NPIMap

Individual provider Active NPI

James Jackson, D.O.

  • Orthopaedic Surgery Physician
  • Lake Charles, LA
National Provider Identifier
1356720122
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
327406 Issued in LA
Practice address
4345 Nelson Rd Ste 101
Lake Charles, LA 70605-4183
Phone
(337) 480-7942
Fax
(337) 480-7964
NPI assigned
May 26, 2015
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 327406 LA Primary

Addresses

Primary practice location

4345 Nelson Rd Ste 101
Lake Charles, LA 70605-4183

Mailing address

PO Box 122165 Dept 2165
Dallas, TX 75312-0001
Phone (337) 494-2921

Other practice location 1

1717 Oak Park Blvd Fl 3
Lake Charles, LA 70601-8990
Phone (337) 494-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210825003343 LA Practitioner - Orthopedic Surgery 9335454149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Nova Southeastern College of Osteo Medicine, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians
Lake Charles Medical Services Orthopedics Associates LLCGroup PAC ID 9638265697, 13 clinicians

Practice addresses (Care Compare)

301 W Fertitta Blvd
Leesville, LA 71446-4665
Phone (337) 238-9931

4345 Nelson Rd
Orthopaedic Specialists
Lake Charles, LA 70605-4156
Phone (337) 494-4900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)35
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
327406LAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Medical Services Orthopedics Associates LLC Orthopaedic Surgery CurrentSince Aug 16, 2021 Accepting new patients
MMG Nelson Rd LLC PastSince May 1, 2022 Accepting new patients
Swlhs LLC Past Accepting new patients

Locations

1717 Oak Park Blvd
Fl 3
Lake Charles, LA 70601
Phone (337) 494-4900

230 W Sale Rd
Lake Charles, LA 70605
Phone (337) 477-5252

4345 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-7900

4345 Nelson Rd
Fl 1
Lake Charles, LA 70605

4345 Nelson Rd
Ste 101
Lake Charles, LA 70605
Phone (337) 480-7942

4345 Nelson Rd
Ste 201
Lake Charles, LA 70605
Phone (337) 494-6800

Interoperability endpoints

  • Direct secure messaging: jjackson613742@direct.osumc.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1356720122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122165 DEPT 2165",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 NELSON RD STE 101",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054183",
            "telephone_number": "337-480-7942",
            "fax_number": "337-480-7964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Oak Park Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018990",
            "country_code": "US",
            "telephone_number": "337-494-4900",
            "fax_number": "337-494-4707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "327406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.