Organization Active NPI

Endocrinology Center of Southwest la LLC

  • Specialist
  • Lake Charles, LA
National Provider Identifier
1245414481
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ENDOCRINOLOGY CENTER OF SOUTHWEST LA LLC
Practice address
2770 3Rd Ave
Suite 345
Lake Charles, LA 70601-8994
Phone
(337) 494-4765
Fax
(337) 494-4766
NPI assigned
Dec 24, 2007
Last updated
Dec 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Timothy Rayford Gilbert, MD
Title
Owner
Phone
(337) 494-4765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2770 3Rd Ave
Suite 345
Lake Charles, LA 70601-8994

Mailing address

PO Box 4390
Lake Charles, LA 70606-4390
Phone (337) 494-4765

National Provider Directory

National Provider Directory

Locations

1727 Imperial Blvd
Bldg 2
Lake Charles, LA 70605
Phone (337) 310-3670

Practitioners & affiliated clinicians

Practitioners 2

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": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1245414481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4390",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706064390",
            "telephone_number": "337-494-4765",
            "fax_number": "337-494-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE",
            "address_2": "SUITE 345",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018994",
            "telephone_number": "337-494-4765",
            "fax_number": "337-494-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY CENTER OF SOUTHWEST LA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "RAYFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-494-4765",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "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 Dec 24, 2007; 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.