ALEX ANDERSON (NPI# 1295155778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295155778 |
| Entity Type | Individual |
| Full Name | ALEX ANDERSON |
| Credential | M.D. |
| Practice Address |
1747 Imperial Blvd Lake Charles LA 70605-5362 |
| Practice Telephone | 3377217236 |
| Practice Fax Number | 3377217237 |
| Mailing Telephone | 3377217236 |
| Mailing Fax Number | 3377217237 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
208128 | LA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1525 Oak Park Blvd., Lake Charles, LA 70601 | 3374946767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508424870 | Alex Ann Anderson | Physical Therapist | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | 2019-06-03 |
| 1336607142 | Alex Charles Anderson | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr, Lebanon, OR 97355-3983 | 2019-03-11 |
| 1295230092 | Alex Anderson | Surgery | 1750 W Harrison St, Chicago, IL 60612 | 2018-03-26 |
| 1235662628 | Alex Anderson | Family Medicine | 227 Valley View Dr, Waverly, OH 45690-9135 | 2017-04-04 |
| 1417183385 | Alex R Anderson | Counselor | 1300 W Lodi Ave, Suite G-2, Lodi, CA 95242-3000 | 2009-06-05 |
| Street Address |
1747 IMPERIAL BLVD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-5362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487649091 | Staci Simon Boudreaux | Physician Assistant | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2005-09-20 |
| 1376168971 | Cody Gaupel | Student in an Organized Health Care Education/Training Program | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2020-06-10 |
| 1538703335 | Center for Orthopaedics and Spine LLC | Family Medicine | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-11-05 |
| 1013579150 | Bradley Lane Jimerson | Student in an Organized Health Care Education/Training Program | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-06-28 |
| 1912560541 | Haley Cook Cart | Physician Assistant | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-04-18 |
| 1174014534 | Susan Helms Cart | Occupational Therapist | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2018-05-22 |
| 1679071161 | Ashley A Nix | Registered Nurse | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2018-01-30 |
| 1235584004 | Matthew Mccabe | Podiatrist | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2016-04-29 |
| 1295100808 | Lauren Ashley Sexton | Specialist/Technologist | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2015-12-08 |
| 1326422924 | Lance Henagan | Nurse Practitioner | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2015-07-13 |
| 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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538703335 | Center for Orthopaedics and Spine LLC | Family Medicine | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-11-05 |
| 1770613705 | Brian Richard Harrell | Family Medicine | 1525 Oak Park Blvd, Lake Charles, LA 70601 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568851962 | University of Louisiana of Monroe | Family Medicine | 308 Warhawk Way, Monroe, LA 71209-0001 | 2015-01-22 |
| 1497768147 | Rani G Whitfield | Family Medicine | 429 East Airport Dr., Suite 4, Baton Rouge, LA 70806 | 2006-08-14 |
| 1962474064 | Amanda Ruth Phillips-savoy | Family Medicine | 204 Energy Pkwy, Suite B, Lafayette, LA 70508-3816 | 2006-02-02 |
| 1861881435 | Nicholls State University | Family Medicine | 906 E 1st St, Thibodaux, LA 70301-6701 | 2015-01-20 |
| 1558658211 | Travis Steven Currie | Family Medicine | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2011-07-01 |
| 1700065323 | The Bond Group | Family Medicine | 913 S College Rd, Suite 106, Lafayette, LA 70503-3060 | 2007-10-31 |
| 1790983807 | Brian Joseph Lindenmayer | Family Medicine | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2007-07-10 |
| 1710184965 | The Bond Group, LLC | Family Medicine | 1101 S College Rd, Suite 201, Lafayette, LA 70503-3038 | 2007-06-29 |
| 1184745952 | Andrew William Gottschalk | Family Medicine | 1201 S Clearview Pkwy, Ste 104, Jefferson, LA 70121-1015 | 2007-04-02 |
| 1194752592 | Thomas K Bond Sr. | Family Medicine | 913 S College Rd, Suite 106, Lafayette, LA 70503-3060 | 2006-06-28 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
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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.