IMPERIAL HEALTH LLP (NPI# 1790033744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790033744 |
| Entity Type | Organization |
| Organization Name | IMPERIAL HEALTH LLP |
| Practice Address |
277 N Highway 171 Ste 8 Lake Charles LA 70611-5374 |
| Mailing Address |
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 |
| Practice Telephone | 3374338400 |
| Mailing Telephone | 3374338400 |
| Mailing Fax Number | 3373126708 |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2013-04-15 |
| Authorized Official Name | MR. KRIS HICKINGBOTTOM (CEO) |
| Authorized Official Telephone | 3374338400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1174871123 | Imperial Health LLP | Family Medicine | 1920 W Sale Rd Bldg F, Lake Charles, LA 70605-2400 | 2012-08-23 |
| 1881942837 | Imperial Health LLP | Radiology | 1747 Imperial Blvd Ste B, Lake Charles, LA 70605-5362 | 2012-08-23 |
| 1326395997 | Imperial Health LLP | Physical Medicine & Rehabilitation | 111 N Royal St, Deridder, LA 70634-3851 | 2012-08-13 |
| 1053929166 | Imperial Health LLP | Family Medicine | 200 W 5th St, Deridder, LA 70634-4856 | 2020-07-15 |
| 1720480924 | Imperial Health LLP | Internal Medicine | 1727 Imperial Blvd, Bldg 2, Lake Charles, LA 70605-5362 | 2014-09-18 |
| 1801207436 | Imperial Health LLP | Internal Medicine | 1700 Kaliste Saloom Rd, Bldg 2, Ste 201, Lafayette, LA 70508-6112 | 2014-05-16 |
| 1558602235 | Imperial Health LLP | Internal Medicine | 4150 Nelson Rd, Building G Suite 3, Lake Charles, LA 70605-4148 | 2013-03-06 |
| 1790038842 | Imperial Health LLP | Internal Medicine | 600 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2012-10-25 |
| 1124371265 | Imperial Health LLP | Internal Medicine | 250 Beglis Pkwy, Suite 2, Sulphur, LA 70663-3502 | 2012-10-25 |
| Street Address |
277 N HIGHWAY 171 STE 8 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70611-5374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508283813 | Benjamin Scott Fontenot | Family Medicine | 277 N Highway 171 Ste 8, Lake Charles, LA 70611-5374 | 2014-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417429036 | Ochsner Clinic LLC | Internal Medicine | 1355 Sam Houston Jones Pkwy, Ste 355, Lake Charles, LA 70611 | 2018-12-20 |
| 1538669361 | Nafeesa Zindani | Family Medicine | Chadha Medical Clinic 237 Sam Houston Jones Pkwy, Lake Carles, LA 70611 | 2018-02-19 |
| 1265930457 | Mark Kwame Osebre | Pharmacist | 120 Us-171, Moss Bluff, LA 70611 | 2018-01-23 |
| 1255840690 | Eavy's Medical Transportation | Non-emergency Medical Transport (VAN) | 1274 You Winn Rd, Moss Bluff, LA 70611 | 2017-09-28 |
| 1417324112 | Golden Touch LLC | Respite Care | 633 Donna Dr., Lake Charles, LA 70611 | 2015-08-28 |
| 1801299037 | Howard Bosely | Pharmacist | 899 Hwy 171 North, Lake Charles, LA 70611 | 2014-10-02 |
| 1780938266 | Kendra P Achord | Pharmacist | 899 Hwy 171 N, Lake Charles, LA 70611 | 2012-11-05 |
| 1235435314 | John Trahan II Apdc | Dentist | 139 Gloria Dr., Lake Charles, LA 70611 | 2011-02-07 |
| 1629383559 | Michael Rand Pettit | Pharmacist | 114 Gloria Dr, Lake Charles, LA 70611 | 2010-08-16 |
| 1851417844 | Steven Raymond Latiolais | Dentist | 644 Highway 171 N, Suite D, Lake Charles, LA 70611 | 2007-03-21 |
| Find all providers in zip 70611 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982126520 | Executive Medical Clinic of Lake Charles | Family Medicine | 2002 W Walnut St Ste 1a, Lake Charles, LA 70601-5690 | 2017-07-14 |
| 1295184786 | Trina Health of Lake Charles, LLC | Family Medicine | 1714 Wolf Circle, Lake Charles, LA 70605-4050 | 2016-06-06 |
| 1740600683 | Jason Burklow | Family Medicine | 4150 Nelson Rd Ste 3, Lake Charles, LA 70605-4148 | 2014-04-18 |
| 1174871123 | Imperial Health LLP | Family Medicine | 1920 W Sale Rd Bldg F, Lake Charles, LA 70605-2400 | 2012-08-23 |
| 1194081414 | Clint Nickolas Lincoln | Family Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607 | 2012-04-11 |
| 1972873610 | Terry Welke | Family Medicine | 707 E Prien Lake Rd Ste B, Lake Charles, LA 70601-8788 | 2012-01-11 |
| 1982839445 | Star Care Service Inc | Family Medicine | 313 Alamo St, Suite B, Lake Charles, LA 70601-8528 | 2009-05-27 |
| 1982862736 | Kamran Mohammad Chaudary | Family Medicine | 4918 E Westridge Park Dr, Lake Charles, LA 70605-6762 | 2008-05-29 |
| 1821255852 | Penny Lynn Goodwin | Family Medicine | 237 Sam Houston Jones Pkwy, Lake Charles, LA 70611-5603 | 2008-05-19 |
| 1023283108 | Irene Kenny Morin | Family Medicine | 3214 Henderson Bayou Rd, Lake Charles, LA 70605-2236 | 2008-04-29 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70611 |
Please comment or provide details below to improve the information on IMPERIAL HEALTH LLP.
| 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.