Individual provider Active NPI

John C King, MD

  • Internal Medicine Physician
  • Raceland, LA
National Provider Identifier
1285674119
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
08070R Issued in LA
Practice address
4608 Highway 1
Suite 230
Raceland, LA 70394-2623
Phone
(985) 446-5210
Fax
(985) 446-8327
NPI assigned
Jun 8, 2006
Last updated
Feb 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD 08070R LA
Internal Medicine Physician 207R00000X 08070R LA Primary

Addresses

Primary practice location

4608 Highway 1
Suite 230
Raceland, LA 70394-2623

Mailing address

1545 Highway 654
Gheens, LA 70355-2103
Phone (985) 446-5210

Other identifiers 3

IdentifierTypeStateIssuer
1900G5312ZOtherLABC OF LA
290004895OtherLARAILROAD MEDICARE
1939293MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050302000327 LA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Emergency Medicine 3375596349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1545 Hwy 654
Gheens, LA 70355-2103

4608 Hwy 1
Raceland, LA 70394-2623
Phone (985) 664-1172

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 08070RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 1, 2017 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
King Clinic Inc CurrentSince Dec 24, 2010 Accepting new patients
Laterre Physical Therapy, Inc Past Accepting new patients
C & M Medical Services, Inc. Past Accepting new patients

Locations

5922 W Main St
Ste A
Houma, LA 70360
Phone (985) 262-8015

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

708 W Esplanade Ave
Kenner, LA 70065
Phone (504) 461-9660

12895 Highway 90
Ste H
Luling, LA 70070
Phone (985) 331-9400

2735 Highway 190
Ste D
Mandeville, LA 70471
Phone (985) 778-2510

1625 Barataria Blvd
#A
Marrero, LA 70072
Phone (504) 309-5015

1514 Jefferson Hwy
New Orleans, LA 70121

231 N Carrollton Ave
Ste B
New Orleans, LA 70119
Phone (504) 218-4853

4605 Magazine St
New Orleans, LA 70115
Phone (504) 883-8111

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100

116 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-7012

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

4608 Highway 1
Ste 230
Raceland, LA 70394
Phone (985) 446-5210

318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1285674119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 HIGHWAY 654",
            "city": "GHEENS",
            "state": "LA",
            "postal_code": "703552103",
            "telephone_number": "985-446-5210",
            "fax_number": "985-446-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 HIGHWAY 1",
            "address_2": "SUITE 230",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942623",
            "telephone_number": "985-446-5210",
            "fax_number": "985-446-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JOHN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD 08070R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "08070R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF LA",
            "identifier": "1900G5312Z",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290004895",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1939293",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raceland, LA

Sources for this page

Verify at the official NPI Registry.