Physician Compare National (NPI:1124194840)

HEALTHCARE PROVIDER: DAVID A SISAM DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1124194840
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153429824
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070604000219
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SISAM
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	COLLEGE OF OSTEOPATHIC PHYSICIANS AND SURGEONS OF LOS ANGELES
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	ENDOCRINOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	855 BELANGER ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	HOUMA
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	703604463
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9858735451
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190008
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TERREBONNE GENERAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190004
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THIBODAUX REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	190014
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	TECHE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	191325
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	LADY OF THE SEA GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	191324
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	OCHSNER ST ANNE GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1124194840)

HEALTHCARE PROVIDER: DAVID A SISAM DO

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information