CHRISTUS HEALTH SOUTHWESTERN LOUISIANA (NPI# 1104267301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104267301 |
| Entity Type | Organization |
| Organization Name | CHRISTUS HEALTH SOUTHWESTERN LOUISIANA |
| Other Organization Name | CHRISTUS ST PATRICK HOSPITAL NEUROSURGICAL ASSOCIATES |
| Practice Address |
1614 Wolf Cir Lake Charles LA 70605-2348 |
| Mailing Address |
524 Dr Michael Debakey Dr Lake Charles LA 70601-5725 |
| Practice Telephone | 3374789653 |
| Practice Fax Number | 3374740988 |
| Mailing Telephone | 3374917730 |
| Mailing Fax Number | 3374917157 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2013-07-16 |
| Authorized Official Name | MR. STEPHEN WRIGHT (CEO) |
| Authorized Official Telephone | 3374486584 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 647 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1720241 | 05 |
| Other Name | Type Code |
|---|---|
| CHRISTUS ST PATRICK HOSPITAL NEUROSURGICAL ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710191473 | Christus Health Southwestern Louisiana | Clinic/Center | 100 N Prater, Lake Charles, LA 70601 | 2007-05-10 |
| 1205040995 | Christus Health Southwestern Louisiana | Clinic/Center | 2300 Medora Street, Lake Charles, LA 70601 | 2007-05-10 |
| 1407068299 | Christus Health Southwestern Louisiana | Clinic/Center | 753 Oak Grove Highway, Grand Chenier, LA 70632 | 2007-05-04 |
| 1376755454 | Christus Health Southwestern Louisiana | Clinic/Center | 2802 Pineview Street, Lake Charles, LA 70615 | 2007-05-03 |
| 1093927105 | Christus Health Southwestern Louisiana | Clinic/Center | 2115 Fitzenreiter Road, Lake Charles, LA 70601 | 2007-05-03 |
| 1629076468 | Christus Health Southwestern Louisiana | General Acute Care Hospital | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2005-07-13 |
| 1548796378 | Christus Health Southwestern Louisiana | General Acute Care Hospital | 4200 Nelson Rd, Lake Charles, LA 70605-4118 | 2017-05-11 |
| 1588784649 | Christus Health Southwestern Louisiana | General Acute Care Hospital | 524 S Ryan St, Lake Charles, LA 70601-5725 | 2007-03-30 |
| 1861491375 | Christus Health Southwestern Louisiana | Psychiatric Unit | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2005-07-18 |
| 1801895644 | Christus Health Southwestern Louisiana | Rehabilitation Unit | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601-5725 | 2005-07-14 |
| Street Address |
1614 WOLF CIR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407852288 | Deanna Fredericks Harless | Nurse Practitioner | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2005-06-24 |
| 1740644897 | Lindsay Viator | Nurse Practitioner | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2016-04-05 |
| 1740643477 | Christus Health Swla | Nurse Practitioner | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2016-03-31 |
| 1982910014 | Kasie Carin Nix | Nurse Practitioner | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2010-08-26 |
| 1073842134 | Tara C Barnes | Nurse Practitioner | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2009-12-18 |
| 1750587838 | Brian Christopher Kelley | Neurological Surgery | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2007-06-25 |
| 1184631210 | Center for Neurosurgical and Spine Disorders, LLC | Neurological Surgery | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2006-08-02 |
| 1104865336 | Shelly Kaye Guillory | Nurse Practitioner | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2006-06-05 |
| 1942206727 | Erich W Wolf Jr. | Neurological Surgery | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1669730313 | Matthew Ryan Burton | Neurological Surgery | 2770 3rd Ave Ste 110, Lake Charles, LA 70601-0404 | 2012-05-01 |
| 1538425004 | William F Foster Jr. | Neurological Surgery | 707 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5728 | 2012-04-09 |
| 1083772883 | Bryant Gerard George Sr. | Neurological Surgery | 1611 Foster St, Lake Charles, LA 70601-5815 | 2006-12-05 |
| 1982687919 | John F Raggio | Neurological Surgery | 601 S Ryan St, Lake Charles, LA 70601-5726 | 2005-11-23 |
| 1750587838 | Brian Christopher Kelley | Neurological Surgery | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2007-06-25 |
| 1689751877 | The Neurosurgery Center, LLC | Neurological Surgery | 601 S Ryan St, Lake Charles, LA 70601-5726 | 2006-11-01 |
| 1184631210 | Center for Neurosurgical and Spine Disorders, LLC | Neurological Surgery | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2006-08-02 |
| 1558305862 | Lake Charles Medical Services | Neurological Surgery | 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8990 | 2006-06-16 |
| 1609866953 | Gregory J Rubino | Neurological Surgery | 2770 3rd Ave, Suite 225, Lake Charles, LA 70601-8994 | 2005-10-27 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on CHRISTUS HEALTH SOUTHWESTERN LOUISIANA.
| 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.