OCHSNER CLINIC LLC (NPI# 1417429036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417429036 |
| Entity Type | Organization |
| Organization Name | OCHSNER CLINIC LLC |
| Other Organization Name | OCHSNER CHRISTUS HEALTH CENTER - MOSS BLUFF |
| Practice Address |
1355 Sam Houston Jones Pkwy Ste 355 Lake Charles LA 70611 |
| Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
| Practice Telephone | 3375130299 |
| Practice Fax Number | 3379906484 |
| Mailing Telephone | 5048424000 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2019-07-22 |
| Authorized Official Name | EDUARDO BENITEZ (DIRECTOR) |
| Authorized Official Telephone | 5048426933 |
| Is Organization Subpart | Y |
| Parent Organization Name | OCHSNER CLINIC LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1798118 | 05 |
| Other Name | Type Code |
|---|---|
| Ochsner CHRISTUS Health Center - Moss Bluff | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 217 Sam Houston Jones Pkwy, Lake Charles, LA 706115644 | 3374303270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730070 | Ochsner Clinic LLC | Pediatrics | 153o Town Blvd, Opelousas, LA 70570-6971 | 2020-08-13 |
| 1861002958 | Ochsner Clinic LLC | Internal Medicine | 1051 Gause Blvd Ste 380, Slidell, LA 70458-2997 | 2020-08-04 |
| 1902424583 | Ochsner Clinic LLC | Internal Medicine | 64040 Highway 434 Ste 100, Lacombe, LA 70445-3499 | 2020-07-09 |
| 1518581305 | Ochsner Clinic LLC | Internal Medicine | 10150 Bluebonnet Blvd, Baton Rouge, LA 70810-7131 | 2020-06-08 |
| 1538794011 | Ochsner Clinic LLC | Internal Medicine | 4150 Nelson Rd Bldg C, Lake Charles, LA 70605-4148 | 2020-03-05 |
| 1376182188 | Ochsner Clinic LLC | Internal Medicine | 5950 Bullard Ave, New Orleans, LA 70128-2816 | 2019-12-26 |
| 1265078877 | Ochsner Clinic LLC | Internal Medicine | 14601 Airline Hwy Ste 103, Gonzales, LA 70737-6658 | 2019-11-19 |
| 1003379124 | Ochsner Clinic LLC | Internal Medicine | 701 Poydras St Ste 107, New Orleans, LA 70139-7713 | 2019-04-08 |
| 1851873954 | Ochsner Clinic LLC | Internal Medicine | 1050 Gause Blvd Ste 320, Slidell, LA 70458-2940 | 2018-09-05 |
| 1003328444 | Ochsner Clinic LLC | General Practice | 201 Decatur St, New Orleans, LA 70130-1015 | 2017-10-25 |
| Street Address |
1355 SAM HOUSTON JONES PKWY STE 355 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669361 | Nafeesa Zindani | Family Medicine | Chadha Medical Clinic 237 Sam Houston Jones Pkwy, Lake Carles, LA 70611 | 2018-02-19 |
| 1265930457 | Mark Kwame Osebre | Pharmacist | 120 Us-171, Moss Bluff, LA 70611 | 2018-01-23 |
| 1255840690 | Eavy's Medical Transportation | Non-emergency Medical Transport (VAN) | 1274 You Winn Rd, Moss Bluff, LA 70611 | 2017-09-28 |
| 1417324112 | Golden Touch LLC | Respite Care | 633 Donna Dr., Lake Charles, LA 70611 | 2015-08-28 |
| 1801299037 | Howard Bosely | Pharmacist | 899 Hwy 171 North, Lake Charles, LA 70611 | 2014-10-02 |
| 1780938266 | Kendra P Achord | Pharmacist | 899 Hwy 171 N, Lake Charles, LA 70611 | 2012-11-05 |
| 1235435314 | John Trahan II Apdc | Dentist | 139 Gloria Dr., Lake Charles, LA 70611 | 2011-02-07 |
| 1629383559 | Michael Rand Pettit | Pharmacist | 114 Gloria Dr, Lake Charles, LA 70611 | 2010-08-16 |
| 1851417844 | Steven Raymond Latiolais | Dentist | 644 Highway 171 N, Suite D, Lake Charles, LA 70611 | 2007-03-21 |
| 1518043595 | Lori H. Gober | Dentist | 340 N. Hwy 171, Suite A, Lake Charles, LA 70611 | 2006-10-31 |
| Find all providers in zip 70611 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794011 | Ochsner Clinic LLC | Internal Medicine | 4150 Nelson Rd Bldg C, Lake Charles, LA 70605-4148 | 2020-03-05 |
| 1669896437 | Qureshi Mht LLC | Internal Medicine | 1025 Worthington, Lake Charles, LA 70605-6644 | 2014-02-13 |
| 1689018665 | Amber Dawson | Internal Medicine | 1960 Tybee Ln, Lake Charles, LA 70605-4173 | 2013-04-22 |
| 1730434416 | Norman Louis Davidson | Internal Medicine | 1001 Bayou Oak Ln, Lake Charles, LA 70605-2633 | 2012-07-18 |
| 1548413172 | Maocheng Zhan | Internal Medicine | 524 Dr Michael Debakey Drive, St Patrick Hosoital, Lake Charles, LA 70601-0000 | 2008-10-28 |
| 1659564987 | Comprehensive Medical Clinic Apmc | Internal Medicine | 333 South Ryan St., Suite 250, Lake Charles, LA 70601 | 2007-08-21 |
| 1568668002 | Hung Henry Nguyen | Internal Medicine | 524 Dr. Michael Debakey Drive, Lake Charles, LA 70601-0000 | 2007-06-22 |
| 1487873758 | Neil Clinic Inc. | Internal Medicine | 760 Bayou Pines East Dr, Lake Charles, LA 70601-7184 | 2007-04-25 |
| 1518008341 | Adrienne Lynn Breaux | Internal Medicine | 1722 Westwood St., Lake Charles, LA 70601 | 2007-02-12 |
| 1316026743 | Kevin E Mocklin | Internal Medicine | 4000 Lock Lane., # 14, Lake Charles, LA 70605 | 2006-11-05 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70611 |
Please comment or provide details below to improve the information on OCHSNER CLINIC LLC.
| 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.