LAKESIDE MEDICAL WELLNESS CLINIC (NPI# 1235315516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235315516 |
| Entity Type | Organization |
| Organization Name | LAKESIDE MEDICAL WELLNESS CLINIC |
| Practice Address |
110 E Darbonne St Ste B Sulphur LA 70663-4958 |
| Practice Telephone | 3375279529 |
| Practice Fax Number | 3375275049 |
| Mailing Telephone | 3375279529 |
| Mailing Fax Number | 3375275049 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | GEORGE E SMITH (OWNER) |
| Authorized Official Telephone | 3375279529 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | ========= | LA | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407147234 | Lakeside Medical Wellness Clinic | Clinic/Center | 1908 Maplewood Dr, Suite B, Sulphur, LA 70663-6000 | 2011-04-27 |
| Street Address |
110 E DARBONNE ST STE B |
| City | SULPHUR |
| State | LA |
| Zip Code | 70663-4958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457822751 | Imperial Calcasieu Human Services Authority | Clinic/Center | 2651 E Napoleon St, Sulphur, LA 70663 | 2018-12-12 |
| 1083134670 | Leah Lowe | Nurse Practitioner | 1019 Mathew St., Sulphur, LA 70663 | 2017-06-23 |
| 1972037166 | Collins Orthopaedics LLC | Orthopaedic Surgery | 250 S Beglis Parkway, Ste 3, Sulphur, LA 70663 | 2017-04-14 |
| 1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
| 1598213357 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 1000 Beglis Pkwy, Sulphur, LA 70663 | 2016-09-21 |
| 1992129019 | Healthscripts of America-southwest Louisiana,llc | Pharmacy | 1575 Maplewood Drive, Suite A, Sulphur, LA 70663 | 2014-02-10 |
| 1679900476 | Evergreen Presbyterian Ministries, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2108 Division Street, Sulphur, LA 70663 | 2013-10-11 |
| 1295065241 | Journey Behavioral Health, LLC | Psychologist | 423 Cypress St., Sulphur, LA 70663 | 2010-01-13 |
| 1558513754 | C H Wilkinson Physician Network | Nurse Practitioner | 525 North City Service Hwy, Sulphur, LA 70663 | 2008-10-21 |
| 1689853343 | Stelly Physical &occupational Therapy | Occupational Therapist | 946 Beglis Parkway, Sulphur, LA 70663 | 2007-10-30 |
| Find all providers in zip 70663 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293262 | Shyloh L Murphy | Preferred Provider Organization | 203 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-12-27 |
| 1407388432 | The Right Care | Preferred Provider Organization | 321 Westwood Dr, Crowley, LA 70526-3242 | 2017-03-29 |
| 1013466051 | Cognitive Development Center | Preferred Provider Organization | 316 Woodale Dr Apt 11, Monroe, LA 71203-2712 | 2016-10-03 |
| 1043663040 | Elocin of Greater New Orleans | Preferred Provider Organization | 3401 Saint Claude Ave, New Orleans, LA 70117-6144 | 2016-07-14 |
| 1104277854 | Butterfly Effects | Preferred Provider Organization | 5844 Bienvenue Ave, Marrero, LA 70072-4704 | 2016-06-23 |
| 1255791950 | Gwangis Conseling | Preferred Provider Organization | 308 Turtle Creek Ln, Saint Rose, LA 70087-3824 | 2016-02-24 |
| 1427415918 | Family Therapy and Wellness Consulting | Preferred Provider Organization | 418 Webb Ct, Minden, LA 71055-2649 | 2016-01-28 |
| 1346619137 | Affirmed Counseling Cent | Preferred Provider Organization | 4419 General Pershing St, New Orleans, LA 70125-3632 | 2015-09-22 |
| 1861861148 | Integrity Managed Care Systems | Preferred Provider Organization | 124 Nita St, New Iberia, LA 70563-2424 | 2015-09-17 |
| 1386990430 | Living Waters Community Ministry | Preferred Provider Organization | 803 N 48th St, Baton Rouge, LA 70802-1346 | 2012-07-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LAKESIDE MEDICAL WELLNESS CLINIC.
| 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.