Organization Active NPI

Springer Family Medical Clinic LLC

  • Specialist
  • Lake Charles, LA
National Provider Identifier
1245429273
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
023883 Issued in LA
Legal business name
SPRINGER FAMILY MEDICAL CLINIC LLC
Practice address
601 Dr. Micheal Debakey
Lake Charles, LA 70601-5815
Phone
(337) 436-1370
Fax
(337) 436-1621
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Dr. Steve F. Springer, M.D.NPI 1477538619
Title
M.D.
Phone
(337) 436-1370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 023883 LA Primary

Addresses

Primary practice location

601 Dr. Micheal Debakey
Lake Charles, LA 70601-5815

Mailing address

601 Dr. Micheal Debakey Dr.
Lake Charles, LA 70601-5815
Phone (337) 436-1370

Other identifiers 4

IdentifierTypeStateIssuer
1487414MedicaidLA
5CF97OtherLAMEDICARE GROUP
436596843BOtherLABLUE CROSS IND.
5A676OtherLAMEDICARE IND

National Provider Directory

National Provider Directory

Locations

601 Ryan St
Lake Charles, LA 70601
Phone (337) 436-1370

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1245429273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DR. MICHEAL DEBAKEY DR.",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015815",
            "telephone_number": "337-436-1370",
            "fax_number": "337-436-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DR. MICHEAL DEBAKEY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015815",
            "telephone_number": "337-436-1370",
            "fax_number": "337-436-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGER FAMILY MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "337-436-1370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "023883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487414",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "5CF97",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IND.",
            "identifier": "436596843B",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IND",
            "identifier": "5A676",
            "state": "LA"
        }
    ],
    "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 Jan 14, 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.