NPIMap

Organization Active NPI

Calcasieu Family Physicians, Apmc

  • Family Medicine Physician
  • Sulphur, LA
National Provider Identifier
1164656146
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD200962 Issued in LA
Legal business name
CALCASIEU FAMILY PHYSICIANS, APMC
Practice address
920 1St Ave
Sulphur, LA 70663-3425
Phone
(337) 527-6530
Fax
(337) 527-7337
NPI assigned
May 6, 2009
Last updated
May 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Dr. Kelly M Fuqua, M.D.NPI 1861667297
Title
Physician
Phone
(337) 527-6530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD200962 LA Primary

Addresses

Primary practice location

920 1St Ave
Sulphur, LA 70663-3425

Mailing address

920 1St Ave
Sulphur, LA 70663-3425
Phone (337) 527-6530

Other identifiers 2

IdentifierTypeStateIssuer
1861667297OtherNPI
1072907MedicaidLA

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1164656146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 1ST AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633425",
            "telephone_number": "337-527-6530",
            "fax_number": "337-527-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 1ST AVE",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633425",
            "telephone_number": "337-527-6530",
            "fax_number": "337-527-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU FAMILY PHYSICIANS, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "FUQUA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-527-6530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD200962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861667297",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1072907",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.