STANLEY R KORDISCH M D AMC (NPI# 1164686689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164686689 |
| Entity Type | Organization |
| Organization Name | STANLEY R KORDISCH M D AMC |
| Practice Address |
4150 Nelson Rd Ste C10 Lake Charles LA 70605-4169 |
| Practice Telephone | 3374740653 |
| Practice Fax Number | 3374740639 |
| Mailing Telephone | 3374740653 |
| Mailing Fax Number | 3374740639 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | MRS. HELEN CULPEPPER (OFFICE MANAGER) |
| Authorized Official Telephone | 3374740653 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 03813 | LA | Other Service Providers |
| Street Address |
4150 NELSON RD STE C10 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-4169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053575589 | Tricia N Guidry | Specialist | 4150 Nelson Rd Ste C10, Lake Charles, LA 70605-4169 | 2008-07-14 |
| 1861701161 | Noelle R Leger | Physician Assistant | 4150 Nelson Rd Ste C10, Lake Charles, LA 70605-4169 | 2010-10-04 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235436684 | Richard H. Kent M.d. Apmc | Specialist | 2912 Warren Ave, Lake Charles, LA 70601-8862 | 2011-02-22 |
| 1548405764 | J C Clement Inc. | Specialist | 1737 W. Sale Rd., Suite 103, Lake Charles, LA 70605 | 2008-12-03 |
| 1699920181 | Joy Charmaine Clement Derise | Specialist | 1737 W Sale Rd, Suite 103, Lake Charles, LA 70605-2579 | 2008-11-25 |
| 1053575589 | Tricia N Guidry | Specialist | 4150 Nelson Rd Ste C10, Lake Charles, LA 70605-4169 | 2008-07-14 |
| 1578739850 | Janice Lynn Huber | Specialist | 428 7th St, Lake Charles, LA 70601-6007 | 2008-05-06 |
| 1245429273 | Springer Family Medical Clinic LLC | Specialist | 601 Dr. Micheal Debakey, Lake Charles, LA 70601-5815 | 2007-10-16 |
| 1396935722 | Lynn E Foret Md | Specialist | 640 S Ryan St, Lake Charles, LA 70601-5727 | 2007-08-01 |
| 1619008075 | James M. Anderson | Specialist | 217 Dr Michael Debakey Dr, Lake Charles, LA 70601-5974 | 2007-03-08 |
| 1043396039 | Garrett B. Ryder | Specialist | 3109 Common St, Ste 106, Lake Charles, LA 70601-8575 | 2006-10-31 |
| 1780789974 | Lake Charles Medical Services, Inc | Specialist | 2770 3rd Ave Ste 345, Lake Charles, LA 70601-8994 | 2006-09-13 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on STANLEY R KORDISCH M D AMC.
| 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.