NPIMap

Organization Active NPI

Lakeshore Family Medicine Associates, Apmc

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1225333073
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
022964 Issued in LA
Legal business name
LAKESHORE FAMILY MEDICINE ASSOCIATES, APMC
Practice address
516 Lincoln Rd
Monroe, LA 71203-4252
Phone
(318) 343-6487
Fax
(318) 343-7884
NPI assigned
Jan 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. Thomas St. Clair Williams Sr., M. D.
Title
Physician
Phone
(318) 343-6487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 022964 LA Primary

Addresses

Primary practice location

516 Lincoln Rd
Monroe, LA 71203-4252

Mailing address

PO Box 13430
Monroe, LA 71213-3430
Phone (318) 343-6487

Other identifiers 1

IdentifierTypeStateIssuer
1685895MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1225333073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13430",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712133430",
            "telephone_number": "318-343-6487",
            "fax_number": "318-343-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LINCOLN RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034252",
            "telephone_number": "318-343-6487",
            "fax_number": "318-343-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE FAMILY MEDICINE ASSOCIATES, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ST. CLAIR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "318-343-6487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "022964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1685895",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.