Active NPI
John C King, MD
- Internal Medicine Physician
- Raceland, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 08070R
- 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, 2011
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1900G5312Z | Other | LA | BC OF LA |
| 290004895 | Other | LA | RAILROAD MEDICARE |
| 1939293 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD 08070R | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Internal Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| King Clinic Inc | Current | 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.
-
- Pulmonary Disease Physician
- Raceland, LA
- NPI 1982863262
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
Internal Medicine
-
- Emergency Medical Services (Emergency Medicine) Physician
- Metairie, LA
- NPI 1710903059
-
dba LaTerre Physical Therapy Clinic
- Physical Therapist
- Raceland, LA
- NPI 1609097823
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner St. Anne General Hospital
- Critical Access Hospital
- Raceland, LA
- NPI 1396761805
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.