Organization Active NPI

Thomas B Ford MD AMC

  • Durable Medical Equipment & Medical Supplies
  • Lake Charles, LA
National Provider Identifier
1194994236
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
014735 Issued in LA
Legal business name
THOMAS B FORD MD AMC
Practice address
4150 Nelson Rd
BLDG. G, Ste 1
Lake Charles, LA 70605-4148
Phone
(337) 310-0440
Fax
(337) 310-0444
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Mrs. Jamie Rhodes
Title
Office Manager
Phone
(337) 310-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 014735 LA Primary

Addresses

Primary practice location

4150 Nelson Rd
BLDG. G, Ste 1
Lake Charles, LA 70605-4148

Mailing address

4150 Nelson Rd
BLDG. G, Ste 1
Lake Charles, LA 70605-4148
Phone (337) 310-0440

National Provider Directory

National Provider Directory

Locations

4150 Nelson Rd
Ste G1
Lake Charles, LA 70605
Phone (337) 310-0440

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1194994236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "BLDG. G, STE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054148",
            "telephone_number": "337-310-0440",
            "fax_number": "337-310-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "BLDG. G, STE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054148",
            "telephone_number": "337-310-0440",
            "fax_number": "337-310-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS B FORD MD AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-310-0440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "014735",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 3, 2010; 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.