LCMS MATERNAL FETAL MEDICINE, LLC (NPI# 1801198528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801198528 |
| Entity Type | Organization |
| Organization Name | LCMS MATERNAL FETAL MEDICINE, LLC |
| Other Organization Name | MATERNAL FETAL MEDICINE |
| Practice Address |
1900 W Gauthier Rd Lake Charles LA 70605-7170 |
| Mailing Address |
Po Box 122616 Dept 2616 Dallas TX 75312-0001 |
| Practice Telephone | 3374807267 |
| Practice Fax Number | 3374807261 |
| Mailing Telephone | 3374807267 |
| Mailing Fax Number | 3374807261 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2019-04-17 |
| Authorized Official Name | CHARLES WHITSON (CFO) |
| Authorized Official Telephone | 3374943204 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAKE CHARLES MEDICAL SERVICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2137824 | 05 |
| Other Name | Type Code |
|---|---|
| Maternal Fetal Medicine | Doing Business As Name - Organization |
| Street Address |
1900 W GAUTHIER RD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-7170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063046662 | Courtney Lynn Thomas | Nurse Practitioner | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2020-02-24 |
| 1346731528 | Elizabeth Jane Phillips | Registered Nurse | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2018-05-23 |
| 1003356437 | Charlotte Radde | Nurse Practitioner | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2017-03-05 |
| 1083097034 | Jordan Daughenbaugh | Nurse Anesthetist, Certified Registered | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2015-07-08 |
| 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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023227915 | Southwest Louisiana Hospital Association | Obstetrics & Gynecology | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396780193 | Woman's Maternal Fetal Medicine | Obstetrics & Gynecology | 9000 Airline Highway, Suite 370, Baton Rouge, LA 70815-4114 | 2006-06-17 |
| 1255330353 | Threvia West | Obstetrics & Gynecology | 4704 Ambassador Caffery Pkwy Ste 301, Lafayette, LA 70508-6908 | 2005-07-20 |
| 1649279969 | Marshall S Stamant | Obstetrics & Gynecology | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2005-07-19 |
| 1386643609 | Mark G Newman | Obstetrics & Gynecology | 9000 Airline Hwy, Ste. 370, Baton Rouge, LA 70815-4114 | 2005-07-19 |
| 1770587248 | Maternal Fetal Medicine of Acadiana | Obstetrics & Gynecology | 105 Corporate Blvd, Lafayette, LA 70508-3850 | 2005-06-11 |
| 1982950648 | Pamela M Simmons | Obstetrics & Gynecology | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2012-07-31 |
| 1457684995 | Thibodaux Regional Network Development Corporation | Obstetrics & Gynecology | 602 N Acadia Rd, Thibodaux, LA 70301-4847 | 2009-09-16 |
| 1871728956 | Wk Regional Perinatal Group | Obstetrics & Gynecology | 2508 Bert Kouns Industrial Loop, Suite 210, Shreveport, LA 71118-3133 | 2009-05-19 |
| 1508942715 | Paul Ronald Clisham | Obstetrics & Gynecology | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-10-31 |
| 1699868471 | Gabriella Pridjian | Obstetrics & Gynecology | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
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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.