Active NPI
Regional Physicians Network
- Internal Medicine Physician
- Lake Charles, LA
National Provider Identifier
1134306871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- REGIONAL PHYSICIANS NETWORK
- Practice address
- 1000 Walters St
Lake Charles, LA 70607-4647 - Phone
- (337) 475-8429
- NPI assigned
- Jan 24, 2008
- Last updated
- Sep 26, 2008
- Organization subpart
- Yes
- Parent organization
- W O MOSS REGIONAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donald R. Smithburg
- Title
- Ceo
- Phone
- (337) 475-8429
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Dermatology Physician | 207N00000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Gynecology Physician | 207VG0400X | NU | ||
| Ophthalmology Physician | 207W00000X | NU | ||
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | NU | ||
| Pediatrics Physician | 208000000X | NU | ||
| Surgery Physician | 208600000X | NU |
Addresses
Primary practice location
1000 Walters St
Lake Charles, LA 70607-4647
Mailing address
PO Box 4610
Lake Charles, LA 70606-4610
Phone (337) 312-1446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1948926 | Medicaid | LA |
National Provider Directory
National Provider Directory- Part of
- Moss Regional Hospital
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Lake Charles, LA
- NPI 1710947635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1134306871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4610",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706064610",
"telephone_number": "337-312-1446",
"fax_number": "337-312-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WALTERS ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706074647",
"telephone_number": "337-475-8429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL PHYSICIANS NETWORK",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "W O MOSS REGIONAL HOSPITAL",
"enumeration_date": "2008-01-24",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "SMITHBURG",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "337-475-8429",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1948926",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- Tina Kadlubar Reggie
- Regional Healthcare Services - Southwest, LLC
- Regional Healthcare Services - Southwest, LLC
- Regional Healthcare-Lake Charles, LLC (At Home Compassionate Care)
- Regional Healthcare-Lake Charles, LLC (At Home Compassionate Care)
- Regional Physicians Network-Lake Charles Inc
- Rehab One, LLC
- Rehabilitation and Rheumatology Associates, LLC
- Rehabilitation Services of Southwest Louisiana, LLC
- Reins of Hope at Lebocage
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.