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Active NPI 1245440940 Individual Practitioner Female Practitioner

Dr. Ofundem Rose Gwan , MD

General Practice • Ruston, LA

Professional Overview & Biography Verified Profile Summary

Dr. Ofundem Gwan, MD is a registered healthcare professional specializing in General Practice in Ruston, LA. Practice services are available at 1406 S VIENNA ST under active NPI credentials.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, hospital observation care, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1406 S Vienna St

Ruston, LA 712706428

Telephone 3182322456
Fax 3182322457

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Ruston, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Ruston, LA (173 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
156 148 $852.70 $197.05
99220 Hospital observation care, typically 70 minutes
44 42 $660.70 $170.64

Medical Specialties & State Licenses

CMS Verified: 2023-01-23
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License LA MD.203609

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License LA MD.203609

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1459330 (LA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Angelica Boston , RSW

Case Manager/Care Coordinator

NPI 1124904032

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2023

Internal Medicine (License #MD.203609 in LA)

📍
Updated Business Mailing Address December 09, 2022

Registered at 282 JOHN WAYNE DR, LAFAYETTE, LA 705084918 (Tel: 3373719670)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2022

General Practice (License #MD.203609 in LA)

NPI Profile Active July 18, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2014

Registered at 1406 S VIENNA ST, RUSTON, LA 712706428 (Tel: 3182322456)

📍
Updated Business Mailing Address July 18, 2014

Registered at 1406 S VIENNA ST, RUSTON, LA 712706428 (Tel: 3182322456)

👤
Provider Name / Credentials Updated July 18, 2014

Recorded as OFUNDEM GWAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2014

Internal Medicine (License #MD203609 in LA)

🟢
Initial NPI Registration & Enumeration May 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245440940
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: January 23, 2023
Sole Proprietor: Yes

Mailing Address

282 John Wayne Dr

Lafayette, LA 705084918

Phone: 3373719670

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.