RICARDO SAMUDIA (NPI# 1831142355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831142355 |
| Entity Type | Individual |
| Full Name | RICARDO SAMUDIA |
| Credential | MD |
| Practice Address |
1717 Oak Park Blvd Fl 3 Lake Charles LA 70601-8990 |
| Mailing Address |
Po Box 122108 Dept 2108 Dallas TX 75312-2108 |
| Practice Telephone | 3374758100 |
| Practice Fax Number | 3374758510 |
| Mailing Telephone | 3374942919 |
| Mailing Fax Number | 3374943069 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
07963R | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1717 OAK PARK BLVD FL 3 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376524603 | Jeffrey E Balazsy | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2005-11-14 |
| 1538786132 | Morgan Leigh Hay | Nurse Practitioner | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2020-06-30 |
| 1659884385 | Kathryn Olivia Zimmerman | Physician Assistant | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2017-11-16 |
| 1033659156 | Amanda Kate Dawson | Nurse Practitioner | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2017-03-08 |
| 1790237568 | Cascio Consulting LLC | Non-Pharmacy Dispensing Site | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2016-10-27 |
| 1982065462 | Colin Ross Hidalgo | Nurse Practitioner | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2016-03-11 |
| 1760896625 | Collin Bowe | Internal Medicine | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-06-18 |
| 1689088957 | Syed Muhammad Ali Saad | Family Medicine | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-06-16 |
| 1043621089 | Hailey Crawford | Dietitian, Registered | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-05-13 |
| 1790196616 | Tristan Montrale Washington | Family Medicine | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-05-13 |
| Find all providers in the same location | ||||
| 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 | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952449118 | Imperial Calcasieu Human Services Authority | Family Medicine | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337073 | Brighter Days Treatment Centers LLC | Family Medicine | 2509 Broadmoor Blvd Ste B, Monroe, LA 71201-3184 | 2020-05-12 |
| 1548746852 | Wk Adult Medicine Specialists | Family Medicine | 2508 Bert Koun Loop Ste 300, Shreveport, LA 71118-3100 | 2018-07-19 |
| 1982194817 | The Harmony Center, Inc. | Family Medicine | 59213 Riverwest Dr., Plaquemine, LA 70764 | 2018-05-16 |
| 1417340233 | Asghar M Bajwa Md. LLC | Family Medicine | 1421 General Taylor Street, New Orleans, LA 70115 | 2015-03-18 |
| 1144573098 | Jeryl Reiser-parmenter Do LLC | Family Medicine | 1320 Prentiss Ave, New Orleans, LA 70122 | 2012-10-16 |
| 1740553569 | Pelican Clinic LLC | Family Medicine | 214 Fourpark Place, Suite A, Lafayette, LA 70507-2481 | 2012-02-10 |
| 1508144700 | In-home Physician Services of Louisiana | Family Medicine | 2024 Lac Cache Ct, Baton Rouge, LA 70816-8363 | 2011-07-22 |
| 1881880763 | Pma Medical Treatment Centers, LLC | Family Medicine | 613 Williams Blvd, Kenner, LA 70062-7635 | 2007-09-24 |
| 1619182045 | Susan E Uhrich | Family Medicine | 1214 W Veterans Meml Dr, Kaplan, LA 70548-4518 | 2007-05-11 |
| 1336261635 | Sangeeta A Shah | Family Medicine | 211 Kaliste Saloom Rd, Lafayette, LA 70508 | 2007-04-06 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on RICARDO SAMUDIA.
| 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.