NPIMap

Organization Active NPI

Hospital Service District 1 of East Baton Rouge Parish

Doing business as Lane Regional Medical Center-Lane Wound Center

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Zachary, LA
National Provider Identifier
1326249459
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
Legal business name
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Doing business as
Lane Regional Medical Center-Lane Wound Center
Practice address
4917 West Park Drive
Zachary, LA 70791-4069
Phone
(225) 658-4110
Fax
(225) 658-4108
NPI assigned
May 29, 2007
Last updated
Feb 14, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
HOSPITAL SERVICE DISTRICT 1 OFAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Authorized official

Name
Larry R Meese
Title
Chief Executive Officer
Phone
(225) 658-4303

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X LA
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0005X
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0011X LA Primary

Addresses

Primary practice location

4917 West Park Drive
Zachary, LA 70791-4069

Mailing address

4917 West Park Drive
Zachary, LA 70791-4069
Phone (225) 658-4110

Other names 1

  • LANE REGIONAL MEDICAL CENTER-LANE WOUND CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322000429 LA Part B Supplier - Clinic/Group Practice 0941191902 Receives reassigned benefits from 76 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Zachary, LA

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Hosp SVC District 121 organizations share this tax ID, including this one
Part of
Hosp SVC District 1

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

2335 Church St
Zachary, LA 70791
Phone (225) 654-3607

4801 McHugh Rd
Zachary, LA 70791

6550 Main St
Ste 2300
Zachary, LA 70791
Phone (225) 658-1808

6550 Main St
Ste 3500
Zachary, LA 70791
Phone (225) 658-4000

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1326249459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 WEST PARK DRIVE",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914069",
            "telephone_number": "225-658-4110",
            "fax_number": "225-658-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 WEST PARK DRIVE",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914069",
            "telephone_number": "225-658-4110",
            "fax_number": "225-658-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL SERVICE DISTRICT 1 OF",
        "enumeration_date": "2007-05-29",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "MEESE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "225-658-4303"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANE REGIONAL MEDICAL CENTER-LANE WOUND CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.