SUSAN BOURGEOIS IEYOUB (NPI# 1255404521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255404521 |
| Entity Type | Individual |
| Full Name | SUSAN BOURGEOIS IEYOUB |
| Credential | M.D. |
| Practice Address |
2770 3rd Ave Suite 350 Lake Charles LA 70601-8994 |
| Practice Telephone | 3374946800 |
| Practice Fax Number | 3374946811 |
| Mailing Telephone | 3374946800 |
| Mailing Fax Number | 3374946811 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2015-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | L10821R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1693910 | 05 |
| Street Address |
2770 3RD AVE SUITE 350 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831189174 | Cynthia G Cox | Nurse Practitioner | 2770 3rd Ave, Suite 225, Lake Charles, LA 70601-8994 | 2005-10-27 |
| 1437692605 | Amanda Paige Mulig | Nurse Practitioner | 2770 3rd Ave, Ste 120, Lake Charles, LA 70601-8994 | 2016-11-21 |
| 1356607659 | Jason Kent Langhofer | Internal Medicine | 2770 3rd Ave, Ste 350, Lake Charles, LA 70601-8994 | 2012-04-11 |
| 1982960373 | Craig Alan Greenman | Internal Medicine | 2770 3rd Ave, Ste 350, Lake Charles, LA 70601-8994 | 2012-04-10 |
| 1407168032 | Lcms Surgical Associates of Southwest Lousiana, LLC | Surgery | 2770 3rd Ave, Suite 120, Lake Charles, LA 70601-8994 | 2010-07-12 |
| 1942461207 | Clifford Armand Courville | Internal Medicine | 2770 3rd Ave, Ste 110, Lake Charles, LA 70601-8994 | 2008-06-19 |
| 1245414481 | Endocrinology Center of Southwest La LLC | Specialist | 2770 3rd Ave, Suite 345, Lake Charles, LA 70601-8994 | 2007-12-24 |
| 1790803278 | Mary Beth Neeley | Nurse Practitioner | 2770 3rd Ave, Suite 350 Lake Charles Memorial Hospital Internal Medic, Lake Charles, LA 70601 | 2007-03-26 |
| 1093849515 | Floyd Anthony Gaspard Jr. | Registered Nurse | 2770 3rd Ave, Suite 225, Lake Charles, LA 70601 | 2007-03-15 |
| 1427181908 | Mark D Lafuria | Internal Medicine | 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-8994 | 2007-03-13 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1538794011 | Ochsner Clinic LLC | Internal Medicine | 4150 Nelson Rd Bldg C, Lake Charles, LA 70605-4148 | 2020-03-05 |
| 1417429036 | Ochsner Clinic LLC | Internal Medicine | 1355 Sam Houston Jones Pkwy, Ste 355, Lake Charles, LA 70611 | 2018-12-20 |
| 1669896437 | Qureshi Mht LLC | Internal Medicine | 1025 Worthington, Lake Charles, LA 70605-6644 | 2014-02-13 |
| 1689018665 | Amber Dawson | Internal Medicine | 1960 Tybee Ln, Lake Charles, LA 70605-4173 | 2013-04-22 |
| 1730434416 | Norman Louis Davidson | Internal Medicine | 1001 Bayou Oak Ln, Lake Charles, LA 70605-2633 | 2012-07-18 |
| 1548413172 | Maocheng Zhan | Internal Medicine | 524 Dr Michael Debakey Drive, St Patrick Hosoital, Lake Charles, LA 70601-0000 | 2008-10-28 |
| 1659564987 | Comprehensive Medical Clinic Apmc | Internal Medicine | 333 South Ryan St., Suite 250, Lake Charles, LA 70601 | 2007-08-21 |
| 1568668002 | Hung Henry Nguyen | Internal Medicine | 524 Dr. Michael Debakey Drive, Lake Charles, LA 70601-0000 | 2007-06-22 |
| 1487873758 | Neil Clinic Inc. | Internal Medicine | 760 Bayou Pines East Dr, Lake Charles, LA 70601-7184 | 2007-04-25 |
| 1518008341 | Adrienne Lynn Breaux | Internal Medicine | 1722 Westwood St., Lake Charles, LA 70601 | 2007-02-12 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.