Organization Active NPI

General Vascular Thoracic Surgery,L.L.C.

  • Surgery Physician
  • Lake Charles, LA
National Provider Identifier
1285817585
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
013236 Issued in LA
Legal business name
GENERAL VASCULAR THORACIC SURGERY,L.L.C.
Practice address
641 S. Ryan
Lake Charles, LA 70601
Phone
(337) 433-4651
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Dr. Ronald S Kober, M.D.
Title
Owner
Phone
(337) 433-4651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 013236 LA Primary

Addresses

Primary practice location

641 S. Ryan
Lake Charles, LA 70601

Mailing address

641 S Ryan St
Lake Charles, LA 70601-5726
Phone (337) 433-4651

National Provider Directory

National Provider Directory

Locations

641S Ryan St
Lake Charles, LA 70601
Phone (337) 433-4651

641 S Ryan
Lake Charles, LA 70601
Phone (318) 433-4651

641 S Ryan St
Lake Charles, LA 70601

641S Ryan St
Lake Charles, LA 70601
Phone (337) 433-4651

641 S Ryan
Lake Charles, LA 70601
Phone (337) 433-4651

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1285817585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 S RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015726",
            "telephone_number": "337-433-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 S. RYAN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-433-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL VASCULAR THORACIC SURGERY,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "KOBER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-433-4651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "013236",
            "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 10, 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.