Our Lady of Lake Ascension, LLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

OUR LADY OF LAKE ASCENSION, LLC

Practice address

2647 S Saint Elizabeth Blvd
Gonzales, LA 70737-5021

Phone

(225) 647-8511

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

John Frederick Fraiche, M.D.

Title

President

Phone

(225) 647-8511

Specialties & licenses 1

Addresses

Other names 1

• St Elizabeth Physicians DSME Program Doing business as

Member of 1

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

• Franciscan Missionaries of Our Lady Health System Inc

  • Pharmacy
  • Jackson, MS
  • NPI 1932892601

  Member Of

  NPD member

Locations

Practitioners 5

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

• Scott J. Fin, M.D.

  • General Practice Physician
  • Clinton, LA
  • NPI 1598763336
  NPD (past)
• Markesha Winn Fleury, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1275680357
  NPD (past)
• Karippelil E. Mathew, M.D.

  • Surgery Physician
  • Gonzales, LA
  • NPI 1689667198
  NPD (past)
• Leyamma Mathew, M.D.

  • Pediatrics Physician
  • Gonzales, LA
  • NPI 1134112675
  NPD (past)
• Gerard Michael Dileo, MD

  • Obstetrics & Gynecology Physician
  • Sarasota, FL
  • NPI 1689613861
  NPD (past)

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1114201399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 S SAINT ELIZABETH BLVD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375021",
            "telephone_number": "225-647-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 S SAINT ELIZABETH BLVD",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375021",
            "telephone_number": "225-647-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LAKE ASCENSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "FRAICHE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-647-8511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Elizabeth Physicians DSME Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Open Arms Behavioral Services
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• Orthopaedic & Sports Clinic
• Kelein Latrice Oubre, PT
• Our Lady of Lake Ascension, LLC
• Our Lady of the Lake Ascension Community Hospital, Inc
• Our Lady of the Lake Ascension Community Hospital, Inc.
• Our Lady of the Lake Ascension Community Hospital, Inc.
• Our Lady of the Lake Ascension Community Hospital, Inc.

• Health Educator in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Health Educator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.