THOMAS B FORD MD AMC (NPI# 1194994236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194994236 |
| Entity Type | Organization |
| Organization Name | THOMAS B FORD MD AMC |
| Practice Address |
4150 Nelson Rd Bldg. G, Ste 1 Lake Charles LA 70605-4148 |
| Practice Telephone | 3373100440 |
| Practice Fax Number | 3373100444 |
| Mailing Telephone | 3373100440 |
| Mailing Fax Number | 3373100444 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2010-08-03 |
| Authorized Official Name | MRS. JAMIE RHODES (OFFICE MANAGER) |
| Authorized Official Telephone | 3373100440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 014735 | LA | Suppliers |
| Street Address |
4150 NELSON RD BLDG. G, STE 1 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538993 | Eugene Fontenot | Obstetrics & Gynecology | 4150 Nelson Rd, Lake Charles, LA 70605-4148 | 2005-06-17 |
| 1760006803 | Nicholas Fulco | Physical Therapist | 4150 Nelson Rd, Bldg C, Ste 12, Lake Charles, LA 70605-4148 | 2020-06-04 |
| 1154977197 | Eugene M Fontenot Md LLC | Obstetrics & Gynecology | 4150 Nelson Rd, Building A Suite 1, Lake Charles, LA 70605 | 2019-08-15 |
| 1124583828 | Ashley Elizabeth Bellow | Nurse Practitioner | 4150 Nelson Rd, Suite E4, Lake Charles, LA 70605-4133 | 2019-02-06 |
| 1477093045 | Ashley Chaumont Hoffpauir | Physical Therapist | 4150 Nelson Rd, Bldg C, Ste 12, Lake Charles, LA 70605-4148 | 2017-03-02 |
| 1033584065 | Maureen A Olivier M.d. | Dermatology | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4140 | 2015-12-02 |
| 1215322946 | Blakelee Ann Moore | Physical Therapist | 4150 Nelson Rd, Suite C12, Lake Charles, LA 70605-4148 | 2015-03-31 |
| 1578966768 | Kelly Calloway | Nurse Practitioner | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4148 | 2014-10-01 |
| 1205239753 | Anesthesia Associates | General Acute Care Hospital | 4150 Nelson Rd, A4, Lake Charles, LA 70605-4148 | 2014-09-29 |
| 1356742043 | Qua'lynn S. Jenkins | Nurse Practitioner | 4150 Nelson Rd, Building E Suite 4, Lake Charles, LA 70605-4148 | 2014-09-12 |
| Find all providers in the same location | ||||
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245720630 | Dillon L Berlin | Durable Medical Equipment & Medical Supplies | 5034 Cobra Rd, Lake Charles, LA 70605-5932 | 2018-05-11 |
| 1801390232 | Garin Cecchini | Durable Medical Equipment & Medical Supplies | 5819 Willow Ridge Dr, Lake Charles, LA 70605-3143 | 2018-03-21 |
| 1275051146 | Lake Area Physician Services LLC | Durable Medical Equipment & Medical Supplies | 4150 Nelson Rd Ste D1, Lake Charles, LA 70605-4133 | 2017-08-31 |
| 1396263356 | Lake Area Physician Services LLC | Durable Medical Equipment & Medical Supplies | 10071 Hwy 385, Lake Charles, LA 70607 | 2017-08-30 |
| 1932647179 | Kroger Co | Durable Medical Equipment & Medical Supplies | 2010 Country Club Rd, Lake Charles, LA 70605-5206 | 2017-02-08 |
| 1780055301 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2011 Ryan St, Lake Charles, LA 70601-7313 | 2015-10-08 |
| 1285030098 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 260 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 | 2014-11-06 |
| 1013352764 | Jonathon Michael Nagem | Durable Medical Equipment & Medical Supplies | 202 W Oak Ln, Lake Charles, LA 70605-2808 | 2013-05-08 |
| 1205176302 | Central Marketing Group, LLC | Durable Medical Equipment & Medical Supplies | 1304 Enterprise Blvd, Lake Charles, LA 70601-6324 | 2013-02-26 |
| 1295021814 | Sleepox LLC | Durable Medical Equipment & Medical Supplies | 2814 Tupelo Street, Suite A, Lake Charles, LA 70601 | 2011-06-22 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on THOMAS B FORD MD 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.