Thomas Howard McCalla, MD

Individual provider Active NPI Surgery Physician · Lake Charles, LA

NPI 1124006978 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1124006978
Entity type
Individual (NPI type 1)
Primary specialty
Surgery Physician 208600000X
License
LA015416 (LA)
Practice address
816 W Bayou Pines Dr
Lake Charles, LA 70601-7077
Phone
(337) 439-8588
Fax
(337) 439-0808
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LA015416LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reynard C Odenheimer MD a Professional Medical Corporation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X LA015416 LA Yes

Addresses

Primary practice location

816 W Bayou Pines Dr
Lake Charles, LA 70601-7077

Mailing address

816 W Bayou Pines Dr
Lake Charles, LA 70601-7077
Phone (337) 439-8588

Other identifiers

IdentifierTypeStateIssuer
1337251MedicaidLA

Other providers in Lake Charles, LA

All providers in Lake Charles, LA · Surgery Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.