Active NPI
LC of Louisiana Healthcare LLC
- Anesthesiology Physician
- Lake Charles, LA
National Provider Identifier
1124360854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- LC OF LOUISIANA HEALTHCARE LLC
- Practice address
- 1701 Oak Park Blvd
Lake Charles Memorial Health System
Lake Charles, LA 70601 - Phone
- (337) 494-3000
- NPI assigned
- Mar 20, 2013
- Last updated
- Mar 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Candelario
- Title
- Sole MBR
- Phone
- (210) 215-0990
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | ||
| Anesthesiology Physician | 207L00000X | NU | Primary |
Addresses
Primary practice location
1701 Oak Park Blvd
Lake Charles Memorial Health System
Lake Charles, LA 70601
Mailing address
1009 Main St
Bastrop, TX 78602-3840
National Provider Directory
National Provider DirectoryLocations
1009 Main St
Bastrop, TX 78602
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.
-
- Certified Registered Nurse Anesthetist
- New York, NY
- NPI 1922349802
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Oklahoma City, OK
- NPI 1245299429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363737600000",
"number": "1124360854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 MAIN ST",
"city": "BASTROP",
"state": "TX",
"postal_code": "786023840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 OAK PARK BLVD",
"address_2": "LAKE CHARLES MEMORIAL HEALTH SYSTEM",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70601",
"telephone_number": "337-494-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LC OF LOUISIANA HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-20",
"last_updated": "2013-03-20",
"status": "A",
"authorized_official_last_name": "CANDELARIO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "SOLE MBR",
"authorized_official_telephone_number": "210-215-0990",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
- Heather Lawson
- Kedra Lawson
- Kimberly J Lay, PA-C
- Zachary Lazaridis, DO
- LC Hospital Medicine Physicians, LLC
- LCD Clinic LLC (Lake Charles Dermatology)
- LCMS Cardiovascular Diseases, LLC (MMG Anesthesia)
- LCMS Ear, Nose and Throat Clinic of Southwest Louisiana, LLC (Southwest Louisiana ENT)
- LCMS J William Groves, MD, LLC (J William Groves MD)
- LCMS Maternal Fetal Medicine, LLC (Maternal Fetal Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.