Active NPI
Robert Michael Anderson, M.D.
- Emergency Medicine Physician
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 19984
- Practice address
- 1701 Oak Park Blvd
Lake Charles, LA 70601-8911 - Phone
- (337) 494-2086
- Fax
- (337) 430-6983
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 19984 | LA | Primary |
Addresses
Primary practice location
1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Mailing address
4446 Prien Terre Dr
Lake Charles, LA 70605-3932
Phone (337) 494-2086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19984 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Urgent Care LLC | Current | Accepting new patients | |
| Calcasieu Images LLC | Current | Accepting new patients | |
| Calcasieu Urgent Care, LLC | Current | Accepting new patients | |
| Georgia Em-I Medical Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Specialist, Apmc | Emergency Medicine | Past | Accepting new patients |
Locations
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 905-4000
307 Keyser Ave
Natchitoches, LA 71457
Phone (318) 352-5221
6550 Carothers Pkwy
Ste 225
Franklin, TN 37067
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1467715490
-
- Multi-Specialty Clinic/Center
- Lake Charles, LA
- NPI 1922546365
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1750460234
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1194482398
-
- Nurse Practitioner
- Covington, GA
- NPI 1255213005
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317254400000",
"number": "1013094416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4446 PRIEN TERRE DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706053932",
"telephone_number": "337-494-2086",
"fax_number": "337-430-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 OAK PARK BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018911",
"telephone_number": "337-494-2086",
"fax_number": "337-430-6983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2011-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "19984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.