DR. HENRY J GOOLSBY III


Address: 2002 W Walnut St Ste 2, Lake Charles, LA 70601-5690
Phone: 3373128234

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
LA 1130664 05

Office Location

Street Address 2002 W WALNUT ST STE 2
City LAKE CHARLES
State LA
Zip Code 70601-5690

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City LAKE CHARLES
Zip Code 70601

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Dataset Information

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.

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