DR. JOHN LIEBERT COLLIGAN (NPI# 1295727550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295727550 |
| Entity Type | Individual |
| Full Name | DR. JOHN LIEBERT COLLIGAN |
| Credential | M.D. |
| Practice Address |
2000 Opelousas St Lake Charles LA 70601-2641 |
| Mailing Address |
3203 Cyprien Ln Lake Charles LA 70605-2254 |
| Practice Telephone | 3374399983 |
| Practice Fax Number | 3374379460 |
| Mailing Telephone | 3374786361 |
| Mailing Fax Number | 3374740628 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2008-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 10207 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1121878 | 05 |
| Street Address |
2000 OPELOUSAS ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043867708 | Maketia Morrison-williams | Counselor | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2019-08-19 |
| 1275096323 | Nicole M John | Family Medicine | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2019-04-07 |
| 1619460870 | Latasha Grice | Counselor | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2018-06-12 |
| 1346743697 | Swla Center for Health Services | Clinic/Center | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2018-03-13 |
| 1619405636 | Jessica Maria Wilkins | Dentist | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2017-06-03 |
| 1164964458 | Barbara Grigsby | Nutritionist | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2016-11-17 |
| 1831547868 | Shanone Chatman-ashley | Nurse Practitioner | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2016-05-31 |
| 1649669599 | Joyce J Fontenot | Specialist | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2015-01-15 |
| 1497157200 | Lisa Breaux | Nurse Practitioner | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2014-09-24 |
| 1245644731 | Karlnelius Duhon | Dentist | 2000 Opelousas St, Lake Charles, LA 70601-2641 | 2014-06-12 |
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| 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 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995482 | Howard Stelly LLC | Obstetrics & Gynecology | 1920 W Sale Rd Ste 6, Lake Charles, LA 70605-2400 | 2019-11-02 |
| 1265090179 | Lexus Louvier Martin | Obstetrics & Gynecology | 4150 Nelson Rd Bldg E, Lake Charles, LA 70605-4148 | 2019-06-05 |
| 1831491067 | Lcms Matthew G Scroggs, Md, LLC | Obstetrics & Gynecology | 1890 W Gauthier Rd Ste 140, Lake Charles, LA 70605-7179 | 2010-11-19 |
| 1730417924 | Kathy E. Walker | Obstetrics & Gynecology | 916 Kirby St, Lake Charles, LA 70601-5440 | 2009-11-26 |
| 1548467236 | Lake Charles Medical Services, Inc | Obstetrics & Gynecology | 1890 W Gauthier Rd Ste 130, Lake Charles, LA 70605-7179 | 2007-06-27 |
| 1912019696 | Gladys Ann Miller | Obstetrics & Gynecology | 4150 Nelson Road, Building E Suite 3, Lake Charles, LA 70605-4116 | 2006-08-31 |
| 1134162753 | Alice B Prestia | Obstetrics & Gynecology | 4150 Nelson Rd Building B Suite 3, Lake Charles, LA 70605-4148 | 2006-06-13 |
| 1043253669 | Ob-gyn Associates, L.L.C. | Obstetrics & Gynecology | 4150 Nelson Road, Bldg. A, Ste. 2, Lake Charles, LA 70605 | 2006-06-13 |
| 1871573030 | Rachel Chua | Obstetrics & Gynecology | 4150 Nelson Rd Ste 9, Lake Charles, LA 70605-4148 | 2006-01-21 |
| 1346249638 | Matthew Gary Scroggs | Obstetrics & Gynecology | 1890 W Gauthier Rd, Suite 150, Lake Charles, LA 70605-7179 | 2005-07-19 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.