NPIMap

Individual provider Active NPI

Thomas L Marcantel, CRNA

  • Certified Registered Nurse Anesthetist
  • Leesville, LA
National Provider Identifier
1013969559
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APO3911 Issued in LA
Practice address
815 S 10TH Street
Doctors Hospital
Leesville, LA 71446
Phone
(337) 392-5088
Fax
(337) 392-4984
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APO3911 LA Primary

Addresses

Primary practice location

815 S 10TH Street
Doctors Hospital
Leesville, LA 71446

Mailing address

6000 Bocage Dr
Alexandria, LA 71303-2191
Phone (318) 419-0756

Other identifiers 2

IdentifierTypeStateIssuer
1104515MedicaidLA
1013969559OtherLABCBS OF LA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071116000388 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799873287 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians
LCMS Cardiovascular Diseases, LLCGroup PAC ID 1951541515, 34 clinicians
Calcasieu Cameron Hospital Service DistrictGroup PAC ID 1052221447, 49 clinicians

Practice addresses (Care Compare)

130 N Hospital Dr
Oakdale, LA 71463-3035
Phone (318) 215-3264

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3255

701 Cypress St
Sulphur, LA 70663-5053
Phone (337) 527-6530

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APO3911LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Natchitoches Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 25, 2018 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 11, 2018 Accepting new patients
Christus Surgery Center Villages LLC Current Accepting new patients
Osc Anesthesia, LLC CurrentSince Feb 1, 2025 Accepting new patients
LCMS Cardiovascular Diseases, LLC CurrentSince Dec 10, 2018 Accepting new patients
Mid-Louisiana Anesthesia Consultants, Apmc PastSince Jul 1, 1995 Accepting new patients
Apex Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Melanie C. Firmin, MD Apmc Past Accepting new patients

Locations

651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

385 Bert Kouns Loop
Ste 300
Shreveport, LA 71106
Phone (318) 212-0552

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Organizations & group practices 10

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1013969559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 BOCAGE DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032191",
            "telephone_number": "318-419-0756",
            "fax_number": "337-392-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S 10TH STREET",
            "address_2": "DOCTORS HOSPITAL",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "71446",
            "telephone_number": "337-392-5088",
            "fax_number": "337-392-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANTEL",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "APO3911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104515",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LA",
            "identifier": "1013969559",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.