TRISTAN MONTRALE WASHINGTON


Address: 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990
Phone: 3374808066

TRISTAN MONTRALE WASHINGTON (NPI# 1790196616) 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) 1790196616
Entity Type Individual
Full Name TRISTAN MONTRALE WASHINGTON
Credential M.D.
Practice Address 1717 Oak Park Blvd Fl 3
Lake Charles
LA 70601-8990
Practice Telephone 3374808066
Practice Fax Number 3374808048
Mailing Telephone (337) 494-2772
Mailing Fax Number 3374942928
Enumeration Date 2014-05-13
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 305934 LA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine E-9952 AR Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
E-9952 AR Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program AR Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1125 N College Ave, Fayetteville, AR 727031908 4797138000 4794447820

Office Location

Street Address 1717 OAK PARK BLVD FL 3
City LAKE CHARLES
State LA
Zip Code 70601-8990

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376524603 Jeffrey E Balazsy Orthopaedic Surgery 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2005-11-14
1538786132 Morgan Leigh Hay Nurse Practitioner 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2020-06-30
1659884385 Kathryn Olivia Zimmerman Physician Assistant 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2017-11-16
1033659156 Amanda Kate Dawson Nurse Practitioner 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2017-03-08
1790237568 Cascio Consulting LLC Non-Pharmacy Dispensing Site 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2016-10-27
1982065462 Colin Ross Hidalgo Nurse Practitioner 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2016-03-11
1760896625 Collin Bowe Internal Medicine 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2014-06-18
1689088957 Syed Muhammad Ali Saad Family Medicine 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2014-06-16
1043621089 Hailey Crawford Dietitian, Registered 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2014-05-13
1982023727 Kipp Cryar Orthopaedic Surgery 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 2014-04-09
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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 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
1790033744 Imperial Health LLP Family Medicine 277 N Highway 171 Ste 8, Lake Charles, LA 70611-5374 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
Find all providers in LAKE CHARLES

Competitor

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City LAKE CHARLES
Zip Code 70601

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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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