DR. JAMES JEFFERY JANCUSKA (NPI# 1043201569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043201569 |
| Entity Type | Individual |
| Full Name | DR. JAMES JEFFERY JANCUSKA |
| Credential | M.D. |
| Practice Address |
401 Dr Michael Debakey Dr Lake Charles LA 70601-5864 |
| Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
| Practice Telephone | 3374366100 |
| Mailing Telephone | 5048424000 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2019-12-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 12314R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RAILROAD MEDICARE | 340014317 | 01 |
| LA | UNITED HEALTHCARE | 1900212 | 01 |
| LA | 1533041 | 05 |
| Street Address |
401 DR MICHAEL DEBAKEY DR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679045488 | Ochsner Clinic LLC | Internal Medicine | 401 Dr Michael Debakey Dr, Lake Charles, LA 70601-5864 | 2018-12-19 |
| 1912421553 | Jaylin Barkley Miller | Registered Nurse | 401 Dr Michael Debakey Dr, Lake Charles, LA 70601-5864 | 2017-07-26 |
| 1841646130 | Lake Charles Ambulatory Surgery Center, Lp | Clinic/Center | 401 Dr Michael Debakey Dr, Suite 310, Lake Charles, LA 70601-5864 | 2016-05-05 |
| 1033565320 | Cardiac Cath Lab of Lake Charles, Lp | Clinic/Center | 401 Dr Michael Debakey Dr, Suite 300, Lake Charles, LA 70601-5864 | 2016-05-05 |
| 1184060089 | Sherrie Tilley Eakin | Nurse Practitioner | 401 Dr Michael Debakey Dr, Ste 100, Lake Charles, LA 70601-5864 | 2013-05-17 |
| 1912249889 | Sloane Elizabeth Churchman | Dietitian, Registered | 401 Dr Michael Debakey Dr, Lake Charles, LA 70601-5864 | 2013-03-19 |
| 1598007437 | Gudrun Reed | Family Medicine | 401 Dr Michael Debakey Dr, Ste 100, Lake Charles, LA 70601-5864 | 2013-03-18 |
| 1992056048 | Kenneth A Ewane | Specialist | 401 Dr Michael Debakey Dr, Lake Charles, LA 70601-5864 | 2012-09-28 |
| 1154616936 | Matias Javier Nauts | Surgery | 401 Dr Michael Debakey Dr, Suite 100 C&d, Lake Charles, LA 70601-5864 | 2011-06-09 |
| 1134271448 | Raul Enrique Varela | Internal Medicine | 401 Dr Michael Debakey Dr, Ste 100, Lake Charles, LA 70601-5864 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861794745 | John Richard Enright | Urology | 4080 Locke Ln, Lake Charles, LA 70605-2258 | 2010-11-26 |
| 1558491803 | Lake Charles Medical Services Urology LLC | Urology | 2770 3rd Ave Ste 240, Lake Charles, LA 70601-8994 | 2007-03-06 |
| 1457453722 | John W Melton Md & Reed A Fontenot Jr Md Apmc | Urology | 2016 Dak Park Blvd, Lake Charles, LA 70601-7828 | 2006-09-05 |
| 1417934373 | Reed A Fontenot Jr. | Urology | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2005-12-30 |
| 1205827094 | Kenneth Steven Verheeck | Urology | 234 Dr Michael Debakey Dr, Lake Charles, LA 70601-5960 | 2005-11-02 |
| 1326449430 | Urology Center | Urology | 234 Dr Michael Debakey Dr, Lake Charles, LA 70601-5960 | 2014-09-08 |
| 1598770869 | John H Upshaw Jr. | Urology | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2006-07-29 |
| 1346267077 | Stacy Mcbroom | Urology | 2016 Oak Park Blvd, Lake Charles, LA 70601-7828 | 2006-07-17 |
| 1619993672 | Urology Center of Southwest Louisiana Inc | Urology | 234 Dr Michael Debakey Dr, Lake Charles, LA 70601-5960 | 2006-07-14 |
| 1346231065 | Farjaad Siddiq | Urology | 234 Dr Michael Debakey Dr, Lake Charles, LA 70601-5960 | 2005-11-02 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on DR. JAMES JEFFERY JANCUSKA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.