DR. CHARLES RANDOLPH SPEIGHTS (NPI# 1821037383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821037383 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RANDOLPH SPEIGHTS |
| Credential | MD |
| Practice Address |
1727 Imperial Blvd Bldg 3 Lake Charles LA 70605-5393 |
| Mailing Address |
425 Speights Drive Hemphill TX 75948 |
| Practice Telephone | 3374851250 |
| Mailing Telephone | 5127716664 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 14774R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1461741 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1615 Wolf Cir Ste B, Lake Charles, LA 706052348 | 3374851250 | |
| 425 Speights Dr, Hemphill, TX 759488007 | 5127716664 |
| Street Address |
1727 IMPERIAL BLVD BLDG 3 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-5393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414008 | Carlie Bennett | Speech-Language Pathologist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2020-07-14 |
| 1821634106 | Marla Nichols | Occupational Therapist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2019-11-21 |
| 1649828310 | Courtney Lee Deitch | Lactation Consultant, Non-RN | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2019-08-27 |
| 1417511452 | Jessica Wells | Occupational Therapist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2019-04-25 |
| 1801358270 | Ethan Hyatt | Speech-Language Pathologist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2019-04-03 |
| 1720549157 | Balance Center, LLC | Physical Therapist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2019-03-28 |
| 1487130944 | James Marcantel Jr. | Physical Therapist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5362 | 2018-07-17 |
| 1710484944 | Kristen Marcantel | Speech-Language Pathologist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5362 | 2018-04-13 |
| 1912404161 | Jessica Pardo | Speech-Language Pathologist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5362 | 2018-04-12 |
| 1508383209 | Stephanie M Kestel Karpovs | Speech-Language Pathologist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5362 | 2017-08-24 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831544535 | Joseph Gallien | Emergency Medicine | 3418 Truman St, Lake Charles, LA 70607-2114 | 2016-04-30 |
| 1881031029 | Ross Hardy | Emergency Medicine | 2350 Longue Vue Dr, Lake Charles, LA 70605-4178 | 2013-05-29 |
| 1700113396 | Edward Shaheen | Emergency Medicine | 524 Michael Debakey Drive, Emergency Department, Lake Charles, LA 70601-5725 | 2009-11-03 |
| 1497938518 | Aaron L Dupree | Emergency Medicine | 1700 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2007-12-12 |
| 1962592493 | Dalmacio S Paraguya | Emergency Medicine | 301 Orchard Dr, Lake Charles, LA 70605-4445 | 2006-10-13 |
| 1497841233 | Stephen P Booker | Emergency Medicine | 708 W Mcnesse St, Lake Charles, LA 70605-0000 | 2006-10-05 |
| 1831290584 | Harold Tillman Shelton | Emergency Medicine | 511 Hodges Street, Lake Charles, LA 70601 | 2006-09-26 |
| 1952345902 | David W Hardey Sr. | Emergency Medicine | 2963 Bordelon, Lake Charles, LA 70611 | 2006-06-16 |
| 1356322077 | Jon Harvey Gray | Emergency Medicine | 1701 Oak Park Blvd., Lake Charles, LA 70601 | 2005-11-09 |
| 1821080615 | Bryan P Barrilleaux | Emergency Medicine | 643 S Ryan St, Lake Charles, LA 70601-5726 | 2005-08-17 |
| Find all providers in LAKE CHARLES | ||||
| 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.