Provider Demographics
NPI:1235171554
Name:HAMMETT, DONALD K (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:K
Last Name:HAMMETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6198 CYPRESS ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-9010
Mailing Address - Country:US
Mailing Address - Phone:318-397-1616
Mailing Address - Fax:318-397-1661
Practice Address - Street 1:6198 CYPRESS ST
Practice Address - Street 2:SUITE 3
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-9010
Practice Address - Country:US
Practice Address - Phone:318-397-1616
Practice Address - Fax:318-397-1661
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA014744207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAP00181089OtherRAILROAD MEDICARE
LA199532Medicaid
LA5J213CN37Medicare PIN
LA199532Medicaid