831518075 FERGUSON, ADAM V PA BATON ROUGE LA

09483501 1750327540 FERGUSON, CHRISTOPHER P MD BATON ROUGE LA

00126811 1427051952 FERLITA, MELVIN A MD SLIDELL LA

05975844 1083903280 FERMO, OLGA P MD COVINGTON LA

02333548 1821438169 FERNANDEZ, NADIA NP NEW ORLEANS LA

03524501 1093773004 FERNANDEZ, SARA E MD NEW ORLEANS LA

04332241 1083997456 FERNANDEZ-RODRIGUE, STACEY MD COVINGTON LA

05676370 1992178859 FERNIZ, MELISSA E APRN NEW ORLEANS LA

09084825 1871992305 FERRAND, MIRIAM H PA NEW ORLEANS LA

03583761 1477812824 FERRARA, ALLISON P MD NEW ORLEANS LA

02384076 1841256955 FERRIS, SAMUEL J MD GRETNA LA

01624800 1457627325 FIELD, HALLE E MD METAIRIE LA

May 20, 2018 29 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00014636 1700984093 FIELDS, ROBERT S MD BATON ROUGE LA

02888352 1336197565 FIELKOW, SUSAN K MD NEW ORLEANS LA

04055279 1700885381 FIGUEROA II, JULIO E MD NEW ORLEANS LA

00119174 1609985100 FIGUEROA, ANNETTE A MD NEW ORLEANS LA

02938307 1295940559 FINAN, KELLY R MD BATON ROUGE LA

06303027 1811299753 FINCHER, BRANDI B NP NEW ORLEANS LA

09687265 1225163132 FINGER, JULIE L MD NEW ORLEANS LA

06475831 1740445931 FINGER, LAURIE S APRN NEW ORLEANS LA

08621805 1801885892 FINGER, LERON J MD NEW ORLEANS LA

00124928 1548444904 FINGER, SIMON MD SLIDELL LA

03251551 1770774549 FINN, LAURA E MD NEW ORLEANS LA

08305294 1356579973 FIRESTONE BAUM, CARRIE MD NEW ORLEANS LA

07959590 1083046759 FISCHER, ROBIN B NP BATON ROUGE LA

05587571 1811187693 FISH, BRIAN J MD NEW ORLEANS LA

07550058 1316182744 FITTON, CONAR P MD KENNER LA

09653328 1578743811 FITZPATRICK, JILL A MD COVINGTON LA

05732527 1871996157 FLANAGAN, BRANDI L NP COVINGTON LA

07185072 1023018553 FLECHAS, MICHELLE L BATON ROUGE LA

08629250 1679924963 FLEMING, ADAM P NP NEW ORLEANS LA

04587846 1093091464 FLETCHER, CASEY C PA NEW ORLEANS LA

08422074 1104849827 FLETCHER, JAMES D MD BATON ROUGE LA

06400061 1770755548 FLETCHER, MATTHEW B MD NEW ORLEANS LA

09879585 1346355062 FLOREY, EUGENIA G MD NEW ORLEANS LA

05936238 1851313365 FLOYD, JANET A CNM BATON ROUGE LA

08577319 1316969827 FOGARASI, SIMONE R MD NEW ORLEANS LA

07120750 1386831956 FOLDES, PETER J MD NEW ORLEANS LA

05200270 1073563862 FOLSE, CRAIG P MD CALHOUN LA

00119710 1346356037 FONSECA, VIVIAN A MD NEW ORLEANS LA

May 20, 2018 30 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

09171297 1942349261 FONTENOT, ALISON R MD NEW ORLEANS LA

00116469 1356342513 FONTENOT, DANIEL T BATON ROUGE LA

04128587 1952811093 FORD, OLIVIA NP NEW ORLEANS LA

04033235 1437266418 FORD, STEPHANIE NP LACOMBE LA

04906876 1891792560 FORET, ELIZABETH J NP RACELAND LA

07102052 1568663698 FORREST, EDWIN C MD SLIDELL LA

04029079 1013153444 FORT, LISA B MD NEW ORLEANS LA

00113440 1669422440 FORTUNATO, STEPHEN J MD NEW ORLEANS LA

01032237 1093717266 FOSTER, DONNA H PA BATON ROUGE LA

08971503 1861606121 FOSTER, MARK R MD BATON ROUGE LA

03773207 1003817230 FOSTER, RICHARD W MD BATON ROUGE LA

00177233 1851535389 FOSTER, RUTH DO KENNER LA

05107563 1457460420 FOTINO, ALINA D MD NEW ORLEANS LA

01626764 1952698045 FOWLER, COLEATHA Z NP BATON ROUGE LA

06488035 1154505931 FOWLER, JOSHUA S MD GRETNA LA

09486055 1972913812 FOWLER, LEANNE H NP SLIDELL LA

03436353 1952763880 FOWLER, TONYA C NP PEARL RIVER LA

06850074 1629392642 FOWLKES, JUSTIN D M.D. BATON ROUGE LA

09273754 1164438099 FOX, JOHN A MD SHREVEPORT LA

01885234 1437340510 FOY, MATTHEW C MD BATON ROUGE LA

03887242 1992061782 FRAIMAN, JOSEPH B MD SLIDELL LA

03883308 1346203627 FRANCAVILLA, THOMAS L MD NEW ORLEANS LA

08925881 1134377187 FRANCESKI, BARBARA D NP SLIDELL LA

08524352 1356890503 FRANCIS, JENNIFER F NP NEW ORLEANS LA

04627504 1316455710 FRANCIS, MARIA PA RIVER RIDGE LA

00011310 1912959586 FRANCIS, MICHAEL C MD NEW ORLEANS LA

03424877 1831453257 FRANCOIS, ADELAIDE MD NEW ORLEANS LA

00254826 1275533630 FRANZ, SANDRA A BATON ROUGE LA

May 20, 2018 31 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07580714 1285601740 FREDERICK, BARRY L SLIDELL LA

05000256 1457510471 FREEMAN, KATHLEEN B MD NEW ORLEANS LA

07624375 1356578967 FREEMAN, KATHRYN E PA-C BATON ROUGE LA

02926506 1982606166 FREEMAN, NATHAN C PA COVINGTON LA

06708046 1255590279 FREEMAN, NATHAN P MD BATON ROUGE LA

05201781 1689698102 FREEMAN, WILLIAM T MD ZACHARY LA

00117140 1609812791 FREIBERG JR, JOHN L MD NEW ORLEANS LA

06135879 1568840924 FREIBERG, SARAH E PA NEW ORLEANS LA

00121691 1700862448 FRENCH, JR, RONALD J MD KENNER LA

00505027 1609837087 FRENCH, MATTHEW S MD COVINGTON LA

00573850 1174813026 FREYDER, JEFFREY S MD BATON ROUGE LA

00426585 1407940299 FRIEBERG, EDWIN M MD NEW ORLEANS LA

05584364 1225050735 FRIEDLANDER, PAUL L MD NEW ORLEANS LA

08335860 1922340710 FRUGE, ELIZABETH D MD SLIDELL LA

00112928 1215997564 FUHRMAN, GEORGE M MD NEW ORLEANS LA

03281828 1003106584 FUJITA, MARK M MD ALGIERS LA

06059043 1770807786 FULLER, ANDREW J MD LIDELL LA

05024244 1972845030 FULTON, GREGORY K MD NEW ORLEANS LA

03781594 1013206416 FUNK, ZACHARY P MD NEW ORLEANS LA

04170256 1841622636 FUSILIER, CAROLINE B PA BATON ROUGE LA

08637079 1669581609 G'SELL, AIMEE F NP NEW ORLEANS LA

04021589 1558682567 GACHOKA, DAVID N MD NEW ORLEANS LA

09828763 1336450964 GADDE, SHILPA MD SLIDELL LA

01488033 1356621353 GADIRAJU, TARAKA V MD NEW ORLEANS LA

08775560 1588815880 GAHN, CATHERINE NP BATON ROUGE LA

01852267 1356421739 GAJEWSKI, KELLY K MD NEW ORLEANS LA

06558391 1477519775 GALA, RAJIV B MD NEW ORLEANS LA

09427070 1538253901 GALAGAN, ROBERT C MD NEW ORLEANS LA

May 20, 2018 32 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07238370 1740470335 GALANDAK, JESSICA A MD NEW ORLEANS LA

06504061 1417987371 GALARNEAU, DAVID W MD NEW ORLEANS LA

06209741 1124055249 GALLIANO, ANTE J MD NEW ORLEANS LA

01088737 1083842579 GALLIANO, GRETCHEN E MD NEW ORLEANS LA

01055276 1629298278 GALOFARO, BRIAN J MD COVINGTON LA

03303573 1740790179 GAMBLE, LINDSAY A NP GRETNA LA

09871275 1366739468 GAMBOA, IVAN J MD BATON ROUGE LA

03426331 1154515625 GANATRA, NAUTAM B MD GRETNA LA

02338538 1689622797 GANIER, DONALD R MD NEW ORLEANS LA

04328896 1538377205 GANN JR, THOMAS H MD SLIDELL LA

08480318 1679918692 GANT, IRIELLE B NP NEW ORLEANS LA

00125883 1801854609 GARCES, JORGE C MD NEW ORLEANS LA

01653717 1700844594 GARCIA-DIAZ, JULIA B MD NEW ORLEANS LA

00016609 1669430476 GARCIA-PRATS, VICTOR M MD NEW ORLEANS LA

07176038 1487824637 GARDNER JR., JAMES B MD BATON ROUGE LA

03233897 1952375487 GARDNER, PHILIP A MD COVINGTON LA

00118126 1629089149 GARDNER, RENEE V MD NEW ORLEANS LA

08087373 1528217627 GARGIULO, DOMINIC J DO NEW ORLEANS LA

02931259 1306102983 GARNETT, CHRISTOPHER G MD KENNER LA

07351785 1639160823 GARRETT, PAUL D MD BATON ROUGE LA

02051216 1760744783 GARRETT, TRACY D NP ALGIERS LA

03829081 1447574470 GARY, CELESTE C MD NEW ORLEANS LA

02738765 1154647725 GASINU, SELOM Y MD NEW ORLEANS LA

09250318 1982882874 GASPARD, GREGORY P MD NEW ORLEANS LA

01685760 1508836636 GASSEN, GAVIN M MD NEW ORLEANS LA

02478034 1962697599 GATES, LISSA L MD MARRERO LA

07288041 1477743060 GAUDET, MATTHEW A MD NEW ORLEANS LA

00013992 1568593739 GAUTREAUX III, JOSEPH M MD KENNER LA

May 20, 2018 33 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

01731307 1760666556 GAUTREAUX, JESSICA R MD NEW ORLEANS LA

00121140 1720167893 GAVIN, JOHN P MD FRANKLINTON LA

00110035 1538170055 GEDALIA, ABRAHAM MD NEW ORLEANS LA

07154062 1811097173 GEE, REBEKAH E MD NEW ORLEANS LA

02773807 1366675837 GEIGER, GINGER J NP PEARL RIVER LA

07758357 1386943264 GENDUSA, PATRICIA F MD NEW ORLEANS LA

01253219 1255776571 GENESIO, KIMBERLY C MD NEW ORLEANS LA

04652266 1013030238 GENET, MICHELLE MD METAIRIE LA

07137878 1730548603 GEORGE, BRITTANY Q NP BATON ROUGE LA

02600379 1972861292 GEORGE, KAREN E MD METAIRIE LA

04007839 1851667927 GEORGE, TOYA D MD MARRERO LA

09108891 1376566380 GERDES, MICHELLE S MD NEW ORLEANS LA

05284044 1821281452 GERMOND, LIANE M MD NEW ORLEANS LA

06187008 1164454955 GESN, LOIS H MD BATON ROUGE LA

05921369 1497902084 GHATAK, ABHIJIT MD SLIDELL LA

08651048 1356598031 GHEBRETATIOS, GHENET C NP BATON ROUGE LA

06331031 1295904159 GIARDINA, JASON F MD PH NEW ORLEANS LA

02783270 1316264484 GIBBONS, STEVEN D MD NEW OLREANS LA

06888521 1295893287 GIBSON, APRILE B MD NEW ORLEANS LA

07274523 1710310206 GIECK, DAWN-MARIE M NP MARRERO LA

05873546 1841519832 GILBERT, PATRICK J MD NEW ORLEANS LA

03220093 1154629210 GILL, FAITH V NP BATON ROUGE LA

03071867 1013457258 GILL, KATHERINE FNP NEW ORLEANS LA

02953861 1437349024 GILLESPIE, VERONICA C MD NEW ORLEANS LA

01232572 1659781995 GILLETTE, MICHAEL A MD NEW ORLEANS LA

01260201 1356309595 GILLILAND, YVONNE E MD JEFFERSON LA

08009781 1174929277 GILLS, JESSICA L NP NEW ORLEANS LA

06007059 1790926772 GILLY JR, GEORGE M MD NEW ORLEANS LA

May 20, 2018 34 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

06878746 1861785313 GILMAN, LAURA A MD NEW ORLEANS LA

06875301 1982928990 GIMENEZ, CARLOS R MD NEW ORLEANS LA

09270068 1306006325 GIMENEZ, JUAN M MD NEW ORLEANS LA

00012228 1508814401 GINSBERG, HARLEY G MD NEW ORLEANS LA

01127386 1568667038 GIRGRAH, NIGEL MD NEW ORLEANS LA

05139741 1235169947 GIUFFRE, BRENT MD LULING LA

02009736 1134413792 GIUSTI-TORRES, SIXTO G MD NEW ORLEANS LA

07432333 1699965293 GJINO, ALMA MD SLIDELL LA

08370842 1629039722 GLADDEN, PAUL B MD NEW ORLEANS LA

08287376 1245330125 GLASS, MARCIA H MD NEW ORLEANS LA

09501541 1740718774 GLASS, SHANE P NP NEW ORLEANS LA

04051819 1023136389 GLEASON, MARY MARGARET MD NEW ORLEANS LA

02459232 1891134722 GLEDITSCH, KATRINA M DO NEW ORLEANS LA

05587761 1659578045 GLENN, ERIC M MD NEW ORLEANS LA

08701856 1053755652 GLOVER, PORTER H MD SLIDELL LA

04285730 1255330551 GLOVINSKY, MARC S DPM NEW ORLEANS LA

00320371 1508050857 GLYNN, PATRICK J MD LACOMBE LA

08471706 1720241276 GODEAUX, LACEY M MD COVINGTON LA

04138078 1295052272 GODIWALA, NIHAL MD NEW ORLEANS LA

09705315 1053476028 GOERTZ, PETER J MD NEW ORLEANS LA

03909060 1780078931 GOFF, KRISTEN F FNP KENNER LA

04038014 1295783892 GOLDSMITH, JAY P MD NEW ORLEANS LA

03754292 1396003497 GOLDSTEIN, DANIEL S MD BATON ROUGE LA

07725005 1073850871 GOLDVARG-ABUD, INNA FNP NEW ORLEANS LA

04205743 1427080985 GOLIGTHTLY, GEORGE MD BATON ROUGE LA

09056756 1558386631 GOMES, GLENN M MD BATON ROUGE LA

04855223 1699797191 GOMEZ, RICARDO MD NEW ORLEANS LA

00235241 1194072447 GONSKI, LEAH A MD NEW ORLEANS LA

May 20, 2018 35 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

08375280 1003901539 GONZALES JR, JOSEPH A MD NEW ORLEANS LA

05389383 1134493976 GOODLY, ELIZABETH M MD GRETNA LA

00117141 1710925672 GORDON, ROBERT A MD NEW ORLEANS LA

00012925 1649454000 GOSEY JR, JAMES R MD SLIDELL LA

03032206 1770724734 GOSS-VOISIN, NATASHA L MD RACELAND LA

06975860 1518958107 GOTTLIEB SEN, DANIELLE MD NEW ORLEANS LA

00709541 1184745952 GOTTSCHALK, ANDREW W MD JEFFERSON LA

08022561 1558742601 GOWLAND, BRITTANY L PA NEW ORLEANS LA

05658760 1932423951 GOYENECHE, NICHOLAS P MD COVINGTON LA

03788391 1902105430 GRADIDGE, ELEANOR A MD NEW ORLEANS LA

03870899 1265873939 GRADY, ASHLEY T NEW ROADS LA

07681261 1962445981 GRAHAM, CHRISTINE NP NEW ORLEANS LA

09473811 1083776868 GRAHAM, MICHAEL E MD NEW ORLEANS LA

00589217 1598051252 GRANT, JOSH F DO NEW ORLEANS LA

01278266 1366691016 GRANT, NAKASH P MD KENNER LA

05382822 1023241403 GRANTHAM, KIRK A MD COVINGTON LA

06101842 1013051036 GRAVES, CHRISTY MD SLIDELL LA

06386054 1194700021 GRAVES, WHITE S IV MONROE LA

08028557 1720247364 GRAY, FABIENNE L MD NEW ORLEANS LA

01022231 1215960059 GREENE, CLARENCE S MD NEW ORLEANS LA

09484019 1154343184 GREGOIRE, WILLIAM A MD BATON ROUGE LA

08972861 1659337350 GREGORY, WILLIAM MD KENNER LA

00122667 1184647299 GREMBOWICZ, MEREDITH S MD COVINGTON LA

02472864 1700818135 GRENIER, CHRISTOPHER P MD BATON ROUGE LA

08020085 1659575173 GREZAFFI JR, JOHN MD BATON ROUGE LA

03839737 1578723599 GRIDLEY, ASAHEL L MD SLIDELL LA

01375210 1679099956 GRIENER, DIANE NP NEW ORLEANS LA

03552703 1235138355 GRIER, MANDY B BATON ROUGE LA

May 20, 2018 36 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07785768 1700027794 GRIESHABER III, DOMENICK C MD LULING LA

05002565 1427006055 GRIFFEE, JAMES F MD SLIDELL LA

05130289 1891143657 GRIFFIN, AARON M NP KENNER LA

01478349 1467642777 GRIFFIN, JOSEPH M MD VIDALIA LA

04077551 1619276516 GRIFFIN, RYAN P MD NEW ORLEANS LA

06456804 1043406580 GRINSTEAD, ROBERT L PA NEW ORLEANS LA

06158731 1629365689 GROSS, MAUREEN E MD KENNER LA

04856036 1073515862 GRUNER, JEFFREY S MD BATON ROUGE LA

08557098 1508157876 GU, YUWEI MD NEW ORLEANS LA

09755772 1912005737 GUARINO, ELIZABETH N GREENWELL SPRINGS LA

08056309 1689185274 GUARISCO, AMELIE PA LULING LA

00118361 1336244029 GUARISCO, JOHN L MD NEW ORLEANS LA

08220391 1306807383 GUARISCO, STEVEN A MD COVINGTON LA

04073866 1457639312 GUDDATI, ACHUTA K MD NEW ORLEANS LA

00015989 1629098660 GUERIN, GERARD G DPM HAMMOND LA

01937073 1013937085 GUERINGER JR., LLOYD J MD LACOMBE LA

03500001 1679797385 GUEVARA, BENJAMIN G MD SLIDELL LA

01659006 1467655787 GUGEL, JONATHAN M MD NEW ORLEANS LA

09426251 1255334512 GUIDER, BENJAMIN MD NEW ORLEANS LA

06637766 1962930461 GUIDRY, ALEXIS M PA NEW ORLEANS LA

02039860 1770807315 GUIDRY, BENJAMIN V MD NEW ORLEANS LA

07152576 1174591390 GUIDRY, BRIAN P MD SLIDELL LA

00627766 1841428695 GUIDRY, CASSIE PA THIBODAUX LA

06757034 1356585533 GUIDRY, CHRISSY DO NEW ORLEANS LA

00017105 1104870591 GUIDRY, FRANK J MD SLIDELL LA

07907522 1831530229 GUIDRY, KIM A NP NEW ORLEANS LA

06405201 1366799975 GUIDRY, LANNIE FNP-B NEW ORLEANS LA

08920091 1356656144 GUIDRY, LAURA R DDS SLIDELL LA

May 20, 2018 37 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00120673 1629026513 GUILLMETTE, JEFFREY A MD MARRERO LA

06635831 1316053986 GUILLORY, KATHERINE T PA BATON ROUGE LA

02488311 1376867382 GUILLORY, MATTHEW P MD BATON ROUGE LA

09974535 1477843753 GUILLORY, NICHOLE T MD SLIDELL LA

08934372 1013169549 GUIRGUIS, MAGED N MD NEW ORLEANS LA

09333871 1154487627 GULLATT, THOMAS J MD BATON ROUGE LA

07230066 1720248743 GULOTTA, PAUL M MD NEW ORLEANS LA

02007296 1134345986 GUNN, SUSAN H MD NEW ORLEANS LA

00180593 1134388234 GUPTA, JAGAN D MD MARRERO LA

06189557 1417271420 GUPTA, MANEESH K MD SLIDELL LA

03125239 1295915395 GUPTA, PRASHANT MD FERRIDAY LA

05437031 1871714204 GUPTA, RAEGAN W MD NEW ORLEANS LA

05270262 1104271451 GURIEVSKY, HANNAH E PA NEW ORLEANS LA

08588296 1710121306 GUSTE, JOHN P MD NEW ORLEANS LA

03777206 1306852751 GUTGSELL, GREGORY R MD MANDEVILLE LA

02058555 1922451947 GUTIERREZ, AMANDA B NP NEW ORLEANS LA

05729352 1598722753 GUTIERREZ-HEVIA, CARLOS M MD NEW ORLEANS LA

01555292 1477912954 GUY, LAURA C NP BATON ROUGE LA

01673546 1619378148 GUZMAN, LISA M NP SLIDELL LA

00152558 1760474084 GUZZARDO, GEORGE N MD KENNER LA

07132331 1093974099 GWIN, TAYLOR S MD BATON ROUGE LA

08885358 1801143599 HAAR, LAURA M PA SLIDELL LA

01252229 1962441352 HABER, LAWRENCE L MD NEW ORLEANS LA

04287863 1053635060 HABETZ, VANDON J MD NEW ORLEANS LA

02986740 1104963800 HACKLEY, FREDERICK E BATON ROUGE LA

09034063 1144497421 HADDAD, LAUREN M MD BATON ROUGE LA

02871330 1609190636 HAGEMANN, COLLEEN S MD SLIDELL LA

02558050 1780603746 HAGENSEE, MICHAEL E MD NEW ORLEANS LA

May 20, 2018 38 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

05158852 1720215437 HAHN, JESSICA L MD NEW ORLEANS LA

00118141 1720046121 HAJJAR, JOSEPH D MD COVINGTON LA

02056520 1730137498 HAKE, DANIEL H DPM LACOMBE LA

02303311 1609066109 HALAT, SHAMS K MD NEW ORLEANS LA

06970207 1174034557 HALE, ANDREA NP NEW ORLEANS LA

00259541 1508030958 HALLNER JR, BARRY G MD NEW ORLEANS LA

07670721 1326201625 HALVORSON, KARIN M MD NEW ORLEANS LA

08880810 1316372808 HAMBLIN, MEGAN P PA NEW ORLEANS LA

04527782 1841434404 HAMED, HATEM F M.D. SLIDELL LA

01232783 1548242258 HAMILTON, BRIANNE PA NEW ORLEANS LA

03505779 1053786657 HAMLIN, ELIZABETH H NP NEW ORLEANS LA

00125552 1467543520 HAMM III, LOTUCE L MD NEW ORLEANS LA

03389277 1073996955 HAMMERLI, MELISSA G PA NEW ORLEANS LA

05326356 1376602359 HAMMONS, AMY L MD SLIDELL LA

08031866 1275750978 HAMNER, JOHN B MD NEW ORLEANS LA

07584764 1083938997 HAND, JONATHAN M MD NEW ORLEANS LA

02534376 1720026875 HANDLY, NEAL MD KENNER LA

06900731 1649209479 HANEMANN, CYNTHIA W MD NEW ORLEANS LA

04375217 1487602793 HANEMANN, JAMES D MD MARRERO LA

04103531 1780108886 HANKINS, CHRISTIAN D NP KENNER LA

04029336 1053308791 HANLEY III, JAMES R MD NEW ORLEANS LA

09627506 1063601227 HANNA, JAMIE MD NEW ORLEANS LA

06374764 1871931568 HANNAH, WILSON T MD NEW ORLEANS LA

02129009 1407893324 HANS, SARTAJ S MD NEW ORLEANS LA

00123080 1164465704 HANSEN III, ERNEST C MD SLIDELL LA

08638356 1598100794 HANSING, DUNCAN DO BATON ROUGE LA

08404301 1164823977 HANSON, BONNIE M PA NEW ORLEANS LA

01500086 1851312607 HANSON, RICHARD D MD BATON ROUGE LA

May 20, 2018 39 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

01420271 1215935275 HAPPEL, MICHAEL T MD LACOMBE LA

00034759 1558598771 HARDEMAN, JOHN C MD NEW ORLEANS LA

04201812 1952345902 HARDEY, DAVID MD FERRIDAY LA

06703081 1114292448 HARDY, WHITNEY E MD MARRERO LA

04577511 1528443868 HARGIS, ERICA L PA TERRYTOWN LA

00583380 1558390310 HARLAN, MICHAEL N MD COVINGTON LA

02859857 1962569657 HARLAN, TIMOTHY S MD NEW ORLEANS LA

03832751 1760708614 HARMON, RACHAEL E MD NEW ORLEANS LA

09279581 1891118287 HARPOLE, ALICIA M PA NEW ORLEANS LA

08933090 1710413596 HARRIGAN, SHELBY F NP NEW ORLEANS LA

09385505 1437154259 HARRINGTON, JR, JOHN N MD KENNER LA

09371353 1407903388 HARRIS, ADAM W MD BATON ROUGE LA

04057261 1003844283 HARRIS, EUGENE A MD COVINGTON LA

08723252 1851845234 HARRIS, HOLLY K FNP KENNER LA

07950081 1700809456 HARRIS, JOHN P MD BATON ROUGE LA

07571325 1639127103 HART, STUART R MD NEW ORLEANS LA

08701771 1780940288 HARTMAN, MEGAN M MD RACELAND LA

05575867 1265723993 HARTMAN, TIFFANY C PA NEW ORLEANS LA

02385734 1427595131 HARVEY, JENNIFER NP SLIDELL LA

07439004 1538462502 HARVEY, JESSICA L PA COVINGTON LA

05980838 1841517729 HARVEY, ROBERT C MD BATON ROUGE LA

06571041 1659541837 HASNEY, CHRISTIAN P MD NEW ORLEANS LA

04986303 1053519512 HASSETT, CATHRYN C MD NEW ORLEANS LA

08120047 1205244506 HASTINGS, CHRISTINA L NP COVINGTON LA

01821279 1053502872 HAUCK, ERIN R MD BATON ROUGE LA

03571521 1700931524 HAUVER II, TERENCE L MD NEW ORLEANS LA

07957719 1538329628 HAVLOVIC, JULIA MD NEW ORLEANS LA

08539047 1972551133 HAWKINS JR, ROLAND B MD NEW ORLEANS LA

May 20, 2018 40 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

04178778 1932295300 HAYDEL, MICELLE J MD NEW ORLEANS LA

09883701 1407965502 HAYMON, MARIE-LOUISE A MD NEW ORLEANS LA

03274018 1942318985 HAYNES, GARY R MD NEW ORLEANS LA

02527829 1912174244 HAYS, SEAN E MD FERRIDAY LA

00136245 1679790554 HEARD, WENDELL M MD NEW ORLEANS LA

01127234 1720170764 HEATON, JOHN F MD NEW ORLEANS LA

07820711 1457368037 HEBERT, COREY J MD NEW ORLEANS LA

00014732 1750484887 HEBERT, DAVID B MD NEW ORLEANS LA

03720261 1043553993 HEBERT, DAWN O NP BATON ROUGE LA

01586827 1689678609 HEBERT, LOUIS D MD LACOMBE LA

00111983 1861499154 HEBERT, MITCHELL J MD BATON ROUGE LA

03376586 1548603996 HEBERT, SCOTT A MD NEW ORLEANS LA

01774213 1578611885 HEBERT, VICKY S MD NEW ORLEANS LA

04150255 1407877426 HECK, MADELEINE C MD BATON ROUGE LA

03925032 1194042960 HEDDEN, JACOB B MD GRETNA LA

02727708 1750588836 HEFFERNAN, MICHAEL J MD NEW ORLEANS LA

03280329 1740449677 HEIMAN, JONATHAN N MD SLIDELL LA

07689221 1720030299 HEIMBACH, DEBORAH NP COVINGTON LA

08983021 1588601371 HEINLEN, STEPHANIE S MD NEW ORLEANS LA

00013323 1396770012 HEINRICH, STEPHEN D MD NEW ORLEANS LA

01888790 1215985593 HELGASON, JAY W MD MARRERO LA

00122230 1689767980 HELLSTROM, WAYNE MD NEW ORLEANS LA

00015478 1073514576 HELM, BOYD E MD BATON ROUGE LA

07870738 1780989418 HELMSTETTER, BRIAN M DO METAIRIE LA

05139341 1639560519 HELO, KATHERINE L NP BATON ROUGE LA

08551358 1790738862 HENDEL, ROBERT C MD NEW ORLEANS LA

02525245 1942270517 HENDERSON, CHRISTA R PA BATON ROUGE LA

00015281 1760405609 HENDERSON-TILTON, ANN C MD NEW ORLEANS LA

May 20, 2018 41 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00053345 1841459369 HENDRICK, JR, RUSSELL G MD NEW ORLEANS LA

03003851 1689019952 HENDRICKS, JUSTIN M MD RACELAND LA

06979534 1730169186 HENDRICKS, SUSAN K MD NEW ORLEANS LA

00178321 1699912279 HENGL, LAURI F NP NEW ORLEANS LA

03938266 1013204817 HENKE, MICHAEL J MD SLIDELL LA

00131559 1952359077 HENRY, DWAYNE D MD BATON ROUGE LA

05106264 1184829525 HENRY, MIYOSHI L MD SLIDELL LA

06236013 1912904293 HERFEL, LEE U MD NEW ORLEANS LA

02334560 1891923546 HERLONG, JASON L MD BATON ROUGE LA

00179200 1487939682 HERMES, JODI M PA NEW ORLEANS LA

00405596 1801235734 HERST, BRIAN S MD NEW ORLEANS LA

07354313 1316968332 HESCOCK JR, GEORGE C MD NEW ORLEANS LA

09474368 1740446228 HETZLER, LAURA T MD BATON ROUGE LA

06373798 1609804772 HEVIQ III, ARMANDO MD NEW ORLEANS LA

02978701 1184174997 HEYTENS, LAURA A NP NEW ORLEANS LA

07682575 1538100078 HICKEY, KEITH G MD SLIDELL LA

00113756 1093763336 HICKMAN, DEAN A MD NEW ORLEANS LA

00120222 1811945157 HICKS, TERRELL C MD NEW ORLEANS LA

05529806 1750606497 HIDARILAK, NEDA MD NEW ORLEANS LA

05652823 1629286075 HIDER, BRANDON K MD MARRERO LA

08803254 1407812217 HIGHTOWER, STEVEN I MD SLIDELL LA

08351011 1518485614 HILL, AMANDA NP NEW ORLEANS LA

03277861 1891294146 HILL, CHARLES W FNP BOGALUSA LA

06220871 1790140549 HILL, CRYSTAL NP HOUMA LA

02628897 1891016929 HILL, JASON B SLIDELL LA

01707231 1295803484 HILL, LAWRENCE C MD TALLULAH LA

05622542 1295283893 HILL, NATALIE NP COVINGTON LA

09087822 1063612760 HILL, TRAVIS W MD GRETNA LA

May 20, 2018 42 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

02077266 1962649285 HILLARD, ASHLEY R PA GRETNA LA

07101214 1255314969 HINES, MICHAEL H MD NEW ORLEANS LA

09239035 1437448180 HINTZKE, MARIA E MD NEW ORLEANS LA

07177879 1831144252 HIRSCH, HOWARD S MD KENNER LA

05803711 1134269848 HITCH, MEREDITH C MD BATON ROUGE LA

00119039 1730188806 HIXON III, RUFUS L MD BATON ROUGE LA

07429524 1033142005 HIXSON, MEREDITH J MD SLIDELL LA

05853870 1770894305 HOANG, CANH M MD GRETNA LA

06255050 1992140065 HODNETTE, CHRISTOPHER M MD SLIDELL LA

08539332 1699797779 HOFF, DAVID J MD BATON ROUGE LA

03533774 1720538416 HOFFMANN, DANIEL D PA BATON ROUGE LA

00138067 1861633836 HOGAN, MEREDITH L MD NEW ORLEANS LA

06938800 1043306442 HOLLAND, LAURA C NP NEW ORLEANS LA

03187596 1225246291 HOLMAN, STACEY L MD NEW ORLEANS LA

05056736 1548510696 HOLMES, LAUREN R PA KENNER LA

04780209 1134168545 HOLT, SARAH W DO NEW ORLEANS LA

09184024 1578549622 HOLT, STEVEN E MD NEW ORLEANS LA

03507748 1992753552 HONEYCUTT, WAYNE T MD ALEXANDRIA LA

00117407 1578536694 HOPKINS, ROBERT L NEW ORLEANS LA

05283588 1093171597 HOPPENSTEDT, MARGARET E NP CHALMETTE LA

05905549 1285716753 HORSMAN, THOMAS A MD BATON ROUGE LA

08786563 1649596800 HOTALING, JEFFREY M MD BATON ROUGE LA

08304091 1942352224 HOUGHTON, DAVID J MD NEW ORLEANS LA

04870075 1821096181 HOUSER, JAMES M MD LACOMBE LA

02770394 1851616536 HOUSER, MARCELLA R MD NEW ORLEANS LA

07081750 1821418161 HOUSTON, KATIE R NP BATON ROUGE LA

03275541 1942234828 HOWARD III, GEORGE W MD BATON ROUGE LA

09882524 1326339581 HOWELL, MEGHAN P MD NEW ORLEANS LA

May 20, 2018 43 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

06889857 1912969452 HUANG, LI MD NEW ORLEANS LA

05200709 1295963692 HUBBLE III, CLAY J NP BOGALUSA LA

08189775 1750562856 HUDDLESTON, JAMIE B MD RACELAND LA

08504069 1407037724 HUDE, KEITH E MD NEW ORLEANS LA

08129779 1205239316 HUDGENS, JENNIFER L NP GRETNA LA

00117650 1154313831 HUDSON, JERRY L MD SLIDELL LA

01578772 1124479357 HUFFT, MARY W PA BATON ROUGE LA

02025797 1770835951 HUGHES-LECORGNE, AMANDA PA COVINGTON LA

02579732 1598038267 HUNT, REBECCA Z NP COVINGTON LA

06583565 1518131440 HUNTER, EBONY MD BATON ROUGE LA

08486720 1902195662 HURLEY, BRUCE V MD SLIDELL LA

00885021 1760687990 HUTCHINSON, BRETT A BATON ROUGE LA

06424021 1730368937 HUTCHINSON, JAMIE E MD GRETNA LA

00280053 1912930785 HUYNH, TRANG P MD BATON ROUGE LA

00625585 1336143841 HYDE, JEFFREY D MD BATON ROUGE LA

03355395 1851401798 HYMAN, PAUL E MD NEW ORLEANS LA

09051054 1750767927 HYMEL, MINDY PA NEW ORLEANS LA

09251034 1871930305 HYMEL, RENE J DPM HAMMOND LA

01772846 1184064669 HYPES, STEPHEN M DO NEW ORLEANS LA

00632777 1649255571 IACONA-CARBONELLA, DANIELA PA NEW ORLEANS LA

02636078 1134177645 IDOWU, BENEDICT DO FERRIDAY LA

05885399 1932256765 IHEAGWARA, KELECHI N MD BATON ROUGE LA

00660199 1902073422 ILAWAN, CARLITO P DDS BOGALUSA LA

02378867 1841628880 IMPASTATO III, JOSEPH PA NEW ORLEANS LA

09927855 1437100419 INGRAM, JOHNNY K MD VIDALIA LA

07654241 1336398478 IQBAL, HALEEMA T MD BATON ROUGE LA

00119483 1881700649 IRIMPEN, ANAND M MD NEW ORLEANS LA

06678358 1477925527 IRWIN, MALORIE S NP BATON ROUGE LA

May 20, 2018 44 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

08238544 1821317819 IRWINE, CARA R MD NEW ORLEANS LA

06952731 1649599630 IRWINE, MATTHEW R MD NEW ORLEANS LA

00954302 1588627533 ISA, GEORGE F MD COVINGTON LA

09370760 1588600894 ITELD, BRUCE J MD SLIDELL LA

03104797 1184824633 ITUAH, IJEOMA MD KENNER LA

05822594 1528061041 IVERSON, MICHAEL A MD COVINGTON LA

05606037 1437416468 IVESTER, ROBIN H MD NEW ORLEANS LA

00277248 1215169974 IWUCHUKWU, IFEANYI O MD NEW ORLEANS LA

02477360 1023374451 JABBAR, AHMAD Y MD SLIDELL LA

08576360 1063489003 JACKSON, ALLISON R GREENWELL SPRINGS LA

08837202 1710964564 JACKSON, AMANDA A NP METAIRIE LA

07858241 1588831952 JACKSON, COURTNEY C MD NEW ORLEANS LA

05427361 1407296775 JACKSON, DARRIN J MD SLIDELL LA

08484807 1477781201 JACKSON, SHERIDA L NP NEW ORLEANS LA

05677377 1760452270 JACOB, RUDOLPH D MD NEW ORLEANS LA

07708858 1477942290 JACOBSON, JULIE H PA NEW ORLEANS LA

09102317 1477554079 JACOME JR, TOMAS H MD BATON ROUGE LA

09474327 1679887822 JAIN, RISHABH K MD SLIDELL LA

07826869 1104875467 JAIN, SUMA D MD NEW ORLEANS LA

01301573 1659699783 JAISWAL, ABHISHEK MD NEW ORLEANS LA

01954729 1619262227 JAKOB, KYLE A MD BATON ROUGE LA

00027351 1639512601 JAMES, COURTNEY M MD BATON ROUGE LA

08829062 1851604672 JAN, TIFFANY C MD NEW ORLEANS LA

01200020 1962668707 JANBAIN, MAISSAA MD NEW ORLEANS LA

04286541 1568404390 JANCICH, SOPHY A MD NEW ORLEANS LA

03129564 1770788341 JANESKI, BELINDA H NP SLIDELL LA

07184866 1003924978 JANG, JESSICA T MD SLIDELL LA

07577541 1326242819 JANZ, DAVID R MD NEW ORLEANS LA

May 20, 2018 45 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00671518 1699955450 JARAMILLO RODRIGUEZ, ARLEY G MD NEW ORLEANS LA

02031026 1871784769 JARREAU, TARA K MD BATON ROUGE LA

04203358 1639501307 JARROTT, AINSLEY N NP NEW ORLEANS LA

08255762 1124120779 JEANSONNE IV, LOUIS O MD BATON ROUGE LA

02334093 1477572543 JEANSONNE, CORNEL J MD SLIDELL LA

01403772 1164854360 JEMISON, ROBERT J NP KENNER LA

00114964 1851321996 JENKINS, JAMES S MD NEW ORLEANS LA

06635811 1386855138 JENKINS, LEMUEL P MD COVINGTON LA

06108380 1316285927 JENKINS, MISTY L NP NEW ORLEANS LA

09607021 1336454024 JENNINGS, BETHANY C NP NEW ORLEANS LA

07085071 1881652352 JEON, HOONBAE MD NEW ORLEANS LA

04072521 1275777682 JERNIGAN, AMELIA M MD NEW ORLEANS LA

06083539 1700279841 JEWELL, EMILY H NP BATON ROUGE LA

06774745 1851339477 JO, JEANNIE Y DPM BATON ROUGE LA

09820513 1225291230 JOCHUM, TARA W NP NEW ORLEANS LA

07888511 1609899319 JOHN, ROGERS E NP BATON ROUGE LA

01689005 1639553035 JOHNS, LAUREN C PA KENNER LA

06022516 1528016896 JOHNSON, COLLEEN J MD NEW ORLEANS LA

06675821 1447534672 JOHNSON, JODI L PA-C BATON ROUGE LA

00125310 1720037088 JOHNSON, KRISTIN S MD NEW ORLEANS LA

02486046 1902217078 JOHNSON, LAKENDA D NP BATON ROUGE LA

02826751 1790976140 JOHNSON, RANADA A MD BATON ROUGE LA

05024837 1609927342 JOHNSON, SHAWN E MD COVINGTON LA

06883732 1083855068 JOHNSON, STEPHEN I MD NEW ORLEANS LA

08721711 1598908253 JOHNSTON, WILLIAM F MD NEW ORLEANS LA

08473253 1861885535 JOHNYKUTTY, ANILA PA RIVER RIDGE LA

08678812 1881892826 JOLLEY, SARAH E MD NEW ORLEANS LA

04309805 1902090335 JOLLIFF, NATALIA M DO SLIDELL LA

May 20, 2018 46 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

04353308 1427312362 JONES, AMY L MD COVINGTON LA

02401722 1801845169 JONES, BRANDI K MD KENNER LA

01187356 1184828873 JONES, BRIAN P MD BATON ROUGE LA

00119472 1356390611 JONES, DERYK G MD JEFFERSON LA

00133250 1225472707 JONES, JACEY C MD NEW ORLEANS LA

01105538 1720492200 JONES, JUDSON H APN BATON ROUGE LA

08157505 1811281538 JONES, KEA M MD BATON ROUGE LA

02784541 1194041152 JONES, KELLI D MD BATON ROUGE LA

05335531 1639444912 JONES, NADJA N MD BELLE CHASSE LA

06935842 1861478414 JONES, PEGGYJO A NP NEW ORLEANS LA

09326360 1902007164 JONES, REBECCA D MD NEW ORLEANS LA

01477299 1245317734 JONES, STEVEN D MD NEW ORLEANS LA

09720821 1922205889 JORDAN, KEVIN T MD COVINGTON LA

06936758 1033554738 JORDAN, MELISSA F MD NEW ORLEANS LA

03258208 1902110240 JOSE, ALAN MD SLIDELL LA

07509875 1568722650 JOSE, JO-ANN MD NEW ORLEANS LA

01087097 1922097435 JOSEPH, ALLEN S MD BATON ROUGE LA

00125420 1346327822 JOSHI, SHOBHA N MD NEW ORLEANS LA

09533212 1730148677 JOUBERT, MARY F MD SLIDELL LA

08139320 1134584261 JOUBERT, MOLLY N PA NEW ORLEANS LA

05802722 1922291905 JOYCE, JAMES MD SLIDELL LA

06137262 1336310481 JUARBE, RUBEN MD GRETNA LA

02079546 1457460958 JUAREZ, MARLENE MD NEW ORLEANS LA

07909259 1760858062 JUCKETT, JAMIE L PA NEW ORLEANS LA

01139811 1679692578 JUMAH, ROSE L MD ALEXANDRIA LA

02674356 1295266419 JUNEAU, ANDREA PA SLIDELL LA

02121834 1972920866 KAHN, HEATHER P MD NEW ORLEANS LA

00976037 1053471433 KAHN, MARGIE A MD NEW ORLEANS LA

May 20, 2018 47 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00016563 1619925229 KALMAR, JOHN A NEW ORLEANS LA

00639201 1811151772 KALYVAS JR, JAMES T MD NEW ORLEANS LA

08055344 1306879960 KAMYAR, AMIN MD BATON ROUGE LA

06586826 1356488704 KANDIL, EMAD H MD NEW ORLEANS LA

00023343 1689763179 KANN, BRIAN R MD NEW ORLEANS LA

07888061 1003120718 KANOTRA, SOHIT P MD NEW ORLEANS LA

01783323 1770531097 KANTROW III, CHARLES M MD NEW ORLEANS LA

06050770 1578512364 KANTROW, STEPHEN P MD NEW ORLEANS LA

04935082 1497053755 KAPHLE, UPENDRA R MD NEW ORLEANS LA

02438062 1265568471 KAPLAN, JULIUS A MD NEW ORLEANS LA

09421779 1295783769 KARLIN, AARON M MD COVINGTON LA

06572201 1043266349 KARLITZ, JORDAN J MD NEW ORLEANS LA

04237596 1013965508 KASHIMAWO, LUTIFAT A MD NEW ORLEANS LA

00823354 1558474049 KATARIA, SHAMMI R MD COVINGTON LA

03959798 1487736658 KAWASAKI, LUMIE MD NEW ORLEANS LA

00110931 1417906710 KAY, DENNIS MD NEW ORLEANS LA

09784704 1780888990 KEANE, MATTHEW W MD NEW ORLEANS LA

09537351 1538178454 KEATING, CHRISTINE M MD NEW ORLEANS LA

06923343 1811267040 KEATON, CHRISTOPHER C ANP COVINGTON LA

05936096 1386960896 KEEN, JOSEPH R DO GRETNA LA

09378265 1134177462 KEISTER, JR, THOMAS L MD NEW ORLEANS LA

07476519 1285804971 KEITH, BRENT P MD NEW ORLEANS LA

01387890 1114943990 KELLEY, ROGER E MD NEW ORLEANS LA

07775831 1932543303 KELLY, ELIZABETH W MD NEW ORLEANS LA

00016947 1013966233 KEMMERLY, SANDRA A MD NEW ORLEANS LA

01081322 1326362351 KEMP, SILSBEE N MD SLIDELL LA

00125194 1902855737 KENNEY, ARTHUR J MD NEW ORLEANS LA

08625059 1164944062 KENT, JOSEPH M PA BATON ROUGE LA

May 20, 2018 48 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

08754067 1760882872 KENT, THERESA A NP GRETNA LA

09453221 1275622557 KEPPEL, FREDERICK L MD SLIDELL LA

09679335 1336373729 KERISIT, KATHRYN G MD NEW ORLEANS LA

03522041 1912267535 KESHAVAMURTHY, CHANDANA MD NEW ORLEANS LA

07302231 1780970384 KESSINGER, CRYSTAL PA BATON ROUGE LA

04654043 1033286166 KHAN, ABDUL B MD BATON ROUGE LA

08831018 1447410485 KHAN, ABDUL M MD NEW ORLEANS LA

03473024 1659560597 KHAN, AZEEM R MD BATON ROUGE LA

07751056 1699978122 KHAN, FAWAD A MD NEW ORLEANS LA

00122992 1912954496 KHAN, NASEERUDDIN A MD BATON ROUGE LA

01381844 1376770347 KHAN, RUBINA H MD NEW ORLEANS LA

06009552 1548548019 KHAN, ZAHOOR MD NEW ORLEANS LA

00757260 1154491819 KHATIB, SAMMY MD NEW ORLEANS LA

01252712 1881867935 KHEIR, FAYEZ MD NEW ORLEANS LA

06559390 1679595607 KHOURI, ANAS Y MD RIVER RIDGE LA

08407366 1306003504 KHUNKHUN, VININDER S MD NEW ORLEANS LA

07951557 1144253717 KHURI, BAHIJ N MD BATON ROUGE LA

08030567 1174885669 KIDD, LAURA R MD NEW ORLEANS LA

00117855 1780633248 KIERNAN, MICHAEL P MD NEW ORLEANS LA

06327871 1538129135 KILLACKEY, MARY T MD NEW ORLEANS LA

00014279 1679574057 KILPATRICK, KEVIN L BATON ROUGE LA

03254516 1871796557 KILPATRICK, ROBIN E MD BATON ROUGE LA

04201206 1649231671 KIM, ARTHUR H MD BATON ROUGE LA

00015032 1376584797 KING, ANDREW G MD NEW ORLEANS LA

00584822 1285674119 KING, JOHN C MD THIBODAUX LA

01835533 1851714018 KING, LAUREN S NP NEW ORLEANS LA

03275780 1023452810 KING, LESLIE C MD SLIDELL LA

07852321 1982738696 KING, LISA H NP BATON ROUGE LA

May 20, 2018 49 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

04087362 1518226638 KING, NANCY S NP WEST MONROE LA

00017835 1649249491 KING, TERRY D MD WEST MONORE LA

04337558 1720464159 KINSLEY, EMILY M NP BATON ROUGE LA

04901039 1275055246 KIRKMAN III, GEORGE M NP NEW ORLEANS LA

09338258 1235420043 KIRKPATRICK, TY D DO BATON ROUGE LA

01671517 1053517896 KIRSCH, DAVID MD BATON ROUGE LA

08883205 1407134737 KITCHELL, DAVID H MD NEW ORLEANS LA

09937777 1992975056 KITTRELL, KERRI M NP SLIDELL LA

03603593 1033101159 KJELLGREN, OLLE MD NEW ORLEANS LA

03887521 1568484202 KLAINER, TERESA E MD MANDEVILLE LA

00572012 1427352491 KLEIN, MELISSA J NP BATON ROUGE LA

09008378 1083624514 KLEPPER, AARON S MD FERRIDAY LA

02356068 1487943171 KLEPPER, EMILY L MD BATON ROUGE LA

00111057 1932158656 KLINE, RICHARD C MD NEW ORLEANS LA

01807742 1366532541 KLINGSBERG, ROSS C MD NEW ORLEANS LA

05784331 1679565899 KLUCHIN, RONALD J MD MANDEVILLE LA

00119259 1871528448 KNATT, THEODORE MD BATON ROUGE LA

05052856 1184980138 KNECHT, MICHELLE MD NEW ORLEANS LA

00124923 1376567628 KNIGHT, FREDRO C MD LACOMBE LA

03883880 1205848702 KNIGHT, MICHAEL MD NEW ORLEANS LA

04130720 1881954717 KNIGHT, SARAH H MD RACELAND LA

06202772 1972031409 KNIPP, ELIZABETH PA KENNER LA

05205550 1033218094 KNISLEY, MICHAEL C MD NEW ORLEANS LA

06459512 1720036007 KNOEPP, JAMES D MD ALEXANDRIA LA

05705894 1316094295 KNOEPP, LEISE R MD NEW ORLEANS LA

02105864 1497862841 KNOOP, COLLEEN D NP NEW ORLEANS LA

06382237 1538362496 KNOX IV, WILLIAM J MD NEW ORLEANS LA

00119035 1073605010 KOCLANES JR, GEORGE P MD NEW ORLEANS LA

May 20, 2018 50 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

02671035 1336324227 KOELBEL, KLAUS F MD GRETNA LA

06471744 1710191184 KOGA, SEBASTIAN F MD COVINGTON LA

03930313 1205865037 KOGOS, PHILIP G MD MARRERO LA

08729837 1396035788 KOHLI, EROL MD NEW ORLEANS LA

00118817 1447224860 KOLLS, JAY K MD NEW ORLEANS LA

00928731 1609039148 KOMIYA, TAKEFUMI MD NEW ORLEANS LA

08185352 1346625175 KOON, JESSICA R NP NEW ORLEANS LA

02952805 1851349112 KOPP, ALAN J MD NEW ORLEANS LA

05507808 1528228566 KOSAREK, LOGAN J MD NEW ORLEANS LA

03755332 1467688523 KOTHAPALLI, VIKAS MD NEW ORLEANS LA

00124828 1750336632 KOVELESKIE, JOSEPH R MD NEW ORLEANS LA

09253302 1659379386 KOZAR, BRIAN E MD BATON ROUGE LA

02472066 1942477104 KRAEMER, QUYEN K NP MARRERO LA

07676263 1740709815 KRAIL, KATHERINE G APRN NEW ORLEANS LA

07126320 1386792307 KRAININ, JOSEPH G MD BATON ROUGE LA

08739782 1275660631 KRAKER, JESSICA B MD NEW ORLEANS LA

05324754 1104013234 KRANE, LOUIS S MD NEW ORLEANS LA

07130270 1528068327 KREFFT, THOMAS A MD LACOMBE LA

03370538 1144363953 KREWSKY, CHERYL NP SLIDELL LA

00014348 1295781383 KRIEGER JR, CHARLES W MD SLIDELL LA

00073061 1366643025 KRIM, SELIM R MD NEW ORLEANS LA

03631323 1982003281 KROPOG, KELLY PA NEW ORLEANS LA

08282311 1730256439 KUEBEL III, JOSEPH O MD COVINGTON LA

04138518 1922188390 KUMBALA, DAMADOR R MD BATON ROUGE LA

02438201 1255530895 KUO, JAMIE D MD GRETNA LA

03170308 1083805113 KUROSH, SAFAVI A MD NEW ORLEANS LA

00123624 1043267008 KUTNER, RICHARD F MD SLIDELL LA

00016080 1821090853 LA NASA JR, JOSEPH A MD NEW ORLEANS LA

May 20, 2018 51 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

03104821 1184651044 LABAT, MARC J MD NEW ORLEANS LA

06788030 1720278237 LABORDE, ERIC L MD NEW ORLEANS LA

00015230 1558383570 LACASSIE, YVES MD NEW ORLEANS LA

05759828 1578794046 LACAZE, KRISTINA S APRN NEW ORLEANS LA

02582335 1154611945 LACOUR, ALISHA M MD NEW ORLEANS LA

01777569 1306141031 LAFLEUR, ANGELE S DO METAIRIE LA

01173800 1649287913 LAFLEUR, DONAVON N OD BATON ROUGE LA

00327734 1689105298 LAFLEUR, HOSEA J NP NEW ORLEANS LA

04724895 1063668622 LAFLEUR, MATTHEW R MD NEW ORLEANS LA

00483746 1770975815 LAFRANCE, ELISA NP SLIDELL LA

09057007 1912051624 LAGO, THERESA K PA NEW ORLEANS LA

02573521 1942589692 LAICHE, NICOLE E FNP BATON ROUGE LA

01404015 1588897532 LAIN, SARAH G NEW ORLEANS LA

04088084 1457350860 LAIQUE, FIRDOUS MD BATON ROUGE LA

09223739 1972514784 LAJAUNIE, MICHELE M MD COVINGTON LA

08289711 1477001188 LALANI, TANYA L NP NEW ORLEANS LA

09353578 1528295599 LALL, NEIL U MD NEW ORLEANS LA

00019506 1598762536 LAM, JAMES B MD SLIDELL LA

04457799 1457779514 LAMBA, AMRIT S MD NEW ORLEANS LA

07451275 1447565130 LAMBERT, AMBER L NP NEW ORLEANS LA

01373752 1386818904 LAMMI, MATTHEW R MD NEW ORLEANS LA

06125205 1245472794 LAMMI, MONIKA K MD NEW ORLEANS LA

03107344 1528441433 LAMPARD, LORI NP NEW ORLEANS LA

01478721 1619952918 LANCIERS, SOPHIE MD NEW ORLEANS LA

01322810 1447618038 LANDRY, AMBER E FNP COVINGTON LA

03778335 1417953597 LANDRY, BLAKE C MD SLIDELL LA

05508243 1821404203 LANDRY, CRISTEL L NP BATON ROUGE LA

02108707 1811281314 LANDRY, DAVID J MD LAKE CHARLES LA

May 20, 2018 52 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

08731744 1003269515 LANDRY, EMILY P NP NEW ORLEANS LA

09205897 1508975111 LANDRY, JESSICA NP COVINGTON LA

04030371 1841297124 LANDRY, ROBERT MD BATON ROUGE LA

03827891 1346582954 LANGBERG, SAM S MD NEW ORLEANS LA

06437026 1912264110 LANGHEINZ, KIRK P MD NEW ORLEANS LA

08485347 1821087917 LANGSTON, MARTIN A MD BATON ROUGE LA

09608011 1396977617 LANGSTON, SHERRY W NP NEW ORLEANS LA

09531074 1679528566 LANKS, LEESA CRNP NEW ORLEANS LA

00110928 1093728362 LANSON, DAVID O MD KENNER LA

01183290 1609077619 LAPEROUSE, LAMBERT M MD COVINGTON LA

04425563 1356378707 LAPEYRE, ELIZABETH R MD NEW ORLEANS LA

00588341 1376860494 LAPINEL, NICOLE C MD NEW ORLEANS LA

01203240 1083872931 LARA, ANNA K MD NEW ORLEANS LA

05881806 1891953741 LARA, DIEGO A MD NEW ORLEANS LA

09078595 1881763415 LARRIVIERE, DANIEL G MD NEW ORLEANS LA

08431790 1063568525 LARROQUE, MICHELE L MD COVINGTON LA

06072737 1548497860 LARSEN, GREGORY P MD MARRERO LA

06929598 1780129775 LARSEN-VANSANT, KIRSTEN M NP BATON ROUGE LA

00122241 1477534295 LASALA, GABRIEL P MD COVINGTON LA

00116817 1598856577 LASKY, JOSEPH A MD NEW ORLEANS LA

01755856 1285081125 LASSEIGNE, JOHANNA B PA BATON ROUGE LA

08889568 1598086290 LATT, NYAN L MD NEW ORLEANS LA

00119504 1891744256 LAVIE, CARL J MD NEW ORLEANS LA

04081071 1891795944 LAWRENCE JR, GEORGE E MD SLIDELL LA

00471594 1215271127 LAWRENTZ, EMILY R PA NEW ORLEANS LA

03239860 1841713716 LAWS, JENNIFER NP BATON ROUGE LA

06434533 1851376057 LAWTON, ANDREW W MD NEW ORLEANS LA

07831353 1427263375 LAWTON, III, JAMES S MD BATON ROUGE LA

May 20, 2018 53 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07370271 1649280496 LAYMAN, TODD E MD NEW ORLEANS LA

03524560 1487834552 LAYTON, JODI L MD NEW ORLEANS LA

08277888 1457380917 LAZARO II, STEPHEN C MD GRETNA LA

07827058 1821446907 LE, CATHERINE T PA NEW ORLEANS LA

04582570 1629490016 LE, MONG THAO T PA BELLE CHASSE HWY LA

09908349 1295825636 LEBLANC JR, RICHARD T SLIDELL LA

00116306 1124183439 LEBLANC JR, RONALD D MD SLIDELL LA

03036084 1043746936 LEBLANC, AMANDA PA TERRYTOWN LA

04039546 1164666723 LEBLANC, DANA M MD NEW ORLEANS LA

03684747 1962811208 LEBLANC, LESLIE E NP NEW ORLEANS LA

01429392 1669415485 LEBLANC, ROLAND A MD KENNER LA

06852518 1619168804 LEBOEUF, JENNY L MD NEW ORLEANS LA

03502053 1194148437 LEBOURGEOIS, MARGOT D PA BATON ROUGE LA

03257575 1679537336 LEBRETON, ALICE P MD SLIDELL LA

05556095 1669453510 LECCE, MICHAEL D MD NEW ORLEANS LA

08038370 1760925242 LEDET, HILARY E NP NEW ORLEANS LA

07805090 1255433066 LEDOUX, ELMA I MD NEW ORLEANS LA

06882378 1528421831 LEDOUX, JASON R NP NEW ORLEANS LA

00118369 1972553485 LEE, DAVID H MD NEW ORLEANS LA

05185702 1902342322 LEE, ERICA T FNP NEW ORLEANS LA

09659376 1679993893 LEE, JENNIFER G MD NEW ORLEANS LA

01271760 1619383106 LEE, JESSICA S OD NEW ORLEANS LA

02502806 1467400861 LEE, JONATHON A MD NEW ORLEANS LA

00932720 1063731040 LEE, MICHAEL P MD NEW ORLEANS LA

09179048 1699022947 LEE, MONICA R MD GRETNA LA

03038897 1730425943 LEE, NANTAWADEE P NP SLIDELL LA

00887501 1659695161 LEE, RYAN M MD METAIRIE LA

07821718 1952324873 LEFEVRE, SUZANNE MD NEW ORLEANS LA

May 20, 2018 54 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

09773369 1386836476 LEFORT, ATHENA F MD NEW ORLEANS LA

04232578 1821363177 LEFORT, GUY MD KENNER LA

01230391 1679551824 LEHRMANN, JILL F MD NEW ORLEANS LA

00117527 1700839933 LEISSINGER, CINDY A MD NEW ORLEANS LA

06905253 1215299961 LEITHEAD, CHARLES C MD GRETNA LA

02088058 1972619757 LEJEMTEL, THIERRY H MD NEW ORLEANS LA

01026238 1548784192 LEMEUNIER, ERICKIA L NP BATON ROUGE LA

02206391 1255721619 LEMOINE, JACKLYN NP BATON ROUGE LA

04330816 1457551343 LEMOINE, NICHOLAS S MD NEW ORLEANS LA

00027274 1942223797 LENNARZ, WILLIAM M MD NEW ORLEANS LA

01933089 1104019645 LEON, ALEJANDRO MD NEW ORLEANS LA

03402555 1962829846 LEONARD, ALLISON E MD NEW ORLEANS LA

06957834 1881695237 LEONE, DEAN A MD MARRERO LA

01520710 1558551077 LEOPOLD, RHONDA G MD NEW ORLEANS LA

07104227 1114387586 LEPINE, JENNIFER P NP BATON ROUGE LA

01609781 1154371441 LESSIG, PAUL M MD NEW ORLEANS LA

07176297 1487912762 LESSING, JACOB A MD NEW ORLEANS LA

00116684 1811095102 LEVINE, RENEE A MD BATON ROUGE LA

00126761 1477526598 LEVINE, STEPHEN D MD NEW ORLEANS LA

05681019 1427390863 LEVKOWITZ, EILAN M DO NEW ORLEANS LA

02427352 1134443641 LEVY, DANIELLE M MD NEW ORLEANS LA

00488596 1740535293 LEVY, SHAUNA M MD NEW ORLEANS LA

01281066 1013259258 LEWING, NICHOLAS W MD BATON ROUGE LA

00234554 1740611664 LEWIS, AMANDA E CNM BATON ROUGE LA

05583899 1952541534 LEWIS, EMILY H PA NEW ORLEANS LA

09823702 1144328535 LEWIS, LYDIA D MD ZACHARY LA

04036834 1639503550 LEWIS, NATASHA F APN BATON ROUGE LA

01327769 1952608119 LI, ZHAOHUI MD SLIDELL LA

May 20, 2018 55 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

06627571 1295908598 LICCARDI, TERESA M MD NEW ORLEANS LA

09922503 1285879155 LILJE, CHRISTIAN G MD NEW ORLEANS LA

05675550 1295001477 LINARELLO, RICKI L NP KENNER LA

03655514 1114993995 LINDER, DONALD J DO NEW ORLEANS LA

04273283 1659577302 LINDLE, KATHERINE A MD LAFAYETTE LA

07251362 1811216807 LINDLEY, MICHAEL D MD NEW ORLEANS LA

01454825 1477552487 LINDSAY, ELIZABETH B MD NEW ORLEANS LA

09921881 1669851523 LINDSEY, FELICIA D PA METAIRIE LA

03639084 1295089217 LINDSEY, MICHELLE W NP HAMMOND LA

07885063 1205902574 LINDSLY, NITA G PLAQUEMINE LA

00880186 1326098880 LINSON, JOHN D OD COVINGTON LA

03779892 1538187471 LIOKIS, EVANGELOS A MD NEW ORLEANS LA

00358835 1497861827 LIRETTE II, EDWARD J MD SLIDELL LA

02288519 1235310715 LIRETTE, LESLEY S MD NEW ORLEANS LA

07086281 1720084510 LISCUM, BARBARA NP NEW ORLEANS LA

07138556 1902800451 LISSARD, JANINE T MD NEW ORLEANS LA

01573226 1285894808 LITTLE, ROBERT W MD NEW ORLEANS LA

09336740 1073573796 LIUZZA, GERALD E MD GRETNA LA

01074041 1356676431 LLOYD, CARLA R MD NEW ORLEANS LA

09123318 1700897220 LO, KENNETH K MD BATON ROUGE LA

01709200 1164961751 LOBELL, JAMIE B NP HAMMOND LA

04227565 1710962816 LOBELLO, ANN R MD SLIDELL LA

05558035 1982871182 LOCASCIO, EDWARD J MD FERRIDAY LA

06003020 1538192026 LOCASCIO, JR, LLOYD F MD BATON ROUGE LA

07708264 1003168071 LOEBNER, JAIME R APRN SLIDELL LA

00113753 1326099888 LOFTFIELD, KATHERINE M MD NEW ORLEANS LA

05474739 1013344506 LONG, CAMERON M MD NEW ORLEANS LA

00738273 1184985889 LONG, DWAN W NP FRANKLINTON LA

May 20, 2018 56 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

02054001 1144483959 LONG, EMMA M PAC BATON ROUGE LA

05102774 1629177936 LONG, JEFFREY P MD HOUMA LA

05922233 1649573932 LONG, RUTHIE A NP PEARL RIVER LA

09286277 1205994670 LONGE, ADEWOLE C MD BATON ROUGE LA

00117151 1205887668 LONGO, SHERRI A MD NEW ORLEANS LA

04772344 1528405016 LOPEZ, ANGELIQUE R NP BATON ROUGE LA

00119552 1336199355 LOSS JR, GEORGE E MD NEW ORLEANS LA

04601070 1194862300 LOTTERMAN, CRAIG D MD NEW ORLEANS LA

01900083 1568983468 LOTZ-ZENGARLING, JILL L NP NEW ORLEANS LA

06933540 1568619021 LOUQUE, JENNIFER B APN BATON ROUGE LA

08033864 1902304348 LOUVIERE, KRISTIN E NP METAIRIE LA

06930211 1326160094 LOVE, MELISSA B MD PRAIRIEVILLE LA

00804756 1164636775 LOVELACE, BRUCE M MD NEW ORLEANS LA

02782268 1649562604 LOVRE, DRAGANA MD NEW ORLEANS LA

07105525 1720064959 LUCAS, ASHLEY A BATON ROUGE LA

00121049 1053362962 LUCAS, VICTOR W MD NEW ORLEANS LA

01275545 1164816831 LUDWIG, MALLORY M PA BATON ROUGE LA

00017278 1700878709 LUIKART, CARL S MD BATON ROUGE LA

03850243 1902190978 LUK, ALFRED MD NEW ORLEANS LA

01325751 1396121026 LUKE, COREY G NP HARAHAN LA

02083356 1962675967 LUKITSCH, IVO MD NEW ORLEANS LA

07478397 1851340038 LUNA, STACY M PA-C NEW ORLEANS LA

04302364 1275791840 LUND, KIERSTIN M MD NEW ORLEANS LA

06309869 1235189101 LUNYOUNG, VICTORY E MD NEW ORLEANS LA

02783285 1952461204 LUPER, KEITH J DPM SLIDELL LA

03339765 1255338521 LUSCY, CHRISTOPHER P MD BATON ROUGE LA

03278802 1376534131 LUTFALLAH, CHANTAL S MD BATON ROUGE LA

09326524 1518252287 LYNCH, EMILY R MD NEW ORLEANS LA

May 20, 2018 57 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

08602809 1588843171 LYONS III, JOHN M MD BATON ROUGE LA

06132040 1982928453 LYSENKO, LIUDMILA MD NEW ORLEANS LA

02774331 1548768856 LYTELL, AUNGELLE M NP BATON ROUGE LA

03703858 1104265263 MACERA, CHRISTINE C NP NEW ORLEANS LA

08333210 1134442049 MACICEK, SCOTT L MD NEW ORLEANS LA

02109540 1972750446 MACIP, STACEY MD BATON ROUGE LA

04977831 1386834836 MACKEY, AIMEE M MD NEW ORLEANS LA

05282241 1134566581 MACKEY, MEGAN C CNM NEW ORLEANS LA

02158023 1356503833 MADDOX, MICHAEL M MD KENNER LA

01236817 1700014818 MADDOX, SUMA S MD KENENR LA

05207893 1831502020 MADRECHA, JAYESH DO KENNER LA

04783239 1437670783 MAESTRI, AIMEE C NP RIVER RIDGE LA

00030487 1427504893 MAGGIO, CANDACE F NP BATON ROUGE LA

07554848 1487897682 MAGGIO, MARIA L MD BATON ROUGE LA

07600554 1659630051 MAHESHWARI, MANI MD SLIDELL LA

06588229 1518259522 MAI, ANH-VAN H MD GRETNA LA

00120343 1457330714 MAJORIA, RYAN N MD NEW ORLEANS LA

00933003 1083871685 MALHOTRA, SONIA MD NEW ORLEANS LA

05076293 1619024593 MALKERNEKER, DEE MD GRETNA LA

09824553 1942686787 MALKIEWICZ, KRISTEN M NP NEW ORLEANS LA

07633709 1396944823 MALLULA, KIRAN K MD NEW ORLEANS LA

09802721 1295984961 MALSBURY, JENNIFER M DO KENNER LA

08339775 1306131867 MALUR, PAVAN MD BATON ROUGE LA

09754843 1043352453 MAMON, LAKISHA Y MD NEW ORLEANS LA

03554750 1154871275 MANCIL, TYLER P DPM SLIDELL LA

07720531 1407069818 MANDRAS, STACY A MD NEW ORLEANS LA

01957096 1205026770 MANI, SANDHYA D MD BATON ROUGE LA

03076556 1639379209 MANKINEN, RICHARD W MD NEW ORLEANS LA

May 20, 2018 58 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

02786767 1942580048 MANN, BALLARD J PA BAKER LA

08453596 1750571105 MANN, ELENA L MD RACELAND LA

05931742 1104206481 MANN, KRISTINA L PA BATON ROUGE LA

03654542 1477846913 MANNINA JR, EDWARD M MD SLIDELL LA

04172069 1932336807 MANNING, DAVID A MD NEW ORLEANS LA

04227599 1558408062 MARAIA, JENNIFER H MD SLIDELL LA

01859367 1568766749 MARAYNES, MEGAN E MD NEW ORLEANS LA

00112369 1699798603 MARBLE, MICHAEL R M.D. NEW ORLEANS LA

08422323 1942736335 MARCELLO, GABRIELLE PA NEW ORLEANS LA

08872538 1528080322 MARCHAND, KRISTINA M NP NEW ORLEANS LA

09183544 1124256706 MARCOMBE, MELISSA G NP RACELAND LA

07976820 1104876754 MAREK JR, RICHARD G MD COVINGTON LA

00127055 1174554489 MARGOLIN, DAVID A MD NEW ORLEANS LA

00176709 1013021302 MARIER, ROBERT L MD NEW ORLEANS LA

09406241 1245675222 MARINGANTI, BABU SRIRAM MD SLIDELL LA

04484201 1023209624 MARINO, BENTON R M.D. BATON ROUGE LA

04532718 1295962868 MARINO, JEFFREY P MD NEW ORLEANS LA

02551211 1538484944 MARINO, MEGAN C MD NEW ORLEANS LA

05735251 1942477583 MARKER, JOHN D MD NEW ORLEANS LA

01937081 1306291455 MARLER, PAIGE R P.A. SLIDELL LA

05539732 1407806151 MARQUIS, PAUL J MD MARRERO LA

00400060 1962443473 MARRIONEAUX, ORY S PA BATON ROUGE LA

06304047 1255687885 MARROQUIN JR, ROBERT DPM METAIRIE LA

02232576 1326482589 MARROQUIN, DEVIN O NP NEW ORLEANS LA

09338393 1629075999 MARSH, DANIEL E MD BATON ROUGE LA

06552313 1922369859 MARSHALL, BENJAMIN G MD NEW ORLEANS LA

02776891 1376961912 MARSHALL, MARILYN K MD NEW ORLEANS LA

00012505 1619969136 MARSHALL, RICHARD H MD NEW ORLEANS LA

May 20, 2018 59 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

02338737 1548589534 MARTEL, COLLEEN G MD NEW ORLEANS LA

00286044 1104858406 MARTIN, AARON D MD NEW ORLEANS LA

04776373 1710229984 MARTIN, DENISE NP NEW ORLEANS LA

07970259 1629303656 MARTIN, JEANINE M DO COVINGTON LA

04909242 1356532543 MARTIN, JULIE E MD NEW ORLEANS LA

09405006 1215929922 MARTIN, PAMELA C MD NEW ORLEANS LA

05088560 1366766321 MARTINEZ, BENJAMIN R MD BATON ROUGE LA

08322227 1902198674 MARTINEZ, LETICIA A PA NEW ORLEANS LA

07326096 1710201736 MARTINEZ, REBECCA MD BOGALUSA LA

04389764 1013431394 MARTINEZ, SUSAN H NP NEW ORLEANS LA

02354059 1699066910 MARTINEZ, TRENISE R PA NEW ORLEANS LA

06526391 1215030507 MASK, WILLIAM K MD LAFAYETTE LA

03188351 1346597416 MASON, SARAH M NP NEW ORLEANS LA

00639230 1659427417 MATHERNE, VICKI T CNM BATON ROUGE LA

07609864 1548585672 MATHEWS, EVA M MD BATON ROUGE LA

08583567 1205379203 MATHEWS, JAMILA B NP GRETNA LA

08456054 1982866331 MATHUR, ABHISHEK MD NEW ORLEANS LA

07608856 1598958316 MATRANA, MARC R MD NEW ORLEANS LA

00130309 1346430790 MATTE, MELISSA C MD NEW ORLEANS LA

00011986 1609828284 MATTHEWS, CHARLES C MD NEW ORLEANS LA

09120285 1003065731 MATTHEWS, KIMBERLY NP KENNER LA

00150080 1558655670 MAULDIN, BRANDON J MD NEW ORLEANS LA

09039529 1386770402 MAULUCCI, CHRISTOPHER MD NEW ORLEANS LA

00126428 1013944487 MAUMUS, MARIANNE MD NEW ORLEANS LA

03125803 1518161256 MAUTNER, JAMES F MD NEW ORLEANS LA

04908734 1821545039 MAXWELL, SAMANTHA L PA NEW ORLEANS LA

01728364 1508066911 MAY, BYRON B MD BATON ROUGE LA

07600823 1457646564 MAY, JENNIFER M MD NEW ORLEANS LA

May 20, 2018 60 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07606265 1205338548 MAY, NICOLE NP BATON ROUGE LA

09623037 1578514238 MAYEAUX, CARL A MD SLIDELL LA

01750873 1154373736 MAYER, JONETTE M MD SLIDELL LA

09256322 1083906960 MAYHALL, GEORGE A MD NEW ORLEANS LA

00202026 1669572558 MAYLIN, MARLOWE M MD NEW ORLEANS LA

00113059 1205938511 MAZOCH, BRENT L MD ZACHARY LA

07529206 1861594178 MAZOCH, LISA A MD ZACHARY LA

01786569 1447682802 MAZZA-RICKETTS, MARY B BATON ROUGE LA

01784821 1740443522 MAZZULLA, DONALD A MD NEW ORLEANS LA

02730297 1437578440 MBAGWU, EDITH C MD DENHAM SPRINGS LA

09672573 1346261369 MC CARROLL, RAJA M MD NEW ORLEANS LA

02551327 1730239708 MCBRIDE, LORI A MD BATON ROUGE LA

07922241 1457730947 MCCAIN, JENNIFER A APRN NEW ORLEANS LA

02488509 1063733723 MCCALL JR, JONATHAN C MD GRETNA LA

04255057 1811192065 MCCARTHY, MARIA A MD NEW ORLEANS LA

06289335 1316158843 MCCARTNEY, JEANNIE R MD KENNER LA

02538071 1922001452 MCCASLIN, PATRICK MD COVINGTON LA

02727763 1932484391 MCCLANAHAN, SELLERS W PA COVINGTON LA

08307522 1497930739 MCCONVILLE, ANNE P MD NEW ORLEANS LA

06257711 1508985938 MCCONVILLE, JAMES B MD NEW ORLEANS LA

03584777 1578705448 MCCORMICK, LAURA F MD KENNER LA

04426020 1295786259 MCCORMICK, MARY L MD NEW ORLEANS LA

05255230 1629268818 MCCOUL, EDWARD D MD NEW ORLEANS LA

04857816 1922083286 MCCOY, BEVERLY J NP GRETNA LA

03755580 1326147810 MCCROSSEN, JR, JOHN P MD NEW ORLEANS LA

07888806 1497739411 MCCUE, BRIGID MD NEW ORLEANS LA

08585339 1417012634 MCDADE, WILLIAM A MD NEW ORLEANS LA

02279234 1518912864 MCDAVID, ANTHONY E MD COVINGTON LA

May 20, 2018 61 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00423542 1043540354 MCDONALD, JAMIE M CNM BATON ROUGE LA

02686792 1679594212 MCDONALD, KATE MD SLIDELL LA

09901299 1346291093 MCDONALD, PATRICK MD GRETNA LA

04359509 1700111424 MCDONALD, REGINA F NP NEW ORLEANS LA

03387820 1407825557 MCDONALD, STACY W MD NEW ORLEANS LA

00507819 1639226442 MCDONOUGH, ELIZABETH M MD BATON ROUGE LA

03434349 1851706154 MCDONOUGH, SEAN PA TERRYTOWN LA

08301855 1053334482 MCELVEEN, LINDA C MD SLIDELL LA

01376258 1245395573 MCELVEEN, MATTHEW D MD SLIDELL LA

08930723 1831351071 MCFARLIN, ANNA K MD NEW ORLEANS LA

02677230 1437427358 MCGEE, LESLEIGH D MD NEW ORLEANS LA

03077554 1316036643 MCGINNESS, CLIFTON L MD NEW ORLEANS LA

00008797 1750629432 MCGINNIS, ASHLEY W APRN SLIDELL LA

09450264 1407865983 MCGOVERN, DANIEL P DPM COVINGTON LA

05633267 1336203587 MCGRADE, HAROLD C MD NEW ORLEANS LA

09489363 1710203518 MCGREW, PATRICK MD BATON ROUGE LA

03627816 1477575488 MCGUIRE, SHANNON M MD NEW ORLEANS LA

08885046 1770872830 MCINTYRE, CALEY D MD NEW ORLEANS LA

06451766 1063719227 MCKOWN, MEGAN E PA NEW ORLEANS LA

08532583 1457331761 MCLACHLAN JR, JOHN E MD BATON ROUGE LA

02238358 1205121910 MCLENDON, RONEISHA A MD GRETNA LA

00150854 1518208073 MCMAHON, JEFFREY R NP NEW ORLEANS LA

00958218 1497032544 MCMORRIS, LEAH E PA-C BATON ROUGE LA

05729217 1083018717 MCMULLEN, DARA E NP NEW ORLEANS LA

08072764 1750636809 MCMULLEN, KYLE P MD COVINGTON LA

04284769 1003084971 MCNABB, LESLEE C MD NEW ORLEANS LA

00114870 1023031952 MCNEIL, JAMES W MD BATON ROUGE LA

09720843 1356667950 MCVEY, ERIN H MD NEW ORLEANS LA

May 20, 2018 62 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

04482758 1629044391 MEADOWS, MARY K MD NEW ORLEANS LA

09273204 1467404681 MEADOWS, RENEE Y MD NEW ORLEANS LA

01937075 1487858742 MEDEL, RICKY MD NEW ORLEANS LA

05477231 1114217858 MEDVEDEV, GLEB MD NEW ORLEANS LA

02923211 1265521793 MEGGS, LEONARD MD NEW ORLEANS LA

07229037 1386902393 MEHRTENS, GIA M MD NEW ORLEANS LA

04328201 1316930365 MEHTA, NEHA H MD NEW ORLEANS LA

06703072 1346594942 MEHTA, RAHUL M.D. BATON ROUGE LA

03004056 1740264514 MEINERS, REBECCA K MD BATON ROUGE LA

06179316 1588002240 MEKA, NNEKA O DPM MARRERO LA

05273005 1023197142 MEKA, UJWAL MD SLIDELL LA

07779321 1205110756 MELANCON, RENEE R PA NEW ORLEANS LA

01358274 1740241363 MENA, JOSE MD COVINGTON LA

08688255 1255783312 MENARD, AMANDA H PA KENNER LA

00805701 1073685616 MENARD, GERALDINE E MD NEW ORLEANS LA

05230815 1861712895 MENDLER, THOMAS M MD BATON ROUGE LA

00588343 1700888997 MENDOZA, DOUGLAS K MD BATON ROUGE LA

09401042 1366816837 MENDOZA, KELLY NP BATON ROUGE LA

05132372 1144287137 MENG, LESLEY A MD SLIDELL LA

03552862 1558509166 MENN, KIRSTEN A MD SLIDELL LA

07209551 1629289319 MENON, UMA MD NEW ORLEANS LA

02684367 1346777166 MERCADEL, CHRISTOPHER PA JEFFERSON LA

07171895 1679689434 MERCADEL, ROBERT C MD SLIDELL LA

00673261 1851848063 MERCADO, NICOLE M PA TERRYTOWN LA

02955357 1629452495 MERCER, JUSTIN R PA SLIDELL LA

00121617 1578514808 MERMILLIOD, JULIE MD NEW ORLEANS LA

09735273 1841720984 MERRIMAN, JANET NP KENNER LA

02723064 1386979821 MERRIT, MELLANIE S PA-C NEW ORLEANS LA

May 20, 2018 63 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

09103269 1477828770 MESSER, AMANDA F MD NEW ORLEANS LA

06225266 1073564167 METZINGER, REBECCA M MD NEW ORLEANS LA

09129506 1437475522 MEUNIER, JUSTIN P MD LULING LA

09654749 1205279528 MEYER, JENNIFER D MD BATON ROUGE LA

00120142 1043262348 MEYER, MARK S MD NEW ORLEANS LA

08073295 1518917236 MEYN JR, DONALD F MD BATON ROUGE LA

07888299 1407029838 MICHAELSON, SCOTT T DO SLIDELL LA

07804263 1154687754 MICHALS, LEE D MD LULING LA

07408255 1922307735 MICHEL, BRANDON N MD BATON ROUGE LA

04174721 1467793307 MIDDLEBROOK LOVETT, MANDY PA NEW ORLEANS LA

00522359 1306394218 MIDYETT, HANNAH J PA BATON ROUGE LA

08650067 1487177390 MIINEA, IOANA NP NEW ORLEANS LA

04506271 1881696078 MIKDADI, GHIATH M MD HAMMOND LA

06832058 1033134275 MILANI, RICHARD V MD NEW ORLEANS LA

07829738 1154615904 MILAZZO, MAY N NP BATON ROUGE LA

00123561 1720030182 MILBURN, JAMES M MD NEW ORLEANS LA

05331008 1154674810 MILES, SHARNETTE DPM BATON ROUGE LA

01853361 1144221292 MILLER, AMY L MD NEW ORLEANS LA

06305321 1881983385 MILLER, BAHNSEN P MD BATON ROUGE LA

03002021 1295021053 MILLER, BELINDA D NP NEW ORLEANS LA

02757555 1396742508 MILLER, CHRISTOPHER B MD SLIDELL LA

05728572 1013355148 MILLER, CYNTHIA R NP BATON ROUGE LA

01406795 1831483668 MILLER, DANIELLA MD NEW ORLEANS LA

00433884 1245233774 MILLER, MATTHEW K MD SLIDELL LA

06452861 1184884595 MILLER, REBECCA C MD NEW ORLEANS LA

00121675 1649293374 MILLER, ROBERT W MD BATON ROUGE LA

07037395 1083844591 MILLER, WARD S NP NEW ORLEANS LA

09607831 1538543509 MILLET, LACY M NP BATON ROUGE LA

May 20, 2018 64 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

02054799 1689198525 MILLET, WHITNEY B NP NEW ORLEANS LA

09553349 1659614725 MIMS, MICHELLE M MD MARRERO LA

00236333 1093007593 MINADEO, JENNIFER MD NEW ORLEANS LA

01505763 1003285057 MIRANDA, MEGAN C NP LAPLACE LA

02726832 1619320520 MISIAK, LAURA M NP NEW ORLEANS LA

09082357 1538411970 MITCHELL, MATTHEW J PA METAIRIE LA

03585311 1104034248 MITCHELL, TARA E MD SLIDELL LA

00578072 1295093243 MITCHELL, VERNELLE T NP NEW ORLEANS LA

07828361 1295749851 MODICA, ANTHONY L MD NEW ORLEANS LA

01554557 1104006279 MOEHLEN, MARTIN W MD NEW ORLEANS LA

06631811 1669528915 MOGABGAB, OWEN N MD NEW ORLEANS LA

03101771 1821266446 MOHARE, KUNTAL P MD NEW ORLEANS LA

05000046 1609162064 MOHAREB, SAMEH N MD NEW ORLEANS LA

01704031 1346209806 MOKRY, DANIEL P MD COVINGTON LA

06905753 1962637702 MOLCHANOVA-COOK, OLGA P MD PH NEW ORLEANS LA

01155876 1780846717 MOLL, DAVID E MD BATON ROUGE LA

06771046 1790001220 MOLLERE, OLIVER S MD MARRERO LA

00110942 1093769812 MOLONY, TIMOTHY B MD NEW ORLEANS LA

00124256 1730131277 MONIER, RICHELLE M MD NEW ORLEANS LA

06755208 1215969076 MONNAT, PAULA M MD COVINGTON LA

03688231 1720092166 MONNELL, KIMBERLY A DO BATON ROUGE LA

02632759 1457866634 MONTANA, SHEMIKA M NP NEW ORLEANS LA

00120513 1699795815 MONTGOMERY, LARRY L MD BATON ROUGE LA

07702214 1952589921 MONTGOMERY, MELISSA M MD NEW ORLEANS LA

03178281 1275558421 MONTGOMERY, SCOTT C MD JEFFERSON LA

06801502 1205217684 MONTZ, EMILY E PA KENNER LA

03538873 1477971232 MOODABAGIL, NIKIL V MD NEW OLREANS LA

02273049 1932463288 MOORE, AMANDA D GREENWELL SPRINGS LA

May 20, 2018 65 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

04630817 1548248552 MOORE, BRIAN A MD NEW ORLEANS LA

09988216 1336169317 MOORE, CONI FNP COVINGTON LA

01107311 1942295365 MOORE, SHEILA L MD BATON ROUGE LA

08755756 1093150104 MORAN, STEPHEN P MD JEFFERSON LA

04833780 1093031114 MORATAYA MEJIA, JAIME R MD NEW ORLEANS LA

07705558 1770763211 MOREAU, JUDY M DO NEW ORLEANS LA

05356899 1679576458 MORGAN, CLAIRE C MD NEW ORLEANS LA

03677861 1922024439 MORGAN, MICHAEL G MD BATON ROUGE LA

00124082 1972591741 MORGAN, WILLIAM L MD NEW ORLEANS LA

02574510 1306011044 MORIN, DANIEL P MD NEW ORLEANS LA

01436507 1548374440 MOROZ, KRZYSZTOF MD NEW ORLEANS LA

02871856 1669404232 MORRIS, BRIAN G NEW ORLEANS LA

08704385 1598722589 MORRIS, GEORGE B MD NEW ORLEANS LA

00120203 1487677480 MORRIS, GREGORY P MD RACELAND LA

01252711 1659340883 MORRIS, IV, GEORGE B MD NEW ORLEANS LA

01305750 1679743728 MORRISON, CORI NEW ORLEANS LA

02338060 1376510198 MORSE III, GRANVILLE A MD NEW ORLEANS LA

08525364 1629095468 MOSADEGH, MEHDI MD KENNER LA

02739204 1629328133 MOSER, JENNIFER W NP BATON ROUGE LA

06874202 1194129064 MOSLEY, VERONICA T PA NEW ORLEANS LA

00421047 1144370941 MOULEDOUX, JESSICA H MD NEW ORLEANS LA

07753373 1841545035 MUHLFELDER, DANA R MD NEW ORLEANS LA

02972059 1609219765 MUKERJEE, KIMBERLY A MD NEW ORLEANS LA

00827385 1124244389 MULAMULA, ALEXANDER K MD BATON ROUGE LA

04124729 1548487424 MULCAHEY, MARY K MD NEW ORLEANS LA

00123308 1982615407 MULDER, THEODORUS J MD NEW ORLEANS LA

00904551 1417346156 MULLINAX, SARA E PA NEW ORLEANS LA

01589244 1649461062 MUMPHREY, CHRISTY G MD NEW ORLEANS LA

May 20, 2018 66 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

06286837 1578765129 MUNDINGER, GERHARD S MD NEW ORLEANS LA

06585706 1154532653 MUNIR, SYEDA S MD NEW ORLEANS LA

02979207 1578560322 MUNKER, REINHOLD MD NEW ORLEANS LA

04108724 1629411129 MUNSHI, JUNAID A MD SLIDELL LA

01150253 1548526767 MURPHY, MEGAN K MD NEW ORLEANS LA

06354248 1922402924 MURRAY, CLAIRE L PA NEW ORLEANS LA

02609319 1447417159 MURRAY, REBECCA A MD NEW ORLEANS LA

01571005 1740703214 MURRAY, REBEKAH A PA METAIRIE LA

00604261 1285736173 MURRILL, WILLIAM B MD BATON ROUGE LA

04073541 1316289119 MUSACCHIA, PAMELA G MD MARRERO LA

00116000 1235222324 MUSHATT, DAVID M MD NEW ORLEANS LA

06738500 1801115720 MUTTER, LAUREN M MD NEW ORLEANS LA

01384386 1881012219 MYERS, GORDON E MD NEW ORLEANS LA

01572801 1881973956 MYERS, THOMAS J LACOMBE LA

06279570 1356784284 MYLES, BEVAN A MD BATON ROUGE LA

07571050 1598955973 N DANDU, ZOLA M MD KENNER LA

00123875 1174575583 NACHAR, OUSSAMA M MD NEW ORLEANS LA

04122251 1346531704 NAJUL SEDA, JOSE E MD NEW ORLEANS LA

05620771 1336378793 NAKANISHI, YUKIHIRO MD NEW ORLEANS LA

05908301 1144580762 NANFRO, JOHN M MD NEW ORLEANS LA

05204870 1760867626 NAQUIN, MATTHEW C NP BATON ROUGE LA

02574253 1366635104 NAQVI, ASGHAR Z MD BATON ROUGE LA

05021865 1194109280 NARANJO, BROOKE Q FNP NEW ORLEANS LA

00877769 1891972410 NARCISSE, ADELA M MD SLIDELL LA

09237811 1306049101 NARESH, AMBER MD NEW ORLEANS LA

08474066 1205003837 NARRA, PAVAN MD NEW ORLEANS LA

06939301 1558525642 NATH, ARUP K DO NEW ORLEANS LA

05624098 1003846015 NAVARRO, KATHRYN L FNP SLIDELL LA

May 20, 2018 67 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

09527218 1114129921 NAZEER, ABID K MD NEW ORLEANS LA

06488502 1578825899 NEESON, JOSHUA D DPM SLIDELL LA

02424756 1821401779 NEGROTTO GUNTER, MARY K PA SLIDELL LA

00116828 1942357900 NEITZSCHMAN III, HAROLD R MD SLIDELL LA

08633529 1902067242 NELSON, BROOKE T PA NEW ORLEANS LA

01300236 1437527603 NELSON, KATHERINE H PA BATON ROUGE LA

04731559 1821370032 NELSON, MICHELLE R NP BATON ROUGE LA

06005385 1669471256 NELSON, SUSAN E MD BATON ROUGE LA

02755848 1124222104 NETTLES, KARL MD BATON ROUGE LA

07608351 1437416161 NEWBY, CELESTE M MD NEW ORLEANS LA

09509291 1922067172 NEWCOMB, JAMES H MD SLIDELL LA

07702869 1598055998 NEWELL, ASHLEY C MD NEW ORLEANS LA

02489360 1063437226 NEWMAN, CHEVIES W MD COVINGTON LA

05070282 1336161363 NEWMAN, COLLEEN C CNM BATON ROUGE LA

02789541 1245434612 NEWSOM, JEREMIAH H MD NEW ORLEANS LA

07481873 1376752238 NEWSOME, NAKIA A MD BATON ROUGE LA

03204502 1124001656 NEWSOME, SR., ROBERT R MD BATON ROUGE LA

07538859 1508007576 NGUYEN, AN H MD SLIDELL LA

05959009 1962822437 NGUYEN, ANHTHAO T MD BATON ROUGE LA

05171831 1366751109 NGUYEN, GIANG T DPM NEW ORLEANS LA

02238779 1053603555 NGUYEN, HONG N PA BATON ROUGE LA

00502013 1144489691 NGUYEN, IAN H MD GRETNA LA

03053270 1255754404 NGUYEN, JENEE NP SLIDELL LA

02782811 1508896564 NGUYEN, JEREMY B MD NEW ORLEANS LA

06154735 1366686883 NGUYEN, JESSICA PA NEW ORLEANS LA

07988202 1922209055 NGUYEN, KEN T MD LAKE CHARLES LA

08787870 1154697811 NGUYEN, KHOA T MD MARRERO LA

02335258 1457675472 NGUYEN, KY V MD NEW ORLEANS LA

May 20, 2018 68 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

04804259 1164663142 NGUYEN, LE K MD NEW ORELANS LA

06631011 1932583291 NGUYEN, OANH H PA KENNER LA

01835877 1649287988 NGUYEN, SI T MD BATON ROUGE LA

02131017 1720461171 NGUYEN, TERRY T PA NEW ORLEANS LA

02303209 1679573760 NGUYEN, THANH M MD NEW ORLEANS LA

01435036 1518316546 NGUYEN, TU-ANH V PA NEW ORLEANS LA

07176597 1366633182 NGUYEN, TUAN B MD THIBODAUX LA

07373334 1962764761 NGUYEN, TUAN D MD MARRERO LA

08504361 1598927667 NICAUD, MARK J MD COVINGTON LA

00123413 1316955776 NICHOLL, JEFFREY S MD NEW ORLEANS LA

05353838 1235546524 NICHOLS, CHRISTOPHER D NP BATON ROUGE LA

05931276 1427050822 NICOLETTI, LISA DNP NEW ORLEANS LA

09179350 1780869743 NIELSEN, NATHAN D MD NEW ORLEANS LA

03653786 1265487789 NIKOLIC, AJSA A MD METAIRIE LA

00159832 1003225905 NINH, HA K OD SLIDELL LA

02673265 1356328975 NISSENBAUM, MICHAEL A MD NEW ORLEANS LA

00227541 1972845915 NIX, RACHEL H MD GRETNA LA

09334866 1699950899 NIYAZOU, DMITRIY M MD NEW ORLEANS LA

06600349 1700081932 NIYOGI, ANJALI MD NEW ORLEANS LA

05202301 1558506782 NNADI, JOHN O MD BATON ROUGE LA

08386575 1356534168 NNEDU, OBINNA N MD NEW ORLEANS LA

02934827 1700393493 NORDMAN, GLYNIS M NP BATON ROUGE LA

02831868 1972929651 NORMAN, DEANTA S NP BATON ROUGE LA

07389745 1669651196 NORMAN, JOANN NP SLIDELL LA

09733889 1861909525 NORMAND, APRIL J NP BATON ROUGE LA

07259354 1811271729 NORTH, KATHERINE M NP NEW ORLEANS LA

06234082 1801856232 NORTON, THOMAS C MD FERRIDAY LA

00117417 1215982327 NOSSAMAN, BOBBY D MD NEW ORLEANS LA

May 20, 2018 69 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

02736269 1346568227 NOVICK, MICHAEL K MD NEW ORLEANS LA

01171212 1699936955 NUNEZ, CHARLES J MD WALKER LA

06501711 1639191893 NUSSBAUMER, III, DAVID P MD BATON ROUGE LA

02180839 1407801517 NUSSDORF, JONATHAN D MD NEW ORLEANS LA

02285390 1265731475 NWOKOLO, IRENE O DPM BATON ROUGE LA

07584049 1255473625 NWOSU, HILARY C MD NEW ORLEANS LA

00119655 1104816115 NYBOER, JOHN E MD BATON ROUGE LA

08426851 1689715013 O'NEAL, CATHERINE S MD BATON ROUGE LA

03353568 1154533438 O'NEAL, JEREMY MD BATON ROUGE LA

06477036 1518235977 O'QUIN, MELISSA R NP SLIDELL LA

04903578 1336451723 OBENG, KWAKU A MD NEW ORLEANS LA

00252560 1487862926 OBERLANDER, ERIC K MD BATON ROUGE LA

00426023 1265527469 OBERLELMAN, RICHARD A MD NEW ORLEANS LA

01789248 1104960657 OBRIEN, MICHAEL J MD NEW ORLEANS LA

02278707 1801204680 OBRIEN, MICHELLE NP NEW ORLEANS LA

01479084 1801091962 OCCHIPINTI, ELISE A MD NEW ORLEANS LA

09759816 1578656815 OCCHIPINTI, KAITLIN E MD NEW ORLEANS LA

06289211 1386665305 OCHOA, AUGUSTO C MD NEW ORLEANS LA

02353566 1235450610 ODELOLA, OLAIDE A MD SLIDELL LA

01700701 1518496819 OFFNER, AMANDA NP CHALMETTE LA

03231725 1407983216 OGDEN, BRIAN NEW ORLEANS LA

00112086 1609909670 OGDEN, LAUREN F MD BATON ROUGE LA

00224034 1104101435 OGLESBEE, LAUREN K PA NEW ORLEANS LA

04722557 1871806448 OLARU, CRISTIANA L MD NEW ORLEANS LA

08470811 1487827804 OLDENDORF, MELANIE PA NEW ORLEANS LA

04457341 1689801557 OLECK, SYLVIA A MD NEW ORLEANS LA

08089802 1225404460 OLINDE, KRISTENE W PA BATON ROUGE LA

09173210 1659393668 OLISTER, STACI M MD NEW ORLEANS LA

May 20, 2018 70 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

03050097 1689850026 OLIVA, IRMA V MD KENNER LA

03588736 1487086096 OLIVER, CRISTINA NP NEW ORLEANS LA

06833768 1659699726 OLIVIER, JENNIFER MD SLIDELL LA

05332541 1689835506 OLIVIER, KRISTINE U MD NEW ORLEANS LA

01233313 1619966819 OLSON, JON D MD BATON ROUGE LA

01708573 1811164098 ONG, MARICELLE O MD KENNER LA

04108544 1871739722 ONYENEKWU, NKEIRUKA N MD COVINGTON LA

00477057 1073614723 OPERE, CAXTON A MD FERRIDAY LA

02654014 1194915405 OPOKU BOATENG, ADWOA S MD NEW ORLEANS LA

03053511 1972977890 OPPENHEIMER, JENNA M PA NEW ORLEANS LA

00125286 1932153376 OREJARENA, LEONARDO A MD COVINGTON LA

09658552 1508218561 ORGERON, AMY M NP NEW ORLEANS LA

05775550 1922322940 ORGERON, THOMAS J MD SLIDELL LA

00121522 1396799177 ORTENBERG, JOSEPH MD NEW ORLEANS LA

07485095 1639226434 ORY, BRIDGET A MD SLIDELL LA

04028509 1962566166 OSORIO, BLANCA I MD NEW ORLEANS LA

03729719 1447453782 OSTEEN, KRISTIE D MD NEW ORLEANS LA

08074233 1235653890 OSU, ROSALINE S NP BATON ROUGE LA

08400842 1639248669 OUBRE, KATHRYN R MD COVINGTON LA

00531845 1669726287 OUBRE, MIA P NP BATON ROUGE LA

03126855 1518386648 OUBRE, ROBERT C MD BATON ROUGE LA

08482569 1457617367 OWEN, CHRISTOPHER P MD NEW ORLEANS LA

08077080 1336330463 OWEN, JUSTIN L MD SLIDELL LA

00652761 1063749968 OWENS, MEGAN A PA NEW ORLEANS LA

02776204 1275500548 OWENS, MICHAEL D MD BATON ROUGE LA

02821221 1639185473 PADIGALA, KIRAN K MD BATON ROUGE LA

00101241 1932495470 PAGE, BRANDON A MD GRETNA LA

02777031 1811132152 PAGE, PAUL N MD NEW ORLEANS LA

May 20, 2018 71 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07478009 1245402908 PAGES ARROYO, ELAINE M MD NEW ORLEANS LA

05124718 1194988915 PAGOULATO, DIMITRI N PA-C BATON ROUGE LA

00223064 1134164551 PAINE, ARCHANA R MD NEW ORLEANS LA

00922010 1073696407 PALACIOS, ENRIQUE MD NEW ORLEANS LA

03906836 1356840268 PALMISANO, NICHOLE NP NEW ORLEANS LA

01774753 1104880152 PALOMINO, JAIME MD NEW ORLEANS LA

04839747 1568778066 PANCOAST, BRIDGET H PA-C BATON ROUGE LA

04335858 1568810521 PANDIS, NICHOLAS SLIDELL LA

04223262 1902102148 PANDIT, SINDHU MD HARAHAN LA

04823214 1821132192 PANUNTI, BRANDY A MD NEW ORLEANS LA

01926091 1356340756 PAPIZAN, STEPHEN L MD BATON ROUGE LA

06782719 1376603969 PAPPAS III, NICHOLAS D MD NEW ORLEANS LA

05236790 1255390738 PARAMESH, ANIL S MD NEW ORLEANS LA

06884062 1831416304 PAREKH, VIPUL V MD BATON ROUGE LA

07801816 1104081033 PARENT, KRISTY K PAC BATON ROUGE LA

01408355 1205282738 PARFAIT, KELLIE V NP BATON ROUGE LA

05971790 1376799692 PARIDON, HEIDI DDS SLIDELL LA

06774017 1154618619 PARIKH, KHUSHBOO N MD BATON ROUGE LA

03029590 1629183157 PARIS, KENNETH NEW ORLEANS LA

09326767 1215967096 PARISE, ANGELA M MD NEW ORLEANS LA

02470860 1861682189 PARK, JASON L MD NEW ORLEANS LA

01080551 1750342788 PARKER, JANINE S MD SLIDELL LA

08827582 1932243532 PARKER, TRACY M FNP NEW ORLEANS LA

00124795 1073568911 PARKERSON, JENNIFER M MD NEW ORLEANS LA

00885892 1740470061 PARKS, JOSHUA D MD NEW ORLEANS LA

07729751 1679588198 PARRA, AUGUSTO MD NEW ORLEANS LA

03589292 1649225418 PARRINO, PATRICK E MD NEW ORLEANS LA

00110113 1356330443 PARTINGTON, CURTIS R MD BATON ROUGE LA

May 20, 2018 72 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

04983346 1376869875 PARTRICH, CATHERINE M BATON ROUGE LA

09701376 1326060195 PASTERNAK, RYAN MD NEW ORLEANS LA

06401511 1801842158 PATEL, HUMANG M MD NEW ORLEANS LA

00232796 1750386587 PATEL, JASH I MD NEW ORLEANS LA

02580291 1114154994 PATEL, LEENA S MD BATON ROUGE LA

09327561 1578705620 PATEL, PALVI MD BATON ROUGE LA

06175278 1336382480 PATEL, PINKY J MD NEW ORLEANS LA

01908865 1699851071 PATEL, RAJAN A MD NEW ORLEANS LA

08880756 1992018774 PATEL, RAJSHREE M MD NEW ORLEANS LA

07353897 1437352226 PATEL, ROOPA R DO WALKER LA

01577704 1356526917 PATEL, SAMIR K MD BATON ROUGE LA

06172213 1538697446 PATEL, SARENA PA NEW ORLEANS LA

00116750 1780685917 PATRICK, HENRY C MD BATON ROUGE LA

00124880 1760625503 PATRICK-ESTEVE, JESSICA L MD NEW ORLEANS LA

00354555 1063842722 PATRON, EMILIE L NP NEW ORLEANS LA

00125041 1518913862 PATTERSON, JOHN T MD METAIRIE LA

00650301 1124204805 PATTERSON, MATTHEW E MD NEW ORLEANS LA

06586028 1750375390 PAUL, MARC H MD NEW ORLEANS LA

03828854 1417369869 PAULK, EMILY M MD METAIRIE LA

00988776 1134449333 PAYER, ANN DDS SLIDELL LA

00508323 1275793275 PEACOCK, ELIZABETH K MD NEW ORLEANS LA

05087813 1295721462 PEACOCK, LISA M MD NEW ORLEANS LA

02732806 1750572087 PEARL, RICHARD W MD SLIDELL LA

04581567 1346367414 PECHITTY, SMITA S MD BATON ROUGE LA

07029023 1902975543 PEELER, BENJAMIN B MD NEW ORLEANS LA

08257251 1124027925 PEI, LEO A MD NEW ORLEANS LA

05374851 1982683199 PEJIC, RADE N MD NEW ORLEANS LA

05551546 1205846722 PEKAREK, DAWN M MD NEW ORLEANS LA

May 20, 2018 73 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

04784589 1750558391 PERCAK, JEFFREY M MD NEW ORLEANS LA

09135575 1003128463 PERDOMO, JOEL E MD SLIDELL LA

06722869 1518257443 PEREZ, SARAH R MD NEW ORLEANS LA

08383363 1487913968 PERKINS, LINNEA T MD METAIRIE LA

02331224 1053301150 PERKOWSKI, PAUL E MD HAMMOND LA

00120579 1386647782 PERNENKIL, RATNAKAR MD SLIDELL LA

03188836 1396285821 PERRY, CARRIE D NP BATON ROUGE LA

08529737 1528176112 PERRY, DONALD R MD TALLULAH LA

04352298 1982894630 PERSON, MARJORIE MD NEW ORLEANS LA

00923576 1780845503 PETERSON, DIANA M MD NEW ORLEANS LA

02105357 1568618916 PETERSON, TIM G MD NEW ORLEANS LA

02078279 1841443272 PETERSON, WENDY R NP KENNER LA

05558260 1033320452 PETITTO III, FRANCIS J MD SLIDELL LA

07931777 1609879659 PETROFF, GLENDA B FNP-C ABITA SPRINGS LA

01034231 1255306783 PETTIFORD, BRIAN L MD NEW ORLEANS LA

00121386 1144322421 PETTITT, TIMOTHY MD NEW ORLEANS LA

00116680 1841291333 PETTY, FRED H BATON ROUGE LA

05107742 1508809153 PEYROUX, MICHELLE H NP SLIDELL LA

04786741 1821128851 PFINGSTAG, CONSTANCE S CNM NEW ORLEANS LA

04300285 1164640587 PHAM, CHUNG V MD NEW ORLEANS LA

00471007 1093704181 PHAM, JYOTI S MD BATON ROUGE LA

04673267 1851830145 PHAYER, HILLARY A NP COVINGTON LA

01407771 1710329263 PHILLIPS, ANGRIELLE N NP BATON ROUGE LA

09731876 1881893808 PHILLIPS, BRANDON MD WEST MONROE LA

08530818 1770846388 PHILLIPS, MELISSA H NP WALKER LA

04320242 1326056037 PHILLIPS, NATALIE MD TALLULAH LA

01150707 1043258510 PIAZZA, VANESSA M MD KENNER LA

05528782 1245540038 PICKERILL, MEGAN R PA KENNER LA

May 20, 2018 74 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

02186274 1932579976 PIERCE, ERIN M NP NEW ORLEANS LA

01286249 1851727192 PIERRE, BRIDGETTE J NP BATON ROUGE LA

07535083 1346459567 PIERRE, DEIDRA L NP NEW ORLEANS LA

07987526 1063507002 PIERRE, EMILE J MD LAPLACE LA

07474744 1235366626 PIGGOTT, KURT D MD NEW ORLEANS LA

06327795 1043469992 PILIKA, ASTI MD NEW ORLEANS LA

03772070 1164749909 PINSKY, MICHAEL R MD SLIDELL LA

03803265 1740671239 PIPSAIR, JEANNE L PA NEW ORLEANS LA

09175589 1437326709 PIVACH, SARAH E MD MANDEVILLE LA

03239088 1780842484 PIZZA, ANDREW J MD SLIDELL LA

01239857 1205816436 PLACE, LAURA L MD SLIDELL LA

02875738 1730179839 PLAISANCE, KEVIN C MD COVINGTON LA

05555570 1306102991 PLANCHARD, JEFFREY A MD NEW ORLEANS LA

00606517 1538460845 PLAUCHE, LISA B NP KENNER LA

04988860 1174878755 POGRIBNA, ULANA MD NEW ORLEANS LA

05733746 1598928418 POLIN, GLENN M MD NEW ORLEANS LA

05909899 1689617805 POLIN, NICHOLE M MD NEW ORLEANS LA

00787003 1598005522 PONSTEIN, LINDSAY M APRN SLIDELL LA

05907803 1043264971 PORADA, PATRICIA C MD NEW ORLEANS LA

02935049 1669501490 PORCHE, BRIAN L MD METAIRIE LA

03039235 1912265612 PORES, NOAH D MD NEW ORLEANS LA

00101504 1730101601 PORTA, SCOTT BATON ROUGE LA

07327806 1386748861 PORTER, SHERI W NP NEW ORLEANS LA

02606260 1548402399 POSAS, III, JOSE H MD NEW ORLEANS LA

07835532 1104879659 POTASH, MORDECAI N MD NEW ORLEANS LA

08154048 1093903726 POTHINENI, KOTESWARA R MD SLIDELL LA

00124876 1194741355 POUW, I. VICTOR V MD SLIDELL LA

06126351 1386694560 POWELL, ALICE C BAKER LA

May 20, 2018 75 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

01880093 1821344904 POWELL, MELANIE A MD NEW ORLEANS LA

02386390 1548265812 POWERS, DAVID R MD COVINGTON LA

08532519 1831510023 POYADOU, JASON T PA NEW ORLEANS LA

02835569 1205193034 PRAJAPATI, KIRANKUMAR A MD SLIDELL LA

09203899 1336296128 PRASAD, PINKI MD NEW ORLEANS LA

09823577 1164650438 PRASANKUMAR, RAHUL P MD NEW ORLEANS LA

08309766 1619386737 PRATHER, KIMBERLY T NP COVINGTON LA

06388846 1821258732 PREJEANT, JILL M MD GRETNA LA

00950201 1053598615 PREMPEH, OSEI B MD METAIRIE LA

02025353 1154750818 PRESLEY, STEVEN E PA BATON ROUGE LA

02283348 1841507340 PRETUS-HUDSON, MELISSA NP NEW ORLEANS LA

03826759 1720154461 PRICE, DARRELL J NP BATON ROUGE LA

09108771 1598190373 PRICE, LORRI NP KENNER LA

05339374 1952496150 PRICE-HAYWOOD, EBONI G MD EW ORLEANS LA

00113704 1699868471 PRIDJIAN, GABRIELLA MD NEW ORLEANS LA

09254541 1649721861 PROCTOR, LEE T NP TERRYTOWN LA

05132864 1780843607 PROUT, DAVEY L MD BATON RAOUGE LA

02457711 1083972715 PRUDHOMME, AMY V DO NEW ORLEANS LA

03130822 1710396718 PRUDHOMME, MARIA G NP NEW ORLEANS LA

08922269 1942616321 PRUITT, ANDREA C DNP BATON ROUGE LA

00037821 1881649820 PSOMAS, NIKOLAOS G MD GRETNA LA

06255565 1083983555 PUCKETT, CINDY L PA NEW ORLEANS LA

09839864 1669767133 PULLMAN, SHEENA M MD KENNER LA

06209361 1255575494 PUTNAM, PHILIP J MD NEW ORLEANS LA

09280289 1659581536 QAMRUDDIN, SALIMA MD NEW ORLEANS LA

00834535 1679992549 QAYUM, SEEMA B MD NEW ORLEANS LA

09239580 1952545972 QUEEN, KATIE MD COVINGTON LA

04206331 1073773149 QUIN, CARA C MD BATON ROUGE LA

May 20, 2018 76 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00011464 1336195684 QUINET, ROBERT J MD NEW ORLEANS LA

05429374 1225404007 QUINN, ROBERT K NP NEW ORLEANS LA

08874880 1306364245 RABB, CARLNETTA NP NEW ORLEANS LA

06775889 1306364245 RABB, CARLNETTA NP NEW ORLEANS LA

00120418 1619939410 RABITO JR, FELIX G MD COVINGTON LA

05188708 1518197086 RAFIQUE, AMINA MD NEW ORLEANS LA

07580708 1609982479 RAGAS, ANGIE M MD SLIDELL LA

00118654 1649482738 RAGLAND, HOWARD P MD NEW ORLEANS LA

02029201 1801863170 RAGUSA, STEVEN A MD METAIRIE LA

01980806 1669530028 RAINA, SANJAY MD SLIDELL LA

05602370 1659632842 RAJKUMAR, JENNIFER J MD GRETNA LA

07073761 1720244866 RAMALINGAM, VIJAY MD NEW ORLEANS LA

05903075 1316103146 RAMEE, EMILY J MD NEW ORLEANS LA

00111795 1780630038 RAMEE, STEPHEN R MD NEW ORLEANS LA

04506043 1073923140 RAMEY, KRISTI N PA SLIDELL LA

05721029 1669665808 RAMIREZ, ROBERT A DO NEW ORLEANS LA

09336561 1538401393 RAMOS, BRENNA B MD SLIDELL LA

01777329 1386645356 RAMPOLLA SELLES, REINALDO E MD NEW ORLEANS LA

06171741 1790740694 RAMSAY, RICHARD E MD NEW ORLEANS LA

05000053 1336446657 RAMSEY, KRISTEN C NP NEW ORLEANS LA

03302581 1114118262 RANDOLPH, SHALAN M NP NEW ORLEANS LA

00124427 1740235746 RANDRUP, EDUARDO R MD COVINGTON LA

06658261 1366676223 RANNEY, NATHANIEL R MD COVINGTON LA

06489320 1326364993 RAO, RASHMI R MD NEW ORLEANS LA

05439884 1225127509 RARESHIDE, ELISABETH H MD NEW ORLEANS LA

06100793 1154581825 RASBERRY, MATTHEW M MD BATON ROUGE LA

03855858 1215313903 RASBERRY, RANDI N PA NEW ORLEANS LA

05676849 1245525419 RAU, NICHOLAS J MD MARRERO LA

May 20, 2018 77 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

01001734 1518254010 RAVEENDRAN, KRISTINA V MD NEW ORLEANS LA

05376217 1851583132 RAVIPATI, LAKSHMI NEW ORLEANS LA

06632772 1114123627 RAY, ADRIENNE P MD NEW ORLEANS LA

02806386 1922155720 RAY, ARNAB MD NEW ORLEANS LA

01907299 1396015293 RAY, LAURIE C FNP NEW ORLEANS LA

08305238 1760522668 RAY, ROBYN T NP ALEXANDRIA LA

01381264 1629041777 RAYMOND, SIDNEY H MD DESTREHAN LA

00051252 1861843070 REA, EMILY A PA WALKER LA

01388013 1609162304 REBOUL, JEFFERY DO BOGALUSA LA

05501847 1609181452 REDDY, DEEPTI M MD NEW ORLEANS LA

00126318 1497773535 REDDY, GOLLAMUDI H MD SLIDELL LA

05836577 1780826453 REDDY, SUMANTH K DO BATON ROUGE LA

07921058 1659721702 REED, JESSICA NP NEW ORLEANS LA

08635724 1336148261 REED, SANDY S BATON ROUGE LA

00111075 1932174166 REES, ANDREW P MD BATON ROUGE LA

07954748 1164576955 REGAN, WILLIAM M MD NEW ORLEANS LA

00126429 1881640134 REILLY, JOHN P MD NEW ORLEANS LA

03955004 1922325612 REILLY, LESLIE K MD NEW ORLEANS LA

05057794 1619032646 REITAN, RACHEL E MD NEW ORLEANS LA

08877050 1730454059 REMEDIOS, PAUL METAIRIE LA

00124134 1699721944 RESTREPO, ROBERT MD NEW ORLEANS LA

03339736 1194012609 REYES-ANGELES, MARIA M MD BATON ROUGE LA

05983508 1336194331 REYMOND, RENEE F MD NEW ORLEANS LA

09727599 1942434147 REYNAUD, PETER S MD NEW ORLEANS LA

08829263 1669771473 REYNOLDS, KELLIN K MD RACELAND LA

07852551 1023350816 RHODES JR, JOHN B MD SLIDELL LA

08539341 1972840536 RICCOBONO, MARGARET A PA GRETNA LA

09529293 1235313982 RICE, MATTHEW C MD NEW ORLEANS LA

May 20, 2018 78 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

08753376 1144228495 RICE, STEPHEN D MD VIDALIA LA

00017854 1336120302 RICH, GARY M MD NEW ORLEANS LA

00435700 1316042641 RICHARD, ANITA J APRN COVINGTON LA

03809331 1669841938 RICHARD, BROOKE E PA NEW ORLEANS LA

09272304 1730183674 RICHARD, PAMELA E MD COVINGTON LA

01577313 1669613956 RICHARD, TRENNA C NP HAMMOND LA

01502770 1770919516 RICHARDS, HANNAH PA LA PLACE LA

02471011 1457511362 RICHARDS, JONATHAN M MD BATON ROUGE LA

00117737 1578502605 RICHARDS, LISA F MD NEW ORLEANS LA

09503346 1578846598 RICHARDSON, SHANDA S NP COVINGTON LA

05472584 1245279736 RICHARDSON, WILLIAM MD NEW ORLEANS LA

02729553 1194782839 RICHEY, LAURA C MD COVINGTON LA

00120837 1265488720 RIDDELL, TIMOTHY L MD COVINGTON LA

04407711 1932526084 RIEHM, KAREN L NP MANDEVILLE LA

00012561 1205890662 RIGBY, C SWAYZE MD BATON ROUGE LA

00123714 1326041856 RIGOL, JASON A MD SLIDELL LA

04224831 1518184951 RINK, JOHN E PA NEW ORLEANS LA

05288777 1467669887 RISENER, FREDERICK S MD THIBODAUX LA

05725082 1851459911 RITTER, MELISSA M DDS SLIDELL LA

04832872 1497048037 RIVE', KATHRYN P NP NEW ORLEANS LA

04420828 1215127907 RIVENBURGH, MATTHEW B MD SLIDELL LA

07353266 1043655798 RIVERA RIVERA, KARLA B MD NEW ORLEANS LA

07055041 1275973216 RIVERA, CAROLINA DDS SLIDELL LA

00118436 1215959085 RIVERA, DANA L MD NEW ORLEANS LA

01124055 1033646963 RIVERA, DONNA I NP NEW ORLEANS LA

08755559 1801115803 RIVERE, AMY E MD NEW ORLEANS LA

06132276 1558300673 ROBERIE, MARGARET A MD NEW ORLEANS LA

02305318 1427078419 ROBERTS III, RICHARD MD COVINGTON LA

May 20, 2018 79 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00705503 1356584254 ROBERTS, BRETT T MD NEW ORLEANS LA

05487510 1518940428 ROBERTS, CATHERINE C MD NEW ORLEANS LA

06378091 1972659506 ROBERTS, ORITSEJOLOMI A MD NEW ORLEANS LA

03001746 1679570709 ROBERTS, SEAN M MD COVINGTON LA

07538857 1376972570 ROBERTSON, KELLI B NP METAIRIE LA

00580841 1356397947 ROBICHAUX, ALFRED G MD NEW ORLEANS LA

03058343 1194006908 ROBICHAUX, PATRICIA R MD NEW ORLEANS LA

04283879 1982922589 ROBINSON, DANNY L MD BATON ROUGE LA

03374899 1831203074 ROBINSON, DEAN E MD NEW ORLEANS LA

06453545 1255712899 ROBINSON, REAGEN N PA BATON ROUGE LA

02335861 1518064617 ROBINSON, THOMAS W PA MANDEVILLE LA

00119382 1649210733 ROBINSON, WANDA M MD NEW ORLEANS LA

05678711 1285961961 ROBLEDO, ROSEMARIE DO BATON ROUGE LA

05183768 1588979603 ROBVAIS, VERONICA NP KENNER LA

05732276 1184865172 RODI, JAKE J MD BELLE CHASSE LA

00114495 1093716565 RODNEY, EVENS BATON ROUGE LA

04624261 1851364566 RODRIGUEZ, KIMSEY H MD NEW ORLEANS LA

02079327 1356370787 RODRIGUEZ, RAMON F MD NEW ORLEANS LA

01253027 1942223003 RODRIQUEZ MADERA, VICTOR F MD BATON ROUGE LA

00111081 1598712309 RODWIG JR, FRANCIS R MD NEW ORLEANS LA

00704062 1750605770 ROGERS, CORNEL T MD NEW ORLEANS LA

07685091 1417325218 ROGERS, NICOLETTE D PA WALKER LA

07955878 1598926420 ROGERS, PAUL A MD NEW ORLEANS LA

00125769 1629098850 ROHEIM, JOHN G MD SLIDELL LA

09759338 1518228212 ROI, CODY DO NEW ORLEANS LA

02483890 1740208867 ROMAGUERA, MICHAEL H MD ZACHARY LA

00122890 1386643682 ROMANO, ESTEBAN O MD SLIDELL LA

02878803 1366539991 ROMERO, RICARDO V MD NEW ORLEANS LA

May 20, 2018 80 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00527058 1497774434 ROMICK, BENJAMIN G MD KENNER LA

00111999 1639172687 ROPPOLO, MICHAEL MD BATON ROUGE LA

02907034 1366682700 ROSEBOOM, MARJORIE S NP SLIDELL LA

00125818 1053351684 ROSENBERG, ALLAN J MD NEW ORLEANS LA

05927851 1235113770 ROSKOS, INGRID K MD SLIDELL LA

04682011 1790073393 ROSS, RENEE PA NEW ORLEANS LA

00720216 1235578212 ROSS, WESLEY T NP BATON ROUGE LA

01886096 1669440749 ROSSI, JANET L MD NEW ORLEANS LA

04835717 1821289950 ROSSITER, KIRK N MD SLIDELL LA

03003311 1194920462 ROTH, CHRISTOPHER C MD NEW ORLEANS LA

05074327 1982014072 ROTHSTEIN, SUSANNAH S MD BATON ROUGE LA

09036711 1639391261 ROTHWELL, WILLIAM B MD NEW ORLEANS LA

09682267 1013952852 ROUT, WILLIAM R MD NEW ORLEANS LA

01138041 1508955410 ROVIRA, DANIEL R MD NEW ORLEANS LA

00829058 1063472645 ROWLAND, SHERYL L MD SLIDELL LA

03053256 1134452394 ROY, ANGELA L PA BATON ROUGE LA

07123361 1710189337 ROY, BRANDY D MD COVINGTON LA

08608758 1205006111 ROY, MELISSA H MD BATON ROUGE LA

08482329 1114186921 ROYBAL, JESSICA L MD NEW ORLEANS LA

05571799 1629106158 RUBIN, RYAN E MD KENNER LA

06624822 1700073640 RUDMAN, ERNEST MD NEW ORLEANS LA

09627338 1053314583 RUIZ, DARREN P SLIDELL LA

06107379 1679769657 RUSSELL, REBECCA H NNP KENNER LA

00187861 1376700591 RUSSO II, JAMES K MD BATON ROUGE LA

09801776 1174971394 RUSSO, KRISTIN NP SLIDELL LA

05973785 1205031531 RUSSO, MELISSA B MD NEW ORLEANS LA

03038339 1518214477 SAALE, BRITTANY W NP BATON ROUGE LA

03653704 1497710230 SABHARWAL, VIVEK MD NEW ORLEANS LA

May 20, 2018 81 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

01853293 1710265830 SABIN, AIMEE E PA MANDEVILLE LA

09408503 1780932863 SABRIER, ASHLEY NP COVINGTON LA

06987841 1861844086 SAENZ, STEPHEN M PA NEW ORLEANS LA

00117552 1447344783 SAFAH, HANA F MD NEW ORLEANS LA

07974212 1467697839 SAHAI, ACHAL MD NEW ORLEANS LA

05174061 1366686727 SAHU, PRIYA D MD NEW ORLEANS LA

04820523 1740460955 SAITO, SHIGEKI MD NEW ORLEANS LA

03280700 1144253931 SAKETKOO, LESLEY A MD NEW ORLEANS LA

03574275 1326013194 SALCEDO, LUIS F MD NEW ORLEANS LA

06083530 1770714925 SALEEBY, JENNY R PA NEW ORLEANS LA

00501041 1699846717 SALEH, ELAINE M MD NEW ORLEANS LA

00302763 1316208705 SALERIAN, JUSTIN A MD NEW ORLEANS LA

07428391 1245751544 SALEZ, CARLY M NP NEW ORLEANS LA

07931537 1922065762 SALNA, JONAS MD KENNER LA

03253038 1265753412 SAMPLES, STEFANI M MD NEW ORLEANS LA

08505299 1992916621 SAMPSON, AVERY H MD MARRERO LA

08957890 1679705263 SAMSON, ROHAN MD NEW ORLEANS LA

00123840 1164429437 SAMUEL, JONES MD BATON ROUGE LA

08506850 1558656025 SANCHEZ, CHRISTOPHER A MD LACOMBE LA

01139305 1023337417 SANCHEZ, ERICK R MD BATON ROUGE LA

07684861 1417271438 SANDER, ANDREW D MD LULING LA

09484322 1144689399 SANDERS, RACHELLE M NP BATON ROUGE LA

06175050 1285877340 SANDERS, RONDA J MD NEW ORLEANS LA

05950720 1770596900 SANDERS, TAYLOR W MD BOGALUSA LA

06655080 1033418835 SANDERSON, JOSHUA D MD NEW ORLEANS LA

08159228 1437311990 SANDERSON, TODD M MD NEW ORLEANS LA

04380013 1952542912 SANDLIN, CHELSEY T MD NEW ORLEANS LA

06222342 1851659486 SANDOW, MARGUERITE D MD NEW ORLEANS LA

May 20, 2018 82 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

04525863 1376929505 SANTA ANA, EMILY T NP BATON ROUGE LA

04634050 1154642239 SANTA MARIA, JED A MD NEW ORLEANS LA

07658303 1811957418 SARAI, PAUL S MD NEW ORLEANS LA

00125468 1063452340 SARGENT, WILLIAM T MD NEW ORLEANS LA

09789762 1003076936 SARKAR, KORAK MD NEW ORLEANS LA

09253365 1740556299 SARKAR, SHUBHO MD NEW ORLEANS LA

05579897 1770505786 SARMINI, MAHMOUD M MD NEW ORLEANS LA

00579708 1801877501 SARTOR, ALTON O MD NEW ORLEANS LA

08671214 1689017477 SASSER, CHARLES G MD BATON ROUGE LA

00016855 1952481582 SASSONE, RANDOLPH E MD NEW ORLEANS LA

08455362 1861683906 SATTI, SUMA P MD NEW ORLEANS LA

00104011 1841333051 SAUCIER, ASHLEY B MD BATON ROUGE LA

03831856 1992095269 SAUNCY, HILARI S MD NEW ORLEANS LA

03484382 1255570495 SAVARD, MAXIME G DPM KENNER LA

00115767 1437147659 SAVOIE III, FELIX H MD NEW ORLEANS LA

07736733 1700243623 SAVOIE, MIA B NP NEW ORLEANS LA

01189265 1861712127 SCHENK, MEGHANN L MD BATON ROUGE LA

08588824 1336136589 SCHERER III, CARL W MD BATON ROUGE LA

08239873 1922016757 SCHEUERMANN, JENNIFER B PA NEW ORLEANS LA

01150076 1083913271 SCHEXNAILDRE, BROOKE C MD NEW ORLEANS LA

08436348 1063467165 SCHEXNAYDER, LALANIA K MD BATON ROUGE LA

00824004 1194995936 SCHIEFFELIN, JOHN S MD NEW ORLEANS LA

01027761 1619975836 SCHIRO, RICHELLE D MD ABITA SPRINGS LA

03854261 1073928511 SCHMIDT, ERICA E NP NEW ORLEANS LA

03036508 1417007519 SCHMIEG III, JOHN J MD NEW ORLEANS LA

05059780 1639589245 SCHNEIDER, BROOKELYN N PA NEW ORLEANS LA

06870397 1639405335 SCHNEIDER, CHRISTOPHER L PA COVINGTON LA

05001092 1972735819 SCHNEIDER, HANNAH S PA SLIDELL LA

May 20, 2018 83 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00738271 1790903292 SCHONBRUN, PAUL J DO TALLULAH LA

00458059 1780927129 SCHOTTELKOTTE, JESSIKA N NP KENNER LA

04257243 1023437977 SCHROCK, JASON P MD PLAQUEMINE LA

00681304 1316954068 SCHUBER, SCOTT B MD NEW ORLEANS LA

02429841 1558326827 SCHUBERT, ARMIN MD NEW ORLEANS LA

00123804 1679526438 SCHUETTE, MATT L MD SLIDELL LA

03239090 1902808587 SCHULTE, BRIAN P MD DENHAM SPRINGS LA

02435751 1043467368 SCHULTZ, SCOTT C MD NEW ORLEANS LA

00013537 1871517250 SCHUNIOR, RICHARD J M.D. SLIDELL LA

05470004 1841209756 SCOPELITIS, EVE G MD NEW ORLEANS LA

07577750 1245269711 SCOTT JR, FLOYD E MD BATON ROUGE LA

04259016 1669646998 SCOTT JR, JOHN W MD NEW ORLEANS LA

09973377 1760447882 SCRANTZ, KELLY J BATON ROUGE LA

01258890 1811934219 SCROGGINS, TROY G MD JEFFERSON LA

07951222 1336556885 SCROGGS, AIMEE L NP NEW ORLEANS LA

01531395 1982607420 SCROGGS, ELIDIA A NP WALKER LA

09858074 1386809739 SEA, STEPHANIE A MD BATON ROUGE LA

04835854 1831427806 SEAL, JOHN B MD NEW ORLEANS LA

02403306 1073871604 SEALS, SHANNON R MD NEW ORLEANS LA

08630394 1508288853 SEBBAG, SARAH MD NEW ORLEANS LA

00012432 1962561191 SEDRISH, MARIELISA S MD SLIDELL LA

00012415 1992864128 SEDRISH, PHILLIP P MD SLIDELL LA

00589305 1568661437 SEELY, BRYAN P PA NEW ORLEANS LA

00119176 1700922069 SEKI, IBRAHIM MD VIDALIA LA

03837203 1790993319 SENTER, BRUCE S MD NEW ORLEANS LA

00124395 1629025069 SEOANE, LEONARDO MD NEW ORLEANS LA

00124158 1881788131 SERNICH, STEFFAN MD NEW ORLEANS LA

09085506 1396809471 SEROU, MICHAEL J MD NEW ORLEANS LA

May 20, 2018 84 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

08172388 1922080126 SERRANO, MARIA STELLA MD NEW ORLEANS LA

03227251 1740287820 SERRANT, PEDRO SLIDELL LA

05877051 1497013544 SETAYESH, KIAN MD JEFFERSON LA

04704260 1447561824 SEVY, ALEXANDER B MD BATON ROUGE LA

02672211 1255592788 SEYMOUR, JOHN B MD SLIDELL LA

00119378 1548201742 SEYMOUR, MARY L MD SLIDELL LA

07054089 1154724029 SHAFFER, LYNSEY A PA JEFFERSON LA

03577056 1285639211 SHAFFETT, TODD P FNP BATON ROUGE LA

04678881 1639154982 SHAFFREY, JULIE K MD NEW ORLEANS LA

02732741 1528042702 SHAFOR, ROBERT V MD SLIDELL LA

00479367 1528042702 SHAFOR, ROBERT V MD SLIDELL LA

07803701 1225052319 SHAH, JANAK N MD NEW ORLEANS LA

05857741 1720258114 SHAH, NEEL MD COVINGTON LA

05901818 1770537128 SHAH, PULIN A MD NEW ORLEANS LA

08722330 1952342560 SHAH, SANGEETA B MD NEW ORLEANS LA

02304273 1740302710 SHAH, SHAMITA B MD NEW ORLEANS LA

08055054 1962552620 SHAH, SWATI J MD NEW ORLEANS LA

08934250 1154663227 SHAMITKO, GREGORY A MD NEW ORLEANS LA

00136596 1508811704 SHAMSNIA, MORTEZA MD NEW ORLEANS LA

09135846 1619995487 SHANNON, SEAN E MD BATON ROUGE LA

05005851 1982031803 SHAPLEY, NATHAN P PA SLIDELL LA

09330801 1730316522 SHARMA, NIKHIL MD NEW ORLEANS LA

08753094 1932299476 SHARP, CARY J MD ZACHARY LA

01159284 1316465784 SHAVER, LAURA A CNM BATON ROUGE LA

07750381 1386030146 SHEARD, JASON D NP NEW ORLEANS LA

03303308 1821130089 SHEEDER, AMY E MD SLIDELL LA

08681786 1508385386 SHEEHAN, KIMBERLY PA NEW ORLEANS LA

01323286 1144216961 SHEIKH, MOHAMMED A MD COVINGTON LA

May 20, 2018 85 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00114711 1215959226 SHELLITO, JUDD E MD NEW ORLEANS LA

06035536 1336231380 SHENK, LOUIS G MD NEW ORLEANS LA

06907360 1922341098 SHERRILL, MEREDITH R MD NEW ORLEANS LA

03152055 1750562740 SHETH, MEHUL S MD KENNER LA

02124040 1194093971 SHI, ANNA J MD NEW ORLEANS LA

01407319 1144561408 SHOUN, ROBIN M NP CENTRAL LA

00309039 1972795250 SHOWS, JOSEPH R MD BATON ROUGE LA

07001576 1780892679 SHREVES, ASHLEY E MD NEW ORLEANS LA

01928553 1760890115 SHY, JOI K NP BATON ROUGE LA

03071200 1336180785 SIEGENDORF, STACY MD NEW ORLEANS LA

02206205 1194793315 SIGILLITO, ROBERT J MD COVINGTON LA

08181714 1215294947 SIGLER, AARON C DO NEW ORLEANS LA

01336845 1144417445 SIKORSKI, THEODORE MD KENNER LA

05187373 1609832641 SILADY, MARK F MD THIBODAUX LA

09131531 1063568491 SILBERSTEIN, JONATHAN L MD NEW ORLEANS LA

04678397 1609067743 SILINSKY, JENNIFER D MD NEW ORLEANS LA

00120736 1053405308 SILIO, MARGARET MD NEW ORLEANS LA

09685237 1902344526 SILVERMAN, JESSICA E NP METAIRIE LA

03229025 1942647227 SILVERTON, ALEXANDRA L MD NEW ORLEANS LA

01036354 1578678405 SIM, JAMES S MD BATON ROUGE LA

00936057 1689831299 SIMANI, YURI MD NEW ORLEANS LA

00689508 1609293513 SIMMS, ZACHARY MD WALKER LA

09872061 1689765752 SIMON, ERIC E MD NEW ORLEANS LA

02934835 1215202551 SIMON, JODY W MD NEW ORLEANS LA

00119119 1730137845 SIMONEAUX, PETER W MD NEW ORLEANS LA

09858701 1194995506 SINGH, DINESH MD NEW ORLEANS LA

00822076 1508021700 SINGH, MANMEET MD SLIDELL LA

03620711 1285899302 SINGLA, ATUL MD NEW OLREANS LA

May 20, 2018 86 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

05228747 1497916696 SINGLA, SHIKHA MD SLIDELL LA

09350226 1710900758 SINGLETON, TAMMUELLA MD NEW ORLEANS LA

05573211 1003838483 SIWIK, ERNEST S MD NEW ORLEANS LA

07777558 1093906745 SKEINS, ELIZABETH C NEW ORLEANS LA

00013001 1700878246 SLAGLE II, DAVID F MD SLIDELL LA

00119298 1134213481 SLAKEY, DOUGLAS MD NEW ORLEANS LA

08535269 1992017859 SLAY, JANAN K NP BATON ROUGE LA

04551567 1790703528 SLEDGE JR, EDWARD D MD BATON ROUGE LA

07929574 1669858015 SLEEPER, JAMIE NP COVINGTON LA

01207039 1710397542 SLIPMAN, RONALD A MD NEW ORLEANS LA

03777509 1346481124 SLOAN, WILLIAM A PA NEW ORLEANS LA

04330092 1811938251 SMETHERMAN, DANA H MD NEW ORLEANS LA

00122552 1386689347 SMILARI, THOM F MD NEW ORLEANS LA

01139562 1285805499 SMILEY, KATHRYN B PA NEW ORLEANS LA

03282589 1942209820 SMITH IV, HENRY S MD BATON ROUGE LA

05179535 1174821961 SMITH, CELESTE M NP NEW ORLEANS LA

01286281 1518962984 SMITH, CHARLES A MD BATON ROUGE LA

01279085 1700908241 SMITH, EDDIE M MD CUTOFF LA

08221805 1528202876 SMITH, ERIKA V MD NEW ORLEANS LA

07285337 1578512877 SMITH, GARY M MD ALEXANDRIA LA

01526061 1104829837 SMITH, GEORGE J MD COVINGTON LA

04038391 1770996860 SMITH, ISIS T MD NEW ORLEANS LA

00012240 1700820701 SMITH, JAMES W MD NEW ORLEANS LA

07772363 1407240310 SMITH, JOHNETHER M NP GRETNA LA

04909881 1750745964 SMITH, KAILA NP KENNER LA

06952553 1356558555 SMITH, KELLY W APRN NEW ORLEANS LA

00774016 1700098324 SMITH, KENNETH G MD BATON ROUGE LA

04986098 1902848872 SMITH, KIERNAN A MD NEW ORLEANS LA

May 20, 2018 87 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

03421362 1033465422 SMITH, LORI M NP METAIRIE LA

01857235 1114118932 SMITH, MELISSA W MD SLIDELL LA

01083050 1699715250 SMITH, MICHAEL D MD LULING LA

03159234 1043216385 SMITH, QUANNA F NP BATON ROUGE LA

08239705 1447219803 SMITH, RAELANDA E MD SLIDELL LA

00125204 1225074099 SMITH, ROGER D MD NEW ORLEANS LA

02334367 1558662213 SMITH, SHARON R PA NEW ORLEANS LA

07523045 1700185519 SMITH, SMITTY MD METAIRIE LA

00121958 1669404596 SMITH, STANLEY A MD MANDEVILLE LA

04554341 1932189016 SMITH, SUMATHI S MD COVINGTON LA

00554065 1942496583 SMITH, SUSAN A MD NEW ORLEANS LA

09271266 1740541440 SMITH, TANISHA B NP BATON ROUGE LA

04702061 1659575439 SMITH, TAYLOR NEW ORLEANS LA

04080275 1093881732 SMITH, TESSA DDS SLIDELL LA

00124047 1306888433 SMITH, VICTORIA A MD KENNER LA

08885019 1982765970 SNOW, ANITA MD NEW ORLEANS LA

07239831 1609323476 SOILEAU, SARAH L NP NEW ORLEANS LA

05335293 1972775864 SOILEAU, STACEY L MD NEW ORLEANS LA

09326765 1457581589 SOLANO, ROY K MD NEW ORLEANS LA

03023547 1003805466 SOLEAU, SCOTT W MD BATON ROUGE LA

07636837 1548689458 SOLEIMANI, ARSHIA A MD NEW ORLEANS LA

06331067 1801080452 SOLTANI, ZOHREH S MD NEW ORLEANS LA

00159819 1275583858 SOLTAU, THOMAS D MD BATON ROUGE LA

01586030 1780003798 SONENKLAR, MOLLY MD NEW ORLEANS LA

08054790 1457359630 SONKEN, RONALD S MD NEW ORLEANS LA

02208250 1477742211 SONNIER JR, DENNIS I MD NEW ORLEANS LA

07975011 1154539799 SONNIER, LORETTA A MD NEW OLREANS LA

08787371 1639588361 SORENSEN, BRETT V DPM COVINGTON LA

May 20, 2018 88 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00114172 1730100751 SORENSEN, RICARDO U MD NEW ORLEANS LA

09506327 1073582508 SOSSAMAN, GREGORY N MD NEW ORLEANS LA

02721211 1265810758 SOYEZ, TARA A NP NEW ORLEANS LA

09385221 1649259789 SPADY, MALIK C MD COVINGTON LA

00127036 1609879121 SPALITTA JR, JOSEPH T MD COVINGTON LA

03602767 1164445888 SPARKS, JOHN D MD BATON ROUGE LA

00126732 1538168646 SPEDALE, STEVEN B BATON ROUGE LA

06903245 1457674855 SPENCER, JEREMY T MD BATON ROUGE LA

05130097 1700837945 SPRINGER, AMY L MD NEW ORLEANS LA

09005352 1851339253 SPRUILL, DAVID W MD NEW ORLEANS LA

00096082 1851324552 SRINIVAS, DASARATHY MD SLIDELL LA

08534755 1114121639 ST HILAIRE, HUGO MD NEW ORLEANS LA

09156212 1679521207 ST. MARTIN, ANDREW J MD LAPLACE LA

02501240 1073838553 STAFFORD, RANDOLPH S MD NEW ORLEANS LA

04079274 1629406046 STAGGS, CHRISTY C NP BATON ROUGE LA

00205061 1558685578 STALDER, MARK W MD NEW ORLEANS LA

00172269 1699059535 STANDRIDGE, STACEY P NP COVINGTON LA

04389337 1356549547 STANGA, DARYL F PA NEW ORLEANS LA

01735031 1659581601 STANGER, RICHARD MD BATON ROUGE LA

06315387 1750547147 STANTON, ERIN M MD NEW ORLEANS LA

07135377 1316332018 STARNS, REBEKAH M FNP HAMMOND LA

02220098 1154318970 STARR, BARRY M MD NEW ORLEANS LA

04621516 1124327929 STATON, ASHLEY D MD NEW ORLEANS LA

05300526 1144627316 STAUTER, JENNIFER S FNP SLIDELL LA

00111214 1265477194 STEDMAN, ROBIN B MD NEW ORLEANS LA

00126359 1912976374 STEELE, RUSSELL W MD NEW ORLEANS LA

04583868 1326225533 STEIN, RONALD A NP NEW ORLEANS LA

00117182 1407882202 STEINER, RODNEY B MD NEW ORLEANS LA

May 20, 2018 89 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

02371842 1700261294 STERN, TIMOTHY N NP WALKER LA

00117880 1811939648 STERNBERGH III, WALDEMAR C MD NEW ORLEANS LA

01000371 1104017250 STEVEN, ANDREW J MD NEW ORLEANS LA

08201300 1285164152 STEVENS, KRISTIN G NP NEW ORLEANS LA

08123085 1871621326 STEWART, BRUCE W MD NEW ORLEANS LA

00121632 1437249398 STEWART, GREGORY W MD NEW ORLEANS LA

00127069 1245239250 STEWART, KIMBERLY M MD BATON ROUGE LA

02107814 1437693751 STINSON, KORTNEY K NP NEW ORLEANS LA

03750561 1699287151 STOKES, ANNA NP BATON ROUGE LA

00122302 1982630810 STOLL, JAMES D MD NEW ORLEANS LA

00018271 1811908338 STOPA, ALUIZIO R MD NEW ORLEANS LA

06759732 1629040290 STORCK, CAROLYN A NP TERRYTOWN LA

01602714 1407951759 STORY, COLLEEN M FNP NEW ORLEANS LA

01309050 1962436097 STORY, GAY M MD BATON ROUGE LA

06635784 1144411133 STRAATMANN, CAROLINE E MD NEW ORLEANS LA

08853251 1972969566 STRAHAN, ANNA M NP NEW ORLEANS LA

07437751 1619379831 STRAHAN, WILLIAM T NP BATON ROUGE LA

07039526 1750818191 STRECKER, KRISTINE R NP NEW ORLEANS LA

03936046 1407050461 STRITTMATTER, HEATHER G MD BATON ROUGE LA

04974871 1205811569 STRONG, BENJAMIN W MD NEW ORLEAN LA

09855053 1487018032 STUBBS, NATALIE M NP NEW ORLEANS LA

08452345 1982872925 STUMPF, BRITTANY O MD NEW ORLEANS LA

05480079 1285825315 SUEN, ANDREA C MD BATON ROUGE LA

04637823 1508216144 SUIT, JESSICA M NP SLIDELL LA

01228712 1174718365 SULAMAN, OLANALE MD NEW ORLEANS LA

04488090 1609295260 SULIK JR, SCOTT R MD KENNER LA

04007852 1285676106 SULLIVAN, BRIAN MD FERRIDAY LA

09373764 1649230756 SULLIVAN, KATHLEEN T MD NEW ORLEANS LA

May 20, 2018 90 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00012030 1790711760 SULLIVAN, MICHAEL A MD NEW ORLEANS LA

09271085 1841267598 SULTAN, AQIB MD SLIDELL LA

02453398 1922074384 SUMMERS, EVAN DO NEW ORLEANS LA

04120247 1114942125 SUMRALL III, WILLIAM D MD NEW ORLEANS LA

07503559 1730446014 SUN, LI MD SLIDELL LA

00120839 1619903168 SUNDELL, ERIK T MD NEW ORLEANS LA

00977829 1922323450 SUNG, ALEXANDER W MD SLIDELL LA

06000707 1184902348 SUNKARA, PALLAVI MD LULING LA

00123713 1578564068 SURAKANTI, VENKAT R M.D. BATON ROUGE LA

01059220 1114118619 SURCOUF, JEFFREY W MD NEW ORLEANS LA

00117408 1316042856 SURGICAL ASSOCIATES LLC METAIRIE LA

00117408 1316042856 SURGICAL ASSOCIATES LLC NEW ORLEANS LA

08924818 1437238656 SURI, MISTY MD NEW ORLEANS LA

09332548 1265788251 SUTHERLAND, MARLA N FNP FERRIDAY LA

00124351 1144285396 SWANTON, ROBERT G MD SLIDELL LA

07878263 1821045980 SWART, CYNTHIA L MD KENNER LA

00557844 1225231319 SWEENEY, AARON W PHY NEW ORLEANS LA

00012025 1558455519 SWIFT, DOUGLAS A MD METAIRIE LA

01151775 1700855962 SWIGER, JOHNNY W MD COVINGTON LA

05753825 1477810406 SWINDLER, SHELLY L MD KENNER LA

06134748 1902866106 SWING, KATHERINE M MD NEW ORLEANS LA

06388813 1457352254 SWIRSKY, BRIAN MD BATON ROUGE LA

01188255 1558705848 SWORDS, KATHERINE B PA NEW ORLEANS LA

09852261 1497154900 SYLER, LESLIE R MSN R SLIDELL LA

08233871 1952697013 SYLVAS JR, BRUCE J NP METAIRIE LA

00123941 1912055468 TABARI, HOSSEIN K MD COVINGTON LA

00123941 1912055468 TABARI, HOSSEIN K MD BOGALUSA LA

01706245 1730448960 TAFUR SOTO, JOSE D MD NEW ORLEANS LA

May 20, 2018 91 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

08883895 1619144342 TAGGART, JULIE T DO NEW ORLEANS LA

00850764 1043534449 TALAHMA, MURAD M MD NEW ORLEANS LA

08332250 1407239890 TALLEY, CHRISTINE M NP COVINGTON LA

06189000 1104833391 TAMIMIE, RASHID J MD METAIRIE LA

05436348 1396936225 TAMMA, SRIKANTH MD KENNER LA

07936751 1023516226 TANKERSLEY, LACEY H NP COVINGTON LA

04687509 1932204294 TANNEHILL, CARIN C APRN NEW ORLEANS LA

01258552 1740471598 TANNER, LANASHA MD NEW ORLEANS LA

08679361 1619292356 TARSIA, JOSEPH MD NEW ORLEANS LA

00121254 1306014667 TASSIN JR, ROBERT L MD SLIDELL LA

06974798 1407177348 TATE, BRYAN D NP-C KENTWOOD LA

02825858 1962637702 TATE, ERICA V MD NEW ORLEANS LA

08972832 1013023803 TATFORD III, ARCHIE C MD SLIDELL LA

03858830 1407309230 TAULLIE, VICTORIA W NP NEW ORLEANS LA

04807573 1861661696 TAUZIN, MARCIE C MD KENNER LA

05028232 1770966384 TAYEH, NICHOLE A PA NEW ORLEANS LA

07838827 1811925399 TAYLOR, CONNIE E MD NEW ORLEANS LA

00122778 1720016207 TAYLOR, DAVID E MD NEW ORLEANS LA

01558067 1538547690 TAYLOR, HELEN D NP NEW ORLEANS LA

01485297 1124025283 TAYLOR, JAMES A MD BOGALUSA LA

02673751 1700148962 TAYLOR, JENNIFER E MD NEW ORLEANS LA

06709817 1639107113 TAYLOR, ROBERT W MD SLIDELL LA

00113129 1013023472 TAYLOR, SUSAN D MD KENNER LA

00528890 1689679615 TEAFORD, THADDEUS L MD NEW ORLEANS LA

07051321 1437537743 TEDESCO, HELEN C NP NEW ORLEANS LA

08204701 1861665416 TEIXEIRA, LUIS F MD NEW ORLEANS LA

00118474 1780608653 TEJEDOR, RICHARD S MD NEW ORLEANS LA

03309857 1508180100 TEMPLE, ISRAEL E MD NEW ORLEANS LA

May 20, 2018 92 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

09855277 1295954832 TENG, SARENA N MD NEW ORLEANS LA

02358220 1376778845 TERRELL, BARBARA S APRN KENNER LA

04259205 1073580346 TESCHKE, ERIC J MD FERRIDAY LA

09388574 1497106876 TESSITORE, ASHLEY L NP MARRERO LA

07077586 1235405416 TEVERBAUGH, LAUREN A MD NEW ORLEANS LA

00356772 1790751030 TEXADA, RICHARD P SLIDELL LA

09100875 1740508415 THAKUR, AKANKSHA S MD NEW ORLEANS LA

02308357 1043573207 THAMES JR, SCOTT F MD NEW ORLEANS LA

02481821 1114031895 THAMMASITBOON, SUPAT NEW ORLEANS LA

06773835 1578812749 THANT, ZAW W MD SLIDELL LA

00159294 1063458438 THEODOSSIOU, CHRIS MD NEW ORLEANS LA

02973040 1093099715 THERAPONDOS, GEORGE P MD NEW ORLEANS LA

02559262 1750691812 THERIOT, AMANDA NP KENNER LA

03379578 1154639839 THIAGARAJAN, SARAVANAN MD BATON ROUGE LA

05173323 1801905740 THIBODEAUX, BRENT K NP NEW ORLEANS LA

06970573 1083990139 THIEL, ANNE NP MANDEVILLE LA

04835056 1144336652 THIEN, JOHN T MD CHALMETTE LA

04088062 1649509845 THOMAS, ALISHA N NP BATON ROUGE LA

03223364 1548298029 THOMAS, AUSTIN C MD NEW ORLEANS LA

08251588 1326043084 THOMAS, CHARLES W MD LULING LA

05755391 1508108739 THOMAS, DANIEL J MD NEW ORLEANS LA

00852271 1558338582 THOMAS, JOSEPH MD BATON ROUGE LA

00123427 1265460083 THOMAS, LESLIE C MD NEW ORLEANS LA

05784011 1891135125 THOMAS, LIJA L MD BATON ROUGE LA

06253248 1669433025 THOMAS, MICHAEL J MD COVINGTON LA

07851811 1730395831 THOMAS, NANCY N MD COVINGTON LA

03934072 1366754970 THOMAS, PATRICIA E MD NEW ORLEANS LA

00125449 1093809360 THOMAS, RAJU MD NEW ORLEANS LA

May 20, 2018 93 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

03609532 1164748539 THOMASSIE, LAUREN M MD COVINGTON LA

00120327 1164451514 THOMPSON, ROXANNE C MD NEW ORLEANS LA

01532074 1649539057 THORNHILL, EMILIE S PA NEW ORLEANS LA

09082369 1689937492 THORNHILL, JAYSON A NP DENHAM SPRINGS LA

02678556 1538486188 TIEH, PETER Y MD NEW ORLEANS LA

00115584 1457349110 TILLMAN, BARRY F MD VIDALIA LA

00115585 1053309732 TILLMAN, CLIFFORD R MD VIDALIA LA

01489831 1366475360 TOGAMI, JOANNA M MD NEW ORLEANS LA

03736500 1033397443 TOLBA, REDA M MD KENNER LA

08637571 1366602450 TOLER, JEREMY M MD NEW ORLEANS LA

09759371 1487975678 TOMASZEWSKI, LAURA DDS SLIDELL LA

08885719 1528021128 TOMASZWESKI, STEPHEN DDS SLIDELL LA

08438846 1619141108 TORIBIO, KAREN A MD NEW ORLEANS LA

01380306 1093927329 TORRES ACEVEDO, JAIRO I MD NEW ORLEANS LA

03001231 1295962090 TORRES, JUAN CARLOS MD KENNER LA

01006092 1992738827 TOUPS, DAVID L MD COVINGTON LA

03552372 1811947658 TOWNSEND, MICHAEL C MD NEW ORLEANS LA

03871079 1285152504 TOWNSEND, WHITNEY PA BATON ROUGE LA

01229308 1912097460 TRAHAN, THOMAS N MD ZACHARY LA

00013405 1871555136 TRAINOR, TIMOTHY J MD SLIDELL LA

07970366 1508285818 TRAN, BAO Q MD BATON ROUGE LA

06758749 1306112735 TRAN, JENNIFER L MD NEW ORLEANS LA

03405509 1376092155 TRAN, THUY T PA NEW ORLEANS LA

01977791 1043638893 TRAN, TRUNG N MD NEW ORLEANS LA

04857235 1336293976 TRANT, HEATHER L PA BATON ROUGE LA

00428019 1427028844 TRAYLOR, ANGELA N MD NEW ORLEANS LA

07850019 1396915880 TRAYLOR, JEANNE S NP NEW ORLEANS LA

09001803 1275647745 TREGLE, RODNEY W MD ZACHARY LA

May 20, 2018 94 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07408579 1699299818 TRICHE JR, PAUL M NP GRETNA LA

09526578 1801182589 TRINH, SONYA A MD NEW ORLEANS LA

05483739 1023424165 TROTTER, SIOBHAN M NP NEW ORLEANS LA

09404214 1699076810 TROY, ANNE D RN NEW ORLEANS LA

06925322 1902859671 TRUITT, AMY E MD KENNER LA

09982845 1003152554 TRUXILLO, ADRIENNE A NP NEW ORLEANS LA

09354544 1891218657 TRUXILLO, MARY NP TERRYTOWN LA

02375752 1093754939 TRUXILLO, RYAN M MD CHALMETTE LA

02728029 1447273479 TSAI, SANG T MD BATON ROUGE LA

07384807 1427277888 TUCKER, SPENCER P MD FRANKLINTON LA

08788053 1295137115 TUNNELL, TIFFANY A NP NEW ORLEANS LA

04827513 1487659496 TUPLER, RICHARD H MD NEW ORLEANS LA

06004851 1871952457 TURNER, EMILY K APRN NEW ORLEANS LA

08927266 1912177742 TURNER, JASON P MD NEW ORLEANS LA

06025318 1295995009 TURNER, JEAN D MD GRETNA LA

00732018 1457850992 TURNIPSEED, SALLY F NP NEW ORLEANS LA

04653251 1568493773 TUSHMAN, RICHARD S MD KENNER LA

04822052 1457741399 TWINER, EMMA M PA NEW ORLEANS LA

00125531 1326132606 TYNES JR, LANNIS L MD PH BATON ROUGE LA

08900255 1053467365 TYSON, GIA L MD BATON ROUGE LA

08204515 1861683708 ULFERS, GRETCHEN E MD NEW ORLEANS LA

02600228 1801086418 URAL, KELLY G MD NEW ORLEANS LA

05450710 1487730156 URREGO, FERNANDO A MD NEW ORLEANS LA

05538368 1043267818 UWAIFO, GABRIEL MD NEW ORLEANS LA

05235009 1366572729 UWAIFO, OMOTOLA O MD NEW ORLEANS LA

00989012 1568441210 UYSAL, ASKIN MD SLIDELL LA

01555876 1093770794 VADIEE, ABDOLREZA MD CHALMETTE LA

03835735 1164724399 VAJNER III, JOHN E MD NEW ORLEANS LA

May 20, 2018 95 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00281371 1043678550 VALENTINE, HOLLY NP BATON ROUGE LA

05231879 1518306497 VALLE GILER, EDISON P MD NEW ORLEANS LA

06021324 1689998619 VALLELUNGO, JOSHUA P MD COVINGTON LA

07159546 1700855970 VALLIANT, KRISTEN F MD NEW ORLEANS LA

00126026 1972698132 VAN DYKE, RUSSELL B MD NEW ORLEANS LA

02508890 1487072393 VAN GERWEN, OLIVIA T MD NEW ORLEANS LA

06083348 1831484153 VAN HOOK, COLIN N MD NEW ORLEANS LA

04338808 1922186188 VAN HOOK, KRISTIN N MD NEW ORLEANS LA

07883280 1366542623 VAN OPIJNEN, ROELAND A MD NEW ORLEANS LA

03450078 1962683581 VAN SICKELS, NICHOLAS J MD NEW ORLEANS LA

04086838 1215279674 VAN WORMER, ASHLEY M MD NEW ORLEANS LA

08701201 1376507418 VARGAS, HERSCHEL D MD NEW ORLEANS LA

07731809 1902815939 VARGAS, JUAN C MD BATON ROUGE LA

00132058 1245490432 VARGHESE, JOYCE M OD NEW ORLEANS LA

01376856 1811910532 VARGO, JEFFREY P MD NEW ORLEANS LA

02906750 1477719474 VARGO, NEETA M MD NEW ORLEANS LA

05074053 1346475506 VARUGHESE, SHIBU MD GRETNA LA

04703016 1760673602 VASIREDDY, SREEKANTH MD BATON ROUGE LA

06381352 1255592374 VASQUEZ, ROBERT J MD NEW ORLEANS LA

06137741 1700068723 VAUGHAN, AMY E MD NEW ORLEANS LA

03785790 1528234200 VAUGHN, ERIN MD SLIDELL LA

08659268 1811339591 VAUGHN, VALECIA C NP GRETNA LA

03335010 1255523528 VEGA, JORGE E MD SLIDELL LA

05485339 1831523042 VEGAS, ANITA NP SLIDELL LA

08722861 1528225984 VELANDER, II, ALAN J MD NEW ORLEANS LA

02624741 1023272192 VELANDER, JENNIFER R MD NEW ORLEANS LA

01055351 1962446732 VELAZQUEZ, JERONIMO S MD BATON ROUGE LA

00118151 1306869268 VELEZ YANGUAS, MARIA C MD NEW ORLEANS LA

May 20, 2018 96 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

06484349 1982712840 VELEZ, JUAN C MD NEW ORLEANS LA

08186790 1720177991 VELU, PRIYA P MD NEW ORLEANS LA

00124048 1013940048 VENTURA, HECTOR O MD NEW ORLEANS LA

09979073 1528410305 VERDUN, AMBER R PA NEW ORLEANS LA

07558078 1174999734 VERLANDER, ALISON K PA BATON ROUGE LA

05509543 1578880449 VERLANDER, LEO D MD BATON ROUGE LA

07104284 1396010484 VERMA, KARAN MD BATON ROUGE LA

07854071 1467693440 VERMAELEN III, JAMES L MD BATON ROUGE LA

06187578 1841606613 VICENTE, SHENETTE S NP NEW ORLEANS LA

07902200 1871788216 VIDAL, GABRIEL A MD NEW ORLEANS LA

04035594 1639195639 VIGEE, DARREN LACOMBE LA

09481709 1669522173 VILES GONZALEZ, JUAN F MD NEW ORLEANS LA

01206036 1245673300 VILLAR, EMILY MD NEW ORLEANS LA

06609083 1396002622 VILLARREAL, ARTURO D MD JEFFERSON LA

08028348 1255337317 VILLEGAS, MONICA V DO SLIDELL LA

04057321 1821056607 VILLIEN JR, PAUL O MD KENNER LA

01988200 1508049438 VINCENT, BETHANEY J MD NEW ORLEANS LA

06159070 1366818478 VINCENT, TIFFANY B PA BATON ROUGE LA

07826721 1992807135 VINROOT JR, RICHARD A MD NEW ORLEANS LA

06238092 1427309400 VITELLARO, JENNIFER L APRN NEW ORLEANS LA

05808322 1346297652 VITTER, JOHN M MD MARRERO LA

04530747 1710353719 VO, GENNY T MD NEW ORLEANS LA

00122428 1851390843 VOELKER, CYNTHIA A MD BATON ROUGE LA

00126232 1316928260 VOELKER, FRANK MD SLIDELL LA

00012005 1548288897 VOGEL, SUSAN L MD NEW ORLEANS LA

08659861 1144251182 VOIGT, CHRISTOPHER M MD NEW ORLEANS LA

08904366 1578753034 VOLK III, JEROME M MD NEW ORLEANS LA

08470063 1154696458 VOLPI-ABADIE, JACQUELINE M MD COVINGTON LA

May 20, 2018 97 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

03650554 1598053563 VOLTZ, MELISSA T NP NEW ORLEANS LA

00125339 1831123876 VON ALMEN II, WILLIAM F MD NEW ORLEANS LA

05072204 1033484340 VOORHIES, MICHAEL R MD GRETNA LA

04502371 1215263009 VOOTUKURI, SHOBHA R MD BATON ROUGE LA

09488744 1003815903 VORHOFF, GREGORY R MD NEW ORLEANS LA

06976763 1124001185 VOROS, JANOS I MD GRETNA LA

00119211 1841252467 VREELAND, THOMAS H MD LAFAYETTE LA

02770858 1841450780 VU, JOHN F MD SLIDELL LA

00479341 1275077596 VULEVICH, ELIZABETH NP NEW ORLEANS LA

04633798 1992965834 WADE, KATRINA S MD NEW ORLEANS LA

00126960 1730178187 WAGUESPACK, PAUL J MD BATON ROUGE LA

03155337 1285079582 WALDMAN, DANIEL I MD LULING LA

03372094 1780874560 WALDO, STEPHEN M MD NEW ORLEANS LA

09458516 1316157449 WALDRON, SEAN R MD NEW ORLEANS LA

05075209 1023165180 WALIA, SUNEETA S MD NEW ORLEANS LA

00025211 1568729598 WALKER IV, EARL N MD KENNER LA

06878231 1124207873 WALL, LUKE A MD NEW ORLEANS LA

08101861 1013315464 WALTON, MARITA C NP NEW ORLEANS LA

00123576 1174547699 WANG, ALUN R MD NEW ORLEANS LA

02734058 1063773182 WANG, JULIE C MD KENNER LA

01073321 1528243300 WARD, CHARISSE J MD NEW ORLEANS LA

01704098 1699719583 WARD, CHRISTOPHER C MD NEW ORLEANS LA

07685066 1376926097 WARD, KATHERINE E PA NEW ORLEANS LA

00118836 1689776510 WARD, KENNETH J MD NEW ORLEANS LA

00115702 1831159631 WARDEN, CLARK G MD COVINGTON LA

04524598 1801996442 WARE, MARCUS L MD NEW ORLEANS LA

09237068 1356494868 WARING, PHYLLIS D MD SLIDELL LA

02880515 1104146208 WARLICK GRAHAM, JENNA DDS SLIDELL LA

May 20, 2018 98 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

07774541 1851552806 WARNER, LARRY W MD BATON ROUGE LA

05521265 1962840470 WARREN-TAYLOR, MARY NP MARRERO LA

00126234 1427079441 WARRIER, RAJASEKHARAN P MD NEW ORLEANS LA

04554255 1568753903 WASHER, LYDIA L MD BATON ROUGE LA

06628850 1366625725 WASILEWSKA, EWA M MD NEW ORLEANS LA

00113543 1972521003 WASSERMAN, MICHAEL F MD METAIRIE LA

09426357 1447511290 WATSON, JEFFERSON T MD BATON ROUGE LA

09453068 1881953529 WATSON, JENNIFER C NP WEST MONROE LA

00111561 1023121035 WATTS, RAYMOND MD NEW ORLEANS LA

04025043 1992996847 WAX, SACHA J MD NEW ORLEANS LA

01805749 1962839738 WAY, JOHN J NP NEW ORLEANS LA

01181569 1801112503 WEAVER, IV, MARVIN V MD BATON ROUGE LA

07608797 1316914872 WEAVER, VICTOR J MD FERRIDAY LA

03252214 1497117766 WEBB, AARON M PA TERRYTOWN LA

05378057 1801239835 WEBB, YOLONDA MD BATON ROUGE LA

02105071 1255501052 WEBER, MIA J MD MARRERO LA

04707346 1467639641 WEED, JONATHAN T MD NEW ORLEANS LA

02435750 1366735748 WEEKS, BRANDON M DO PLAQUEMINE LA

03021562 1811094071 WEEMS, DANIELLE M MD NEW ORLEANS LA

03087779 1740577576 WEERAPAN, JINTANA NP NEW ORLEANS LA

00524797 1689865537 WEIDENHAFT, MANDY C MD NEW ORLEANS LA

02486557 1295872372 WEIL, ERIC J MD BATON ROUGE LA

07233588 1780750802 WEIL, MICHAEL K MD SLIDELL LA

00123915 1659394518 WEIMER, MARIA B MD NEW ORLEANS LA

00125935 1548354848 WEIMER, STEPHEN M MD NEW ORLEANS LA

06180317 1548451420 WELLS, ADAM C MD NEW ORLEANS LA

00122705 1265455232 WELSH, DAVID A MD NEW ORLEANS LA

00687056 1538465984 WENTOWSKI, CATHERINE C MD NEW ORLEANS LA

May 20, 2018 99 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

02073752 1356681761 WESELAK, STEPHANIE C NP BATON ROUGE LA

09435894 1457603516 WEST, AMY L PA WALKER LA

08386809 1487084216 WEST, MICHELDA M FNP B NEW ORLEANS LA

06535319 1184143315 WESTCOTT, AMANDA NP LULING LA

00126961 1285836858 WETSMAN, ELLIE F MD NEW ORLEANS LA

00126124 1841218989 WHARTON, FRANK C MD NEW ORLEANS LA

07322091 1821519778 WHEATON, ROBERT L CRNA NEW ORLEANS LA

05151541 1417125907 WHEELER-DUKE, CHEREE D MD BATON ROUGE LA

03378364 1003181306 WHIPPLE, CHRISTOPHER K MD SLIDELL LA

00475321 1285691683 WHITE, ANNA M MD NEW ORLEANS LA

02006274 1689939332 WHITE, JANET L NP NEW ORLEANS LA

09478866 1639542087 WHITE, JENNA M PA WEST MONROE LA

00112499 1801882634 WHITE, JOHN A MD VIDALIA LA

00118855 1265450308 WHITE, MICHAEL G MD NEW ORLEANS LA

02473797 1912140138 WHITE, STANFORD K MD NEW ORLEANS LA

03578729 1588082226 WHITEHEAD, ALEXANDER S MD NEW ORLEANS LA

05857221 1649781899 WHITEMAN, MARGARET F NP GRETNA LA

00126159 1013941368 WHITLOW, CHARLES B MD NEW ORLEANS LA

01555251 1083971006 WICKBOLDT JR, ALVAH T MD KENNER LA

07037554 1295143832 WICKS, BRANDI L NP BATON ROUGE LA

03656293 1780799288 WIERZBICKI, DEREK A MD GRETNA LA

05007588 1881707313 WIGHT, LURA L MD WALKER LA

05480556 1841740354 WILBURN, FARRYL M PA NEW ORLEANS LA

03258892 1881124873 WILD, BRITTANI M FNP NEW ORLEANS LA

00117184 1902824063 WILD, LAURIANNE G MD NEW ORLEANS LA

07071238 1740414861 WILENSKY, JOSHUA MD METAIRIE LA

00017097 1063411478 WILENSKY, MICHAEL A MD METAIRIE LA

06979059 1538159488 WILLIAMS, AMANDA L PA BATON ROUGE LA

May 20, 2018 100 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

03186054 1255479903 WILLIAMS, ANDREW MD NEW ORLEANS LA

02429213 1497714729 WILLIAMS, CHEQUITA S MD SLIDELL LA

00120221 1225175169 WILLIAMS, DAVE E MD NEW ORLEANS LA

01509056 1053860643 WILLIAMS, JAIME NP NEW ORLEANS LA

06385081 1154679405 WILLIAMS, JASON NP GRETNA LA

07977551 1548330202 WILLIAMS, LAURA C MD NEW ORLEANS LA

02021591 1710036652 WILLIAMS, MONICA J MD DESTREHAN LA

02484770 1780605709 WILLIAMS, MONIQUE B NP NEW ORLEANS LA

00574751 1518039841 WILLIAMS, RODREK E MD GRETNA LA

02428222 1306818018 WILLIAMS, RUSSELL S MD BATON ROUGE LA

03857711 1922148055 WILLIAMS, STACIA H NP BATON ROUGE LA

01454560 1073532313 WILLIAMS, VERA A NP COVINGTON LA

08623030 1336145606 WILLIAMSON, BARON J MD ZACHARY LA

07256345 1245631530 WILLIE, LYNDSEY NP METAIRIE LA

00125480 1609894765 WILLIS, JOHN K MD NEW ORLEANS LA

06435018 1649782814 WILLOUGHBY, SILAS NP NEW ORLEANS LA

04773762 1942603592 WILLS, HEATHER PA METAIRIE LA

06125216 1891048021 WILSON, ARLEAN M NP BATON ROUGE LA

06620562 1730571902 WILSON, DIANA W MD NEW ORLEANS LA

06630888 1437531357 WILSON, ELLEN E NP NEW ORLEANS LA

02177581 1851378145 WILSON, JACK J MD NEW ORLEANS LA

08109383 1649241613 WILSON, LATRESIA A MD KENNER LA

01300228 1093738148 WILSON, MARIA CARMEN B MD COVINGTON LA

00904330 1346414877 WILSON, MELANIE M MD GRETNA LA

08655566 1619168846 WILTZ, KATY L MD NEW ORLEANS LA

01876061 1558751651 WINBORN, COLBY L NP BATON ROUGE LA

02583569 1194988782 WINTERS, RYAN D MD NEW ORLEANS LA

08720371 1114292414 WISNER, ELIZABETH L MD NEW ORLEANS LA

May 20, 2018 101 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00025888 1710959713 WISSNER, RACHEL D MD BATON ROUGE LA

02800538 1831150432 WOLF, GARY J MD SLIDELL LA

08981307 1770615833 WOLFE, GREGORY W MD NEW ORLEANS LA

09435858 1568485423 WOLTERING, EUGENE A MD KENNER LA

03703740 1316144645 WOMAC, DANIEL J MD NEW ORLEANS LA

02559845 1457755340 WOMELDORFF, SAMANTHA N PA WALKER LA

00118507 1346262128 WONG, JOAQUIN MD NEW ORLEANS LA

00119556 1033140850 WOO, HOWARD H MD NEW ORLEANS LA

04222377 1740346543 WOOD, CHARLES G MD BATON ROUGE LA

03850047 1417190497 WOOD, JOHN W MD BATON ROUGE LA

08209561 1295050953 WOODS, DANEEKA L NP NEW ORLEANS LA

07177760 1790979615 WOODWARD, CHRISTOPHER J DO BATON ROUGE LA

09721213 1881792463 WOOLDRIDGE, JAMES B MD NEW ORLEANS LA

00007387 1184643785 WORMUTH, CHRISTOPHER J MD NEW ORLEANS LA

02138296 1467982991 WORREL, ANDREW J PA NEW ORLEANS LA

03350865 1932337474 WRIGHT, AMANDA M MD MANDEVILLE LA

03022766 1275568636 WRIGHT, LEON B PA BATON ROUGE LA

09835053 1629362561 WRIGHT, TONYA MD NEW ORLEANS LA

02109039 1003882127 WU, TONG MD NEW ORLEANS LA

08109515 1356507198 XIONG, ZHENGGANG MD NEW ORLEANS LA

04175809 1205084076 XU, WENJIE MD BATON ROUGE LA

08089308 1811263601 YALAMANCHILI, HIMA B MD ZACHARY LA

03507531 1518252709 YANCOVICH, STEPHEN W PA NEW ORLEANS LA

09853792 1598762775 YANG, SONG G MD NEW ORLEANS LA

00623369 1811296718 YANG, TONG MD NEW ORLEANS LA

00126515 1982601258 YEGGE, JAMES E MD BATON ROUGE LA

00428391 1801325543 YELVERTON, CAITLIN R NP NEW ORLEANS LA

04079754 1164798484 YOCKELSON, SHAUN R MD NEW ORLEANS LA

May 20, 2018 102 11:10:45 AM

Report: RP130

Envision Mississippi Division of MedicaidProvider Subsystem

PRESCRIBING PROVIDER LISTING

FOR THE STATE OF LOUISIANA Run Date: 5/20/2018Run Time: 11:10 AM

PROVIDER ID NPI PROVIDER NAME CITY STATE

00125017 1528083409 YOSYPIV, IHOR V MD NEW ORLEANS LA

01070756 1700805066 YOUNG, THOMAS W MD NEW ORLEANS LA

04958207 1598938110 YOUNGER, MARY A MD NEW ORLEANS LA

00118291 1487686275 YOUSUF, MOHAMMED MD METAIRIE LA

02628712 1629143458 YU, DAVID C MD NEW ORLEANS LA

00012138 1063433084 YU, LOLIE C MD NEW ORLEANS LA

06626347 1124319447 YU, MARY MD NEW ORLEANS LA

07238561 1194973446 YURATICH, DANE M MD NEW ORLEANS LA

03003721 1639571110 ZAHN, KATY K PMHNP SLIDELL LA

08601824 1073770582 ZAINEY, SCOTT M MD GRETNA LA

00123428 1396764643 ZAKEM, JERALD M MD NEW ORLEANS LA

00251383 1760445522 ZAKRIS, ELLEN L MD NEW ORLEANS LA

09708765 1922281187 ZAMPELL, JAMIE C MD NEW ORLEANS LA

08470584 1407371669 ZEEVI, RACHEL NP RIVER RIDGE LA

08801724 1992223739 ZEIK, ALISON T PA WALKER LA

05632097 1962792291 ZELHART, MATTHEW D MD NEW ORLEANS LA

00012232 1104827690 ZELLMER, TERRY L MD BATON ROUGE LA

05084291 1134570237 ZERINGUE, ALICIA C PA WALKER LA

03305841 1437506979 ZERINGUE, ROSANNE NP KENNER LA

00126384 1598806739 ZHANG, RUBIN MD NEW ORLEANS LA

04934848 1881615805 ZHENG, YIHONG MD BATON ROUGE LA

03434738 1083879175 ZHENG, ZHE MD BATON ROUGE LA

00736251 1881791051 ZLATKISS, IAN H MD NEW ORLEANS LA

00885871 1750366498 ZORN, JEFFREY G MD NEW ORLEANS LA

00115988 1295774347 ZWEIFLER, RICHARD MD NEW ORLEANS LA

May 20, 2018 103 11:10:45 AM