NPIMap

Organization Active NPI

Michael a. Traub, M.D., Apmc

  • Primary Care Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1164669206
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
014217 Issued in LA
Legal business name
MICHAEL A. TRAUB, M.D., APMC
Practice address
711 Dr Michael Debakey Dr
Suite 200
Lake Charles, LA 70601-5785
Phone
(337) 436-6100
Fax
(337) 439-4484
NPI assigned
Jan 12, 2009
Last updated
Jan 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Dr. Michael Anthony Traub, M.D.NPI 1689652356
Title
Ceo
Phone
(337) 436-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 014217 LA Primary

Addresses

Primary practice location

711 Dr Michael Debakey Dr
Suite 200
Lake Charles, LA 70601-5785

Mailing address

711 Dr Michael Debakey Dr
Suite 200
Lake Charles, LA 70601-5785
Phone (337) 436-6100

Other identifiers 1

IdentifierTypeStateIssuer
1177253MedicaidLA

National Provider Directory

National Provider Directory

Locations

711 Dr Michael Debakey Dr
Ste 200
Lake Charles, LA 70601
Phone (337) 436-6100

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": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1164669206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 DR MICHAEL DEBAKEY DR",
            "address_2": "SUITE 200",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015785",
            "telephone_number": "337-436-6100",
            "fax_number": "337-439-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 DR MICHAEL DEBAKEY DR",
            "address_2": "SUITE 200",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015785",
            "telephone_number": "337-436-6100",
            "fax_number": "337-439-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. TRAUB, M.D., APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "TRAUB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "13374366100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "014217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1177253",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.