DR. HENRY J GOOLSBY III (NPI# 1538109988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538109988 |
Entity Type | Individual |
Full Name | DR. HENRY J GOOLSBY III |
Credential | M.D. |
Practice Address |
2002 W Walnut St Ste 2 Lake Charles LA 70601-5690 |
Mailing Address |
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 |
Practice Telephone | 3373128234 |
Practice Fax Number | 3373128411 |
Mailing Telephone | (337) 312-8360 |
Mailing Fax Number | 3373126711 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2017-11-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
201907 | LA | Allopathic & Osteopathic Physicians |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD0000024339 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1130664 | 05 |
Street Address |
2002 W WALNUT ST STE 2 |
City | LAKE CHARLES |
State | LA |
Zip Code | 70601-5690 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205125374 | Infinite Health Integrative Medicine Center Inc | Clinic/Center | 2002 W Walnut St Ste 2, Lake Charles, LA 70601-5690 | 2011-03-29 |
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 | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699890376 | Michael L Broussard | Internal Medicine | 2770 3rd Ave Ste 210, Lake Charles, LA 70601-0404 | 2007-03-20 |
1376546499 | Paul X Zhang | Internal Medicine | 4150 Nelson Rd Ste 2, Lake Charles, LA 70605 | 2005-05-23 |
1336370642 | Kamran Shahid | Internal Medicine | 4150 Nelson Rd Ste 6, Lake Charles, LA 70605-4148 | 2009-08-04 |
1164540175 | Swlhs, Inc. | Internal Medicine | 2770 3rd Ave # S350, Lake Charles, LA 70601-8994 | 2007-03-27 |
1265558308 | Michael A Bergeron | Internal Medicine | 2770 3rd Ave # S350, Lake Charles, LA 70601-8994 | 2007-03-21 |
1043335755 | Leroy E Fredericks | Internal Medicine | 2770 3rd Ave Ste 350, Lake Charles, LA 70601-0404 | 2007-03-20 |
1689753014 | James Phillip Gaharran | Internal Medicine | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-8994 | 2006-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659996544 | Bethesda Medical Clinic Infusion Center LLC | Internal Medicine | 1620 Belle Chasse Hwy Ste 102, Terrytown, LA 70056-7057 | 2020-06-16 |
1336528355 | Lafayette Health Ventures, Inc. | Internal Medicine | 814 Jefferson Ter, New Iberia, LA 70560-5727 | 2015-05-22 |
1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
1760758221 | Thomas Stewart Atkinson | Internal Medicine | 2121 Ridgelake Dr Fl 4, Metairie, LA 70001 | 2012-03-29 |
1548535883 | Aurash Khoobehi | Internal Medicine | 4204 Houma Blvd 2nd Floor, Ej Hem/onc, Metairie, LA 70006-2968 | 2012-03-20 |
1265713572 | Shaista H. Faruqui, M.d. Apmc | Internal Medicine | 5320 Dijon Dr, Baton Rouge, LA 70808-4313 | 2011-08-31 |
1437449949 | Tyler Donald Lash | Internal Medicine | 2600 Kings Hwy Ste 340, Shreveport, LA 71103-3951 | 2011-04-18 |
1700110632 | Marshall L Leary Jr Apmc | Internal Medicine | 1162 Oliver Road, Suite 7, Monroe, LA 71201 | 2009-09-24 |
1942478805 | Bridgette Collins Burow | Internal Medicine | 1430 Tulane Ave # Sl-78, New Orleans, LA 70112-2632 | 2008-02-13 |
1760687230 | Hematology & Specialists LLC | Internal Medicine | 506 Rue De Sante, La Place, LA 70068-5418 | 2007-06-15 |
Find all providers with the same taxonomy |
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.