LAKE CHARLES MEDICAL & SURGICAL CLINIC (NPI# 1982861407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982861407 |
| Entity Type | Organization |
| Organization Name | LAKE CHARLES MEDICAL & SURGICAL CLINIC |
| Practice Address |
4320 Lake St Lake Charles LA 70605-4310 |
| Mailing Address |
501 S Ryan St Lake Charles LA 70601-5724 |
| Practice Telephone | 3374338400 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |
| 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 | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
4320 LAKE ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-4310 |
| 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 | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537626 | Access Urgent Care | Clinic/Center | 1530 E Mcneese St, Lake Charles, LA 70607-4784 | 2020-10-27 |
| 1245857648 | Hulin Urgent Care Services, LLC | Clinic/Center | 3829 Ryan St Ste 300, Lake Charles, LA 70605-2815 | 2020-07-01 |
| 1376901694 | Calcasieu Urgent Care LLC | Clinic/Center | 242 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 | 2016-02-01 |
| 1134530470 | Lake Charles Urgent Care | Clinic/Center | 2400 Ryan St, Lake Charles, LA 70601-7322 | 2014-05-08 |
| 1942413612 | Hunter Mcguire Medical Center | Clinic/Center | 1510 W Mcneese St, Lake Charles, LA 70605-4242 | 2007-05-08 |
| 1508494964 | Calcasieu Urgent Care LLC | Clinic/Center | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2020-03-31 |
| 1568951275 | Calcasieu Urgent Care LLC | Clinic/Center | 2640 Country Club Rd, Lake Charles, LA 70605-6078 | 2018-05-08 |
| 1053658328 | Upfront Urgent Care and Occupational Medicine | Clinic/Center | 1718 N Martin Luther King Hwy, Lake Charles, LA 70615 | 2013-01-07 |
| 1467715490 | Calcasieu Urgent Care LLC | Clinic/Center | 2640 Country Club Rd, Suite 400, Lake Charles, LA 70605-5912 | 2012-06-25 |
| 1306135892 | Lake Charles Urgent Care | Clinic/Center | 1905 Country Club Rd, Lake Charles, LA 70605-5203 | 2011-04-05 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on LAKE CHARLES MEDICAL & SURGICAL CLINIC.
| 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.