Active NPI
Ephraim Chinenyeze Opara Jr., MD
- Family Medicine Physician
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 342087
- Practice address
- 1525 Oak Park Blvd
Lake Charles, LA 70601-8849 - Phone
- (337) 494-2023
- NPI assigned
- Mar 25, 2021
- Last updated
- Jul 1, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 342087 | LA | Primary |
Addresses
Primary practice location
1525 Oak Park Blvd
Lake Charles, LA 70601-8849
Mailing address
1525 Oak Park Blvd
Lake Charles, LA 70601-8849
Phone (337) 494-2023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 Brenner Ave
BLDG 10
Salisbury, NC 28144-2515
Phone (704) 638-4200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 254 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342087 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QSM-Ga, Inc | Current | Accepting new patients | |
| QSM-FL, Inc | Current | Accepting new patients | |
| QSM-NC, PA | Current | Accepting new patients | |
| QSM-Ky, Inc | Past | Accepting new patients |
Locations
3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013
1350 E Church St
Jasper, GA 30143
Phone (706) 253-2441
289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809
2255 Anthony Rd
Macon, GA 31204
Phone (478) 301-2525
12825 White Bluff Rd
Savannah, GA 31419
Phone (912) 660-1683
25 Reynolds Mountain Blvd
Asheville, NC 28804
Phone (828) 645-6619
1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138
498 Madison Rd
Mocksville, NC 27028
Phone (336) 751-3535
3510 W Highway 74
Monroe, NC 28110
Phone (704) 291-8500
1601 Brenner Ave
Bldg 10
Salisbury, NC 28144
Phone (704) 638-4200
405 S Green St
Wadesboro, NC 28170
Phone (704) 695-3301
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Surgery Physician
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- NPI 1356852123
-
- General Practice Physician
- Hollywood, FL
- NPI 1114539202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1265019434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 OAK PARK BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018849",
"telephone_number": "337-494-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 OAK PARK BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018849",
"telephone_number": "337-494-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPARA",
"first_name": "EPHRAIM",
"middle_name": "CHINENYEZE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-25",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "342087",
"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 Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.