IMPERIAL HEALTH LLP (NPI# 1558602235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558602235 |
| Entity Type | Organization |
| Organization Name | IMPERIAL HEALTH LLP |
| Practice Address |
4150 Nelson Rd Building G Suite 3 Lake Charles LA 70605-4148 |
| Mailing Address |
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 |
| Practice Telephone | 3374363813 |
| Mailing Telephone | 3374338400 |
| Mailing Fax Number | 3373126708 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-04-15 |
| Authorized Official Name | KRIS HICKINGBOTTOM (CEO) |
| Authorized Official Telephone | 3374338400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1174871123 | Imperial Health LLP | Family Medicine | 1920 W Sale Rd Bldg F, Lake Charles, LA 70605-2400 | 2012-08-23 |
| 1790033744 | Imperial Health LLP | Family Medicine | 277 N Highway 171 Ste 8, Lake Charles, LA 70611-5374 | 2012-08-23 |
| 1881942837 | Imperial Health LLP | Radiology | 1747 Imperial Blvd Ste B, Lake Charles, LA 70605-5362 | 2012-08-23 |
| 1326395997 | Imperial Health LLP | Physical Medicine & Rehabilitation | 111 N Royal St, Deridder, LA 70634-3851 | 2012-08-13 |
| 1053929166 | Imperial Health LLP | Family Medicine | 200 W 5th St, Deridder, LA 70634-4856 | 2020-07-15 |
| 1720480924 | Imperial Health LLP | Internal Medicine | 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 | 2014-09-18 |
| 1801207436 | Imperial Health LLP | Internal Medicine | 1700 Kaliste Saloom Rd, Bldg 2, Ste 201, Lafayette, LA 70508-6112 | 2014-05-16 |
| 1790038842 | Imperial Health LLP | Internal Medicine | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2012-10-25 |
| 1124371265 | Imperial Health LLP | Internal Medicine | 250 Beglis Pkwy, Suite 2, Sulphur, LA 70663-3502 | 2012-10-25 |
| Street Address |
4150 NELSON RD BUILDING G SUITE 3 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538993 | Eugene Fontenot | Obstetrics & Gynecology | 4150 Nelson Rd, Lake Charles, LA 70605-4148 | 2005-06-17 |
| 1760006803 | Nicholas Fulco | Physical Therapist | 4150 Nelson Rd, Bldg C, Ste 12, Lake Charles, LA 70605-4148 | 2020-06-04 |
| 1154977197 | Eugene M Fontenot Md LLC | Obstetrics & Gynecology | 4150 Nelson Rd, Building A Suite 1, Lake Charles, LA 70605 | 2019-08-15 |
| 1124583828 | Ashley Elizabeth Bellow | Nurse Practitioner | 4150 Nelson Rd, Suite E4, Lake Charles, LA 70605-4133 | 2019-02-06 |
| 1477093045 | Ashley Chaumont Hoffpauir | Physical Therapist | 4150 Nelson Rd, Bldg C, Ste 12, Lake Charles, LA 70605-4148 | 2017-03-02 |
| 1033584065 | Maureen A Olivier M.d. | Dermatology | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4140 | 2015-12-02 |
| 1215322946 | Blakelee Ann Moore | Physical Therapist | 4150 Nelson Rd, Suite C12, Lake Charles, LA 70605-4148 | 2015-03-31 |
| 1578966768 | Kelly Calloway | Nurse Practitioner | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4148 | 2014-10-01 |
| 1205239753 | Anesthesia Associates | General Acute Care Hospital | 4150 Nelson Rd, A4, Lake Charles, LA 70605-4148 | 2014-09-29 |
| 1356742043 | Qua'lynn S. Jenkins | Nurse Practitioner | 4150 Nelson Rd, Building E Suite 4, Lake Charles, LA 70605-4148 | 2014-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1174659668 | Jake Thomas Lebeau | Internal Medicine | 501 Michael Debakey Drive, Lake Charles, LA 70601-5724 | 2007-02-26 |
| 1013910801 | William R Condos Jr. | Internal Medicine | 1717 Oak Park Blvd, Fl 2, Lake Charles, LA 70601-8990 | 2005-05-24 |
| 1720550080 | Imperial Health, LLP | Internal Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607-8672 | 2018-12-27 |
| 1790038842 | Imperial Health LLP | Internal Medicine | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2012-10-25 |
| 1669693867 | Corey G Foster | Internal Medicine | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2007-05-02 |
| 1942373980 | Charles Boyd Woodard | Internal Medicine | 2800 1st Ave, Suite C, Lake Charles, LA 70601-8884 | 2006-11-16 |
| 1811060866 | Lake Charles Medical Services, Inc | Internal Medicine | 2800 1st Ave, Suite C, Lake Charles, LA 70601-8884 | 2006-11-16 |
| 1114018819 | John M Winterton | Internal Medicine | 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991 | 2006-09-27 |
| 1003913070 | Jean King White | Internal Medicine | 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991 | 2006-09-20 |
| 1225135478 | Christopher S Thompson | Internal Medicine | 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991 | 2006-09-20 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on IMPERIAL HEALTH LLP.
| 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.