Active NPI
Healogics Specialty Physicians of Louisiana, LLC
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Lake Charles, LA
National Provider Identifier
1134528623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Legal business name
- HEALOGICS SPECIALTY PHYSICIANS OF LOUISIANA, LLC
- Practice address
- 1801 Oak Park Blvd
Lake Charles, LA 70601-8900 - Phone
- (904) 446-3017
- NPI assigned
- Aug 20, 2014
- 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
- Frank Williams
- Title
- Ceo
- Phone
- (904) 446-3519
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | Primary |
Addresses
Primary practice location
1801 Oak Park Blvd
Lake Charles, LA 70601-8900
Mailing address
5220 Belfort Rd
Suite 130
Jacksonville, FL 32256-6017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150311000165 | LA | Part B Supplier - Clinic/Group Practice | 9931425931 |
Receives reassigned benefits from 7 practitioners Practice locations: Alexandria, LA; Shreveport, LA; Lake Charles, LA; New Iberia, LA |
National Provider Directory
National Provider DirectoryLocations
721 Government St
#103124
Baton Rouge, LA 70802
600 N Lewis St
Fl 2
New Iberia, LA 70563
Phone (337) 369-1100
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1134528623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 BELFORT RD",
"address_2": "SUITE 130",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 OAK PARK BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018900",
"telephone_number": "904-446-3017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALOGICS SPECIALTY PHYSICIANS OF LOUISIANA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-20",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-446-3519"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- Patrick Charles Hayes, MD
- Claire Elizabeth Hays
- Ralph M Hays, APRN
- Brenda Lynn Hazel, PHYSICAL THERAPIST
- Headache and Wellness Center of Southwest Louisiana, LLC
- Health Associates of Lake Charles
- Healthsmart House Calls, LLC
- Healthy Soles Mobile Foot Care, LLC
- Mary Mancuso Hearod, N.P.
- Heart of Hospice LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.