Active NPI
Jere K Price Jr., MD
- Anesthesiology Physician
- Lake Charles, LA
National Provider Identifier
1235265463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 016267
- Practice address
- 4150 Nelson Rd
A 4 Anesthesia Associates
Lake Charles, LA 70605 - Phone
- (337) 474-6353
- Fax
- (337) 477-7616
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 016267 | LA | Primary |
Addresses
Primary practice location
4150 Nelson Rd
A 4 Anesthesia Associates
Lake Charles, LA 70605
Mailing address
4150 Nelson Rd
A 4 Anesthesia Associates
Lake Charles, LA 70605
Phone (337) 474-6353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1340227 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016267 | LA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1235265463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 NELSON RD",
"address_2": "A 4 ANESTHESIA ASSOCIATES",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70605",
"telephone_number": "337-474-6353",
"fax_number": "337-477-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 NELSON RD",
"address_2": "A 4 ANESTHESIA ASSOCIATES",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70605",
"telephone_number": "337-474-6353",
"fax_number": "337-477-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "JERE",
"middle_name": "K",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "016267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1340227",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
- Premier Joint & Orthopedic Care, LLC
- Premier Rehab of Southwest Louisiana LLC
- Prescription Specialties,LLC
- Katherine Claire Prevost, DPT
- Blake Everett Price, D.D.S.
- Joshua Ryan Price, DPT
- Terri Price, LPC
- Thomas Henderson Price, D.D.S.
- Primary Physician Care, LLC
- Primary Rehabilitation Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.