NPIMap

Individual provider Active NPI

Maureen Rose Lannan, M.D.

  • Family Medicine Physician
  • Sulphur, LA
National Provider Identifier
1023014313
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10386R Issued in LA
Practice address
622 Cypress St
Sulphur, LA 70663-5052
Phone
(337) 527-2491
Fax
(337) 528-2749
NPI assigned
Jun 22, 2005
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10386R LA Primary

Addresses

Primary practice location

622 Cypress St
Sulphur, LA 70663-5052

Mailing address

5204 La Paix Dr
Sulphur, LA 70665-9369
Phone (337) 583-9530

Other identifiers 1

IdentifierTypeStateIssuer
1999857MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041227000354 LA Practitioner - Family Practice 1759349517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

622 Cypress St
Sulphur, LA 70663-5052
Phone (337) 527-2491

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions13
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10386RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ken Thomas MD LLC Family Medicine Current Accepting new patients
Amy Sarah Thompson Soileau MD LLC Current Accepting new patients
Lannan Family Practice, LLC Family Medicine CurrentSince Jun 18, 2004 Accepting new patients
Braud Family Practice, LLC Family Medicine Current Accepting new patients

Locations

622 Cypress St
Sulphur, LA 70663
Phone (337) 527-2491

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1023014313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 LA PAIX DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706659369",
            "telephone_number": "337-583-9530",
            "fax_number": "337-528-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635052",
            "telephone_number": "337-527-2491",
            "fax_number": "337-528-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNAN",
        "first_name": "MAUREEN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "10386R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1999857",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.