Calcasieu Urgent Care LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CALCASIEU URGENT CARE LLC

Practice address

242 Sam Houston Jones Pkwy
Lake Charles, LA 70611-5603

Phone

(337) 905-4000

Fax

(337) 905-4003

NPI assigned

Feb 1, 2016

Organization subpart

No

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

Authorized official

Name

Sydni Clemmons

Title

Credentialing Manager

Phone

(901) 351-1791

Specialties & licenses 1

Addresses

Other names 1

• Calcasieu Urgent Care 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

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1376901694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 SAM HOUSTON JONES PKWY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115603",
            "telephone_number": "337-905-4000",
            "fax_number": "337-905-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 SAM HOUSTON JONES PKWY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115603",
            "telephone_number": "337-905-4000",
            "fax_number": "337-905-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALCASIEU URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "CLEMMONS",
        "authorized_official_first_name": "SYDNI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "901-351-1791"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calcasieu Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calcasieu Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Calcasieu Parish Voluntary Council on Aging, Inc.
• Calcasieu Rehab & Sports Therapy
• Calcasieu Rehab and Sports Therapy
• Calcasieu Spinal Care, Inc.
• Calcasieu Surgical Anesthesia, LLC
• Calcasieu Urgent Care LLC
• Calcasieu Urgent Care LLC
• Calcasieu Urgent Care LLC
• Richard Thomas Caldwell, M.D.
• Susan Aguzin Caldwell, M,S., CCC-SLP

• Dermatology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.