LC OF LOUISIANA HEALTHCARE LLC (NPI# 1124360854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124360854 |
| Entity Type | Organization |
| Organization Name | LC OF LOUISIANA HEALTHCARE LLC |
| Practice Address |
1701 Oak Park Blvd Lake Charles Memorial Health System Lake Charles LA 70601 |
| Mailing Address |
1009 Main St Bastrop TX 78602-3840 |
| Practice Telephone | 3374943000 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |
| Authorized Official Name | MR. MICHAEL CANDELARIO (SOLE MBR) |
| Authorized Official Telephone | 2102150990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
1701 OAK PARK BLVD LAKE CHARLES MEMORIAL HEALTH SYSTEM |
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750782025 | Lake Area Anesthesia Inc | Anesthesiology | 809 Garden Ln, Lake Charles, LA 70605-3321 | 2014-09-05 |
| 1457586141 | Tammy Lynn Fairchild | Anesthesiology | 4501 Nelson Rd Bldg A, Suite 4, Lake Charles, LA 70605-5207 | 2009-05-25 |
| 1386801918 | Chad David Fairchild | Anesthesiology | 4150 Nelson Rd # A, Suite 4, Lake Charles, LA 70605-4148 | 2008-05-21 |
| 1306021282 | John Shane Mallett | Anesthesiology | 751 Bayou Pines East Dr, Suite L, Lake Charles, LA 70601-7196 | 2008-01-09 |
| 1841492196 | Seth Thomas Billiodeaux | Anesthesiology | 4345 Nelson Rd, Lake Charles, LA 70605-4156 | 2007-05-31 |
| 1427038827 | John L Scott | Anesthesiology | 751 E Bayou Pines Dr, Suite L, Lake Charles, LA 70601-7196 | 2006-01-20 |
| 1609853928 | Ronald Moore Lewis | Anesthesiology | 4150 Nelson Rd., Building A-suite 4 Anesthesia Associates, Lake Charles, LA 70605 | 2005-12-28 |
| 1043297229 | Russell A Guidry | Anesthesiology | 424 W Mcneese St, Lake Charles, LA 70605-5547 | 2005-12-28 |
| 1699760264 | Joshua A Allen | Anesthesiology | 215 W Prien Lake Rd, Coastal Pain Care, Lake Charles, LA 70601-8450 | 2005-09-20 |
| 1588165617 | Seth Billiodeaux Md LLC | Anesthesiology | 4345 Nelson Rd, Lake Charles, LA 70605-4156 | 2018-02-23 |
| Find all providers in LAKE CHARLES | ||||
| 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.