IMPERIAL HEALTH-CARDIOVASCULAR SPECIALISTS OF SWLA (NPI# 1417365495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417365495 |
| Entity Type | Organization |
| Organization Name | IMPERIAL HEALTH-CARDIOVASCULAR SPECIALISTS OF SWLA |
| Practice Address |
600 Dr Michael Debakey Dr Lake Charles LA 70601-5727 |
| Mailing Address |
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 |
| Practice Telephone | 3374363813 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | MICHELA JOSEPH (HIM MANAGER) |
| Authorized Official Telephone | 3373128472 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AP07952 | LA | Ambulatory Health Care Facilities |
| Street Address |
600 DR MICHAEL DEBAKEY DR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609848639 | Xavier Rene Mousset | Surgery | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2006-02-03 |
| 1598237125 | Ochsner Clinic LLC | Internal Medicine | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2018-12-20 |
| 1720555188 | Melissa Ann Marcantel | Nurse Practitioner | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2018-10-24 |
| 1750890349 | Amanda Partin | Registered Nurse | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2017-09-26 |
| 1477901379 | Meagan Elizabeth Hinch | Nurse Practitioner | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2016-06-01 |
| 1063821619 | Jessica Lominac | Nurse Practitioner | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2014-08-07 |
| 1790038842 | Imperial Health LLP | Internal Medicine | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2012-10-25 |
| 1992053383 | Kristin Paige Harris | Nurse Practitioner | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2012-08-16 |
| 1083960355 | Deana Leigh Knighten | Nurse Practitioner | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2012-07-24 |
| 1184916371 | Mulhearn Medical, LLC | Internal Medicine | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2011-05-06 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992942999 | Y. Yoko Broussard Md, Apmc | Clinic/Center | 711 Dr. Michael Debakey Drive, Ste400, Lake Charles, LA 70601 | 2009-01-13 |
| 1538244884 | Humphries Family Healthcare, LLC | Clinic/Center | 3101 Lake St, Suite 128, Lake Charles, LA 70601-8337 | 2006-10-26 |
| 1164669206 | Michael A. Traub, M.d., Apmc | Clinic/Center | 711 Dr Michael Debakey Dr, Suite 200, Lake Charles, LA 70601-5785 | 2009-01-12 |
| 1841328549 | W.o. Moss Regional Medical Center | Clinic/Center | 1000 Walters St, Lake Charles, LA 70607-4647 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205457645 | Perfect Phyzique Wellness & Body Contouring, LLC | Clinic/Center | 220 Carroll St Ste A, Shreveport, LA 71105-4247 | 2020-04-27 |
| 1104445758 | Jennings American Legion Hospital Inc | Clinic/Center | 1322 Elton Rd Ste F, Jennings, LA 70546-4100 | 2020-04-14 |
| 1346874732 | Southeast Family Medical Practice | Clinic/Center | 1320 N Morrison Blvd Ste 125, Hammond, LA 70401-2242 | 2020-02-25 |
| 1356973077 | Phca Houma LLC | Clinic/Center | 435 Corporate Dr Ste 402, Houma, LA 70360-2498 | 2020-02-11 |
| 1124659164 | Diana L. Corley, Fnp, LLC | Clinic/Center | 1015 Hwy 107, Centerpoint, LA 71323 | 2020-01-29 |
| 1790322717 | Take Care Clinic LLC | Clinic/Center | 6721 Saint Claude Ave Ste B, Arabi, LA 70032-1247 | 2019-12-09 |
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1992367791 | Family First Medical & Wellness Clinic, LLC | Clinic/Center | 300 Clay St, Kenner, LA 70062 | 2019-07-01 |
| 1366926040 | In and Out Urgent Care Covington, LLC | Clinic/Center | 13130 Hwy 1085, Suite 100, Covington, LA 70433-7829 | 2018-09-19 |
| 1588143556 | Pediatric Center of Many LLC | Clinic/Center | 315 S Highland Dr Ste A, Many, LA 71449-3719 | 2018-08-10 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on IMPERIAL HEALTH-CARDIOVASCULAR SPECIALISTS OF SWLA.
| 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.