Stanley R Kordisch M D AMC

Primary specialty

SpecialistTaxonomy code 174400000X

License

03813 Issued in LA

Legal business name

STANLEY R KORDISCH M D AMC

Practice address

4150 Nelson Rd Ste C10
Lake Charles, LA 70605-4169

Phone

(337) 474-0653

Fax

(337) 474-0639

NPI assigned

Jul 14, 2008

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Helen Culpepper

Title

Office Manager

Phone

(337) 474-0653

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1164686689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD STE C10",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054169",
            "telephone_number": "337-474-0653",
            "fax_number": "337-474-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD STE C10",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054169",
            "telephone_number": "337-474-0653",
            "fax_number": "337-474-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY R KORDISCH M D AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "CULPEPPER",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-474-0653",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "03813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany St. Romain, APRN, FNP-C
• Christian B St. Romain, DDS
• Connie Stackhouse
• Kaycie Stacy
• Earl Ray Stagg, M.D.
• Star Care Service Inc
• Starfish Lake Charles (Sensible Dental)
• Laurie Davis Starr, FNP-C
• State of la/DHH/Obh (Lake Charles Behavioral Health Clinic)
• Jarrod Wayne Statum, RSW

• Specialist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.