DR. DAVID JACOB DREZ JR. (NPI# 1912957044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912957044 |
| Entity Type | Individual |
| Full Name | DR. DAVID JACOB DREZ JR. |
| Credential | M.D. |
| Practice Address |
1747 Imperial Blvd Lake Charles LA 70605-5362 |
| Mailing Address |
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 |
| Practice Telephone | 3377217236 |
| Practice Fax Number | 3377217237 |
| Mailing Telephone | 3373128258 |
| Mailing Fax Number | 3373126711 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 009625 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE LEGACY | 5J432CW97 | 01 |
| LA | STATE LICENSE NUMBER | 009625 | 01 |
| LA | 1073059 | 05 | |
| TX | STATE LICENSE NUMBER | J1652 | 01 |
| Street Address |
1747 IMPERIAL BLVD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-5362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487649091 | Staci Simon Boudreaux | Physician Assistant | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2005-09-20 |
| 1376168971 | Cody Gaupel | Student in an Organized Health Care Education/Training Program | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2020-06-10 |
| 1538703335 | Center for Orthopaedics and Spine LLC | Family Medicine | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-11-05 |
| 1013579150 | Bradley Lane Jimerson | Student in an Organized Health Care Education/Training Program | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-06-28 |
| 1912560541 | Haley Cook Cart | Physician Assistant | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-04-18 |
| 1174014534 | Susan Helms Cart | Occupational Therapist | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2018-05-22 |
| 1679071161 | Ashley A Nix | Registered Nurse | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2018-01-30 |
| 1235584004 | Matthew Mccabe | Podiatrist | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2016-04-29 |
| 1295100808 | Lauren Ashley Sexton | Specialist/Technologist | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2015-12-08 |
| 1326422924 | Lance Henagan | Nurse Practitioner | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2015-07-13 |
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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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457724254 | Collins Orthopaedics LLC | Orthopaedic Surgery | 1625 Wolfe Circle, Lake Charles, LA 70605-2348 | 2015-11-03 |
| 1326229204 | Thomas W Axelrad | Orthopaedic Surgery | 1701 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8911 | 2007-11-19 |
| 1265484539 | Michael Alan Hinton | Orthopaedic Surgery | 230 West Sale Road, Lake Charles, LA 70605 | 2006-05-16 |
| 1376524603 | Jeffrey E Balazsy | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2005-11-14 |
| 1538780630 | Center for Orthopaedics and Spine, LLC | Orthopaedic Surgery | 1727 Imperial Blvd Bldg 1b, Lake Charles, LA 70605-5392 | 2020-04-29 |
| 1962815332 | Michael James Garitty | Orthopaedic Surgery | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2014-06-03 |
| 1982023727 | Kipp Cryar | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2014-04-09 |
| 1639333628 | R Dale Bernauer Md Apmc | Orthopaedic Surgery | 4150 Nelson Rd, Bldg D Ste 1, Lake Charles, LA 70605 | 2008-07-18 |
| 1992983159 | Robert Michael Duarte | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2008-02-09 |
| 1962695361 | Lake Charles Medical Services Orthopaedics Associates LLC | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2007-08-20 |
| Find all providers in LAKE CHARLES | ||||
| 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.