Our Lady of Lake Ascension, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

013784 Issued in LA

Legal business name

OUR LADY OF LAKE ASCENSION, LLC

Doing business as

St Elizabeth Physicians

Practice address

2647 S St. Elizabeth Blvd
Suite 100
Gonzales, LA 70737-5021

Phone

(225) 647-8511

Fax

(225) 644-5213

NPI assigned

May 17, 2006

Last updated

Mar 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John F. Fraiche, M.D.

Title

President

Phone

(225) 647-8511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ST ELIZABETH PHYSICIANS Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Franciscan Missionaries of Our Lady Health System Inc

  dba RxONE St Francis

  • Community/Retail Pharmacy
  • Monroe, LA
  • NPI 1578070363

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Cary Aguillard, M.D.

  • Pediatrics Physician
  • Gonzales, LA
  • NPI 1871591982
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1306899067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 S ST. ELIZABETH BLVD",
            "address_2": "SUITE 100",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375021",
            "telephone_number": "225-647-8511",
            "fax_number": "225-644-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 S ST. ELIZABETH BLVD",
            "address_2": "SUITE 100",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375021",
            "telephone_number": "225-647-8511",
            "fax_number": "225-644-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LAKE ASCENSION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "FRAICHE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-647-8511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "013784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1949892",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST ELIZABETH PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrienne Adam Orgeron, PA
• Orion Laboratories, L.L.C.
• Orthopaedic & Sports Clinic
• Kelein Latrice Oubre, PT
• Our Lady of Lake Ascension, LLC (St Elizabeth Physicians DSME Program)
• Our Lady of the Lake Ascension Community Hospital, Inc (St. Elizabeth Hospital)
• Our Lady of the Lake Ascension Community Hospital, Inc. (St. Elizabeth Hospital)
• Our Lady of the Lake Ascension Community Hospital, Inc. (St. Elizabeth Hospital)
• Our Lady of the Lake Ascension Community Hospital, Inc. (St. Elizabeth Community Clinic)
• Our Lady of the Lake Ascension, LLC (St Elizabeth Physicians Specialists)

• Family Medicine Physician in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.