LAKE CHARLES MEDICAL SERVICES (NPI# 1558305862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558305862 |
| Entity Type | Organization |
| Organization Name | LAKE CHARLES MEDICAL SERVICES |
| Other Organization Name | NEUROSURGICAL INSTITUTE OF LAKE CHARLES |
| Practice Address |
1717 Oak Park Blvd Second Floor Lake Charles LA 70601-8990 |
| Mailing Address |
1717 Oak Park Blvd Second Ave Lake Charles LA 70601-8990 |
| Practice Telephone | 3374944720 |
| Practice Fax Number | 3374944721 |
| Mailing Telephone | 3374944720 |
| Mailing Fax Number | 3374944721 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-08-19 |
| Authorized Official Name | MR. DAVID BRIAN USHER (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 3374943202 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 0600010034 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RAILROAD MEDICARE | CG9701 | 01 |
| LA | 9900888 | 05 |
| Other Name | Type Code |
|---|---|
| Neurosurgical Institute of Lake Charles | Doing Business As Name - Organization |
| Street Address |
1717 OAK PARK BLVD SECOND FLOOR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910801 | William R Condos Jr. | Internal Medicine | 1717 Oak Park Blvd, Fl 2, Lake Charles, LA 70601-8990 | 2005-05-24 |
| 1467821629 | Courtney Clark | Nurse Practitioner | 1717 Oak Park Blvd, Lake Charles, LA 70601-8991 | 2015-09-17 |
| 1568845899 | Kathy Parker Woodward | Nurse Practitioner | 1717 Oak Park Blvd, 3rd Floor, Lake Charles, LA 70601-8991 | 2015-07-06 |
| 1356730303 | Rikki Monticello | Nurse Practitioner | 1717 Oak Park Blvd, 3rd Floor, Lake Charles, LA 70601-8991 | 2015-01-14 |
| 1831507961 | Rebecca Kindler | Optometrist | 1717 Oak Park Blvd, Ste 1, Lake Charles, LA 70601-8991 | 2014-08-01 |
| 1588007249 | Martin Daniel Castillo | Nurse Practitioner | 1717 Oak Park Blvd, 3rd Fl, Lake Charles, LA 70601-8991 | 2013-04-12 |
| 1043553522 | Amanda Joiner Saltzman | Pharmacist | 1717 Oak Park Blvd, Suite 110, Lake Charles, LA 70601-8991 | 2013-04-03 |
| 1932450210 | Keysha Raye Nabours | Nurse Practitioner | 1717 Oak Park Blvd, 2nd Fl, Lake Charles, LA 70601-8991 | 2012-09-26 |
| 1063778504 | Margaret Young Carter | Ophthalmology | 1717 Oak Park Blvd, #1, Lake Charles, LA 70601-8991 | 2012-04-10 |
| 1598052052 | Ted Etell Fontenot | Nurse Practitioner | 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991 | 2011-07-06 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1669730313 | Matthew Ryan Burton | Neurological Surgery | 2770 3rd Ave Ste 110, Lake Charles, LA 70601-0404 | 2012-05-01 |
| 1538425004 | William F Foster Jr. | Neurological Surgery | 707 Doctor Michael Debakey Dr, Lake Charles, LA 70601-5728 | 2012-04-09 |
| 1083772883 | Bryant Gerard George Sr. | Neurological Surgery | 1611 Foster St, Lake Charles, LA 70601-5815 | 2006-12-05 |
| 1982687919 | John F Raggio | Neurological Surgery | 601 S Ryan St, Lake Charles, LA 70601-5726 | 2005-11-23 |
| 1104267301 | Christus Health Southwestern Louisiana | Neurological Surgery | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2013-07-16 |
| 1750587838 | Brian Christopher Kelley | Neurological Surgery | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2007-06-25 |
| 1689751877 | The Neurosurgery Center, LLC | Neurological Surgery | 601 S Ryan St, Lake Charles, LA 70601-5726 | 2006-11-01 |
| 1184631210 | Center for Neurosurgical and Spine Disorders, LLC | Neurological Surgery | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2006-08-02 |
| 1609866953 | Gregory J Rubino | Neurological Surgery | 2770 3rd Ave, Suite 225, Lake Charles, LA 70601-8994 | 2005-10-27 |
| 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.