LAKE CHARLES MEDICAL SERVICES, INC


Address: 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991
Phone: 3374946799

LAKE CHARLES MEDICAL SERVICES, INC (NPI# 1699717231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699717231
Entity Type Organization
Organization Name LAKE CHARLES MEDICAL SERVICES, INC
Other Organization Name CARDIOVASCULAR-THORACIC SURGERY CENTER
Practice Address 1717 Oak Park Blvd
Second Floor
Lake Charles
LA 70601-8991
Practice Telephone 3374946799
Practice Fax Number 3374306950
Mailing Telephone 3374946799
Mailing Fax Number 3374306950
Enumeration Date 2006-06-11
Last Update Date 2008-04-23
Authorized Official Name DAVID B USHER (VICE PRESIDENT)
Authorized Official Telephone 3374943200
Is Organization Subpart Y
Parent Organization Name SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1944408 05

Other Provider/Organization Names

Other Name Type Code
Cardiovascular-Thoracic Surgery Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548467236 Lake Charles Medical Services, Inc Obstetrics & Gynecology 1890 W Gauthier Rd Ste 130, Lake Charles, LA 70605-7179 2007-06-27
1134271497 Lake Charles Medical Services, Inc Family Medicine 203b E Miller Ave, Iowa, LA 70647-4052 2007-01-17
1114011244 Lake Charles Medical Services, Inc Physical Medicine & Rehabilitation 1701 Oak Park Blvd Fl 2, Lake Charles, LA 70601-8911 2006-10-03
1780789974 Lake Charles Medical Services, Inc Specialist 2770 3rd Ave Ste 345, Lake Charles, LA 70601-8994 2006-09-13
1811060866 Lake Charles Medical Services, Inc Internal Medicine 2800 1st Ave, Suite C, Lake Charles, LA 70601-8884 2006-11-16

Office Location

Street Address 1717 OAK PARK BLVD
SECOND FLOOR
City LAKE CHARLES
State LA
Zip Code 70601-8991

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208G00000X
Grouping Allopathic & Osteopathic Physicians
Classification Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881737104 Cardiothoracic Surgeons of The South, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 1605 Foster St, Lake Charles, LA 70601-5815 2007-02-15
1497702740 Steven C Howe Thoracic Surgery (Cardiothoracic Vascular Surgery) 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991 2006-05-30
1407808405 Lake Charles Memorial Heart and Vascular Center Thoracic Surgery (Cardiothoracic Vascular Surgery) 1717 Oak Park Blvd, Second Floor, Lake Charles, LA 70601-8991 2006-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225376536 Warren L Gottsegen Thoracic Surgery (Cardiothoracic Vascular Surgery) 865 Dubois Dr, Baton Rouge, LA 70808-5038 2013-01-21
1528355021 Morrison Curtis Bethea Thoracic Surgery (Cardiothoracic Vascular Surgery) 1615 Poydras St Fl 23, New Orleans, LA 70112-1254 2011-07-05
1184913378 Heart Lung and Vascular Clinic, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 415 Hodge Watson Rd, Calhoun, LA 71225-9786 2011-03-29
1548561194 Emily V. Cassidy Thoracic Surgery (Cardiothoracic Vascular Surgery) 4950 Essen Ln Fl 1, Baton Rouge, LA 70809 2010-11-13
1619113834 Rudolph F Weichert IIi Thoracic Surgery (Cardiothoracic Vascular Surgery) 501 Rue Saint Peter, Unit 111, Metairie, LA 70005 2008-12-17
1639328131 Cardiovascular and Thoracic Specialists, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 413 Highland Crossing St, Baton Rouge, LA 70810-5816 2008-09-09
1174732846 Mohamad Allam Thoracic Surgery (Cardiothoracic Vascular Surgery) 155 Hospital Dr #301, Lafayette, LA 70503-2846 2007-05-21
1326101254 Blaine Mcdermott Borders Thoracic Surgery (Cardiothoracic Vascular Surgery) 244 Saint Andrews Rd, Calhoun, LA 71225-7931 2006-12-19
1942220280 Richard M Dearman Thoracic Surgery (Cardiothoracic Vascular Surgery) 5000 Ambassador Caffery, Province Bldg. 14-a, Lafayette, LA 70508 2006-07-20
1932154846 St Francis Medical Center, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 312 Grammont Street, Suite 401, Monroe, LA 71201-7385 2006-05-23
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Competitor

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City LAKE CHARLES
Zip Code 70601

Improve Information

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Dataset Information

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.

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