NPIMap

Organization Active NPI

Lake Charles Medical Services, Inc

Doing business as Rehabilitation Institute of Southwest LA

  • Physical Medicine & Rehabilitation Physician
  • Lake Charles, LA
National Provider Identifier
1114011244
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
LAKE CHARLES MEDICAL SERVICES, INC
Doing business as
Rehabilitation Institute of Southwest LA
Practice address
1701 Oak Park Blvd FL 2
Lake Charles, LA 70601-8911
Phone
(337) 494-6868
Fax
(337) 494-6869
NPI assigned
Oct 3, 2006
Last updated
Nov 3, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Mr. David B Usher, FACHE
Title
V. P. of Operations
Phone
(337) 494-3202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1701 Oak Park Blvd FL 2
Lake Charles, LA 70601-8911

Mailing address

1717 Oak Park Blvd FL 3
Lake Charles, LA 70601-8990
Phone (337) 494-6868

Other identifiers 3

IdentifierTypeStateIssuer
NH6455OtherLABCBS
DN5736OtherLARR MEDICARE
06-00010375OtherLAOCCUPATIONAL LICENSE

Other names 1

  • Rehabilitation Institute of Southwest LA Doing business as

National Provider Directory

National Provider Directory
Part of
William G Hebert

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1114011244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD FL 3",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018990",
            "telephone_number": "337-494-6868",
            "fax_number": "337-494-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 OAK PARK BLVD FL 2",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018911",
            "telephone_number": "337-494-6868",
            "fax_number": "337-494-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHARLES MEDICAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "V. P. OF OPERATIONS",
        "authorized_official_telephone_number": "337-494-3202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NH6455",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DN5736",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL LICENSE",
            "identifier": "06-00010375",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehabilitation Institute of Southwest LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.