DR. JOHN E. SORRELLS (NPI# 1215919717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215919717 |
| Entity Type | Individual |
| Full Name | DR. JOHN E. SORRELLS |
| Other Name | DR. JOHN E. SORRELLS |
| Credential | M.D. |
| Practice Address |
1717 Oak Park Blvd Suite 1 Lake Charles LA 70601-8991 |
| Practice Telephone | 3374783810 |
| Practice Fax Number | 3374786360 |
| Mailing Telephone | 3374783810 |
| Mailing Fax Number | 3374786360 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 010039` | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1114375 | 05 | |
| LA | CIGNA | 720680677013 | 01 |
| LA | AETNA | 5583170 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508040098 | John T. Sorrells | Internal Medicine | 7330 San Pedro, Ste. 405, San Antonio, TX 78216-6235 | 2007-12-20 |
| Street Address |
1717 OAK PARK BLVD SUITE 1 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910801 | William R Condos Jr. | Internal Medicine | 1717 Oak Park Blvd, Fl 2, Lake Charles, LA 70601-8990 | 2005-05-24 |
| 1467821629 | Courtney Clark | Nurse Practitioner | 1717 Oak Park Blvd, Lake Charles, LA 70601-8991 | 2015-09-17 |
| 1568845899 | Kathy Parker Woodward | Nurse Practitioner | 1717 Oak Park Blvd, 3rd Floor, Lake Charles, LA 70601-8991 | 2015-07-06 |
| 1356730303 | Rikki Monticello | Nurse Practitioner | 1717 Oak Park Blvd, 3rd Floor, Lake Charles, LA 70601-8991 | 2015-01-14 |
| 1831507961 | Rebecca Kindler | Optometrist | 1717 Oak Park Blvd, Ste 1, Lake Charles, LA 70601-8991 | 2014-08-01 |
| 1588007249 | Martin Daniel Castillo | Nurse Practitioner | 1717 Oak Park Blvd, 3rd Fl, Lake Charles, LA 70601-8991 | 2013-04-12 |
| 1043553522 | Amanda Joiner Saltzman | Pharmacist | 1717 Oak Park Blvd, Suite 110, Lake Charles, LA 70601-8991 | 2013-04-03 |
| 1932450210 | Keysha Raye Nabours | Nurse Practitioner | 1717 Oak Park Blvd, 2nd Fl, Lake Charles, LA 70601-8991 | 2012-09-26 |
| 1063778504 | Margaret Young Carter | Ophthalmology | 1717 Oak Park Blvd, #1, Lake Charles, LA 70601-8991 | 2012-04-10 |
| 1598052052 | Ted Etell Fontenot | Nurse Practitioner | 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991 | 2011-07-06 |
| 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 | 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 | 70601 |
Please comment or provide details below to improve the information on DR. JOHN E. SORRELLS.
| 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.