JAMES G MAZE (NPI# 1114059821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114059821 |
| Entity Type | Individual |
| Full Name | JAMES G MAZE |
| Other Name | JAMES G MAZE |
| Credential | MD |
| Practice Address |
1701 Oak Park Blvd Lake Charles LA 70601 |
| Mailing Address |
Po Box 3066 Lake Charles LA 70602 |
| Practice Telephone | 3374942121 |
| Practice Fax Number | 3374942360 |
| Mailing Telephone | 3374942125 |
| Mailing Fax Number | 3374942360 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
11247R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1661635 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598844086 | James Dale Maze | Pharmacist | 2050 Highway 11 North, Booneville, KY 41314 | 2006-11-03 |
| Street Address |
1701 OAK PARK BLVD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972549855 | Southwest Louisiana Hospital Association | General Acute Care Hospital | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2006-06-21 |
| 1699386672 | Alexis Batiste | Nurse Anesthetist, Certified Registered | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2020-08-12 |
| 1912530510 | Kathryn Claire Anderson | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2020-02-21 |
| 1902450851 | Jed Michael Guillory | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2019-07-29 |
| 1598328189 | Joshua Clayton Gray | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2019-04-18 |
| 1750846663 | Memorial Medical Group, LLC | Family Medicine | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2019-02-05 |
| 1306331004 | Austin Goings | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2018-06-25 |
| 1649767724 | Melanie Bousegard White | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2018-04-16 |
| 1518461706 | Brandon Shea Blanchard | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2018-03-21 |
| 1790293645 | Lauren Courville | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2018-01-12 |
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972931715 | David S Chang LLC | Radiology | 1200 E Mcneese St, Suite B, Lake Charles, LA 70607-4770 | 2013-10-14 |
| 1518949460 | Larry Allen Hauskins | Radiology | 524 S Ryan St, Regional Cancer Center, Lake Charles, LA 70601-5725 | 2005-11-16 |
| 1609037837 | David Shi-wei Chang | Radiology | 524 Dr Michael Debakey Dr, Lake Charles, LA 70601 | 2008-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720489362 | Acadiana Radiation Therapy LLC | Radiology | 525 N Lewis St, New Iberia, LA 70563-2015 | 2014-09-15 |
| 1235557000 | Audrey Dang | Radiology | 232 Southwood Dr, Gretna, LA 70056-7865 | 2014-03-31 |
| 1437442472 | Ross Edward Bland | Radiology | 411 Calypso Street, Monroe, LA 71201 | 2011-05-24 |
| 1477846913 | Edward Mannina | Radiology | 1120 Robert Blvd Ste 100, Slidell, LA 70458 | 2011-05-17 |
| 1730488974 | Jill Nicole Vincent | Radiology | 2000 Canal St Fl 1, New Orleans, LA 70112 | 2011-03-25 |
| 1487974044 | Lafayette Health Ventures Inc | Radiology | 155 Hospital Dr Ste 102, Lafayette, LA 70503-2852 | 2010-06-07 |
| 1760708614 | Rachael E Harmon | Radiology | 3600 Prytania St., Ste. 35, New Orleans, LA 70115-3678 | 2010-04-18 |
| 1235364159 | Carl S Merlin | Radiology | 3 Poydras St, Unit 4f, New Orleans, LA 70130-1657 | 2009-05-20 |
| 1700021961 | Karl Thomas Noell | Radiology | 630 Greenbriar Rd, Lafayette, LA 70503-3408 | 2008-12-02 |
| 1376700591 | James Kyle Russo II | Radiology | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2008-05-16 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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| 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.