Active NPI
Imperial Health LLP
- Orthopaedic Surgery Physician
- Deridder, LA
National Provider Identifier
1326395997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- IMPERIAL HEALTH LLP
- Practice address
- 111 N Royal St
Deridder, LA 70634-3851 - Phone
- (337) 202-1926
- Fax
- (888) 445-1744
- NPI assigned
- Aug 13, 2012
- Last updated
- Jan 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonya Richard
- Title
- Assistant Administrator
- Phone
- (337) 312-8291
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary | |
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | ||
| Podiatrist | 213E00000X | NU |
Addresses
Primary practice location
111 N Royal St
Deridder, LA 70634-3851
Mailing address
501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400
National Provider Directory
National Provider DirectoryLocations
111 N Royal St
Deridder, LA 70634
Phone (337) 202-8803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484524800000",
"number": "1326395997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 DR MICHAEL DEBAKEY DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015724",
"telephone_number": "337-433-8400",
"fax_number": "337-312-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N ROYAL ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706343851",
"telephone_number": "337-202-1926",
"fax_number": "888-445-1744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPERIAL HEALTH LLP",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-13",
"last_updated": "2017-01-16",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "TONYA",
"authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
"authorized_official_telephone_number": "337-312-8291"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.