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Jonathan B Moreau

  • Male

Medical Specialty

Professional ID

  • NPI: 1518207463
  • PECOS ID: 9739325697
  • Enrollment ID: I20130419000013
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2012

Hospital Service

  • Hospital CCN1: 190064
  • Business Name (LBN)1: Our Lady Of The Lake Regional Medical Center

Medical Practices

  • Organization Name: Anesthesiology Group Associates Inc
  • Group Practice ID assigned by PECOS: 0042110298
  • Number of Group Practice member: 152

Location

  • Address1: 5000 Hennessy Blvd
  • Address2:
  • City: Baton Rouge
  • State: Louisiana
  • Zip Code: 70808
  • Phone Number: (225)765-6565

Location

  • Address1: 9032 Perkins Rd
  • Address2:
  • City: Baton Rouge
  • State: Louisiana
  • Zip Code: 70810
  • Phone Number: (225)358-4853

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):