Plastic Surgery Associates of Southwest Louisiana, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PLASTIC SURGERY ASSOCIATES OF SOUTHWEST LOUISIANA, LLC

Practice address

4150 Nelson Rd
BLDG D Ste 2B
Lake Charles, LA 70605-4148

Phone

(337) 497-1958

Fax

(337) 433-4024

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Kate Cholley

Title

Office Manager

Phone

(337) 497-1958

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph W Colpitts, MD

  • Plastic and Reconstructive Surgery Physician
  • Lake Charles, LA
  • NPI 1134190465
  NPD (past)
• Ernest Clyde Smoot, MD

  • Plastic and Reconstructive Surgery Physician
  • Lake Charles, LA
  • NPI 1790756039
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114057148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2085",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706022085",
            "telephone_number": "337-497-1958",
            "fax_number": "337-433-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "BLDG D STE 2B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054148",
            "telephone_number": "337-497-1958",
            "fax_number": "337-433-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY ASSOCIATES OF SOUTHWEST LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOLLEY",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-497-1958"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1330663",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1978671",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Susan Piper, M.D.
• Jasmine Pitre
• Lauren Pitre
• Jessica Lynn Pittman, HIS
• Galen Pizzorno, MD
• Autumn Darbonne Plauche, RN
• Bruce Plauche', MA, LPC
• Nikida Elaine Polk, LCSW
• Kim N Poludnianyk, D.O.
• Douglas Emery Poole II, PT,DPT

• Plastic Surgery Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Plastic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.