STANLEY R KORDISCH (NPI# 1326008038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326008038 |
| Entity Type | Individual |
| Full Name | STANLEY R KORDISCH |
| Credential | M.D. |
| Practice Address |
4150 Nelson Rd Bldg C-10 Lake Charles LA 70605-4148 |
| Practice Telephone | 3374740653 |
| Practice Fax Number | 3374740639 |
| Mailing Telephone | 3374740653 |
| Mailing Fax Number | 3374740639 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2007-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
013813 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1303160 | 05 |
| Street Address |
4150 NELSON RD BLDG C-10 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-4148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275538993 | Eugene Fontenot | Obstetrics & Gynecology | 4150 Nelson Rd, Lake Charles, LA 70605-4148 | 2005-06-17 |
| 1760006803 | Nicholas Fulco | Physical Therapist | 4150 Nelson Rd, Bldg C, Ste 12, Lake Charles, LA 70605-4148 | 2020-06-04 |
| 1154977197 | Eugene M Fontenot Md LLC | Obstetrics & Gynecology | 4150 Nelson Rd, Building A Suite 1, Lake Charles, LA 70605 | 2019-08-15 |
| 1124583828 | Ashley Elizabeth Bellow | Nurse Practitioner | 4150 Nelson Rd, Suite E4, Lake Charles, LA 70605-4133 | 2019-02-06 |
| 1477093045 | Ashley Chaumont Hoffpauir | Physical Therapist | 4150 Nelson Rd, Bldg C, Ste 12, Lake Charles, LA 70605-4148 | 2017-03-02 |
| 1033584065 | Maureen A Olivier M.d. | Dermatology | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4140 | 2015-12-02 |
| 1215322946 | Blakelee Ann Moore | Physical Therapist | 4150 Nelson Rd, Suite C12, Lake Charles, LA 70605-4148 | 2015-03-31 |
| 1578966768 | Kelly Calloway | Nurse Practitioner | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4148 | 2014-10-01 |
| 1205239753 | Anesthesia Associates | General Acute Care Hospital | 4150 Nelson Rd, A4, Lake Charles, LA 70605-4148 | 2014-09-29 |
| 1356742043 | Qua'lynn S. Jenkins | Nurse Practitioner | 4150 Nelson Rd, Building E Suite 4, Lake Charles, LA 70605-4148 | 2014-09-12 |
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| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902973092 | Lee Joseph Monlezun Jr. | Obstetrics & Gynecology | 801 W Bayon Pines Drive, Lake Charles, LA 70601 | 2006-11-30 |
| 1134547219 | Lee J. Monlezun, Md | Obstetrics & Gynecology | 801 W Bayou Pines Dr, Lake Charles, LA 70601-7076 | 2014-04-04 |
| 1912972886 | Regional Physicians Network-lake Charles Inc | Obstetrics & Gynecology | 1000 Walters St, Lake Charles, LA 70607-4647 | 2006-02-22 |
| 1275514804 | Cynthia Jean Scott | Obstetrics & Gynecology | 4150 Nelson Rd, Ste B-7, Lake Charles, LA 70605-4148 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659881720 | Myron E Moorehead Md Apmc | Obstetrics & Gynecology | 200 W Esplanade Ave Ste 311, Kenner, LA 70065-2474 | 2017-10-03 |
| 1669722930 | Frank Jack George | Obstetrics & Gynecology | 129 Rue Les Bois, Madisonville, LA 70447 | 2012-09-14 |
| 1548549868 | L. Weather, Md Apc | Obstetrics & Gynecology | 2120 Bert Kouns Loop Ste C, Suite C, Shreveport, LA 71118-3351 | 2011-08-04 |
| 1699069674 | Joseph Wayne Smith | Obstetrics & Gynecology | 2761 Point Dr, Monroe, LA 71201-2435 | 2011-06-07 |
| 1508009978 | Joia Adele Crear Md LLC | Obstetrics & Gynecology | 170 Broadway St, Suite, New Orleans, LA 70118-6709 | 2009-04-14 |
| 1184838310 | Fertilityanswers, LLC | Obstetrics & Gynecology | 206 E Farrel Rd, Lafayette, LA 70508-7104 | 2007-05-09 |
| 1083747265 | Karen F. Miller | Obstetrics & Gynecology | 10101 Siegen Ln, Suite 3b, Baton Rouge, LA 70810-4982 | 2007-03-14 |
| 1639201254 | Philip Hindelang | Obstetrics & Gynecology | Louisiana State University, Infirmary Road, Baton Rouge, LA 70803-0001 | 2007-03-09 |
| 1023151198 | James Gordon Gengelbach | Obstetrics & Gynecology | 5145 Bluebonnet Blvd, Baton Rouge, LA 70809-3076 | 2007-02-15 |
| 1396897062 | North Oaks Obstetrics & Gynecology | Obstetrics & Gynecology | 15778 Medical Arts Plaza, Hammond, LA 70403 | 2007-01-16 |
| 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.