NPIMap

Organization Active NPI

Imperial Health LLP

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1447508494
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IMPERIAL HEALTH LLP
Practice address
771 Bayou Pines East Dr
Lake Charles, LA 70601-7183
Phone
(337) 433-8400
NPI assigned
Aug 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Mr. Kris Hickingbottom
Title
Cea
Phone
(337) 433-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

771 Bayou Pines East Dr
Lake Charles, LA 70601-7183

Mailing address

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0724052Imperial Health, Dr Errol Wilder771 Bayou Pines East, Lake Charles, LA 70601Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Urgent Care Clinic41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1447508494",
    "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": "771 BAYOU PINES EAST DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017183",
            "telephone_number": "337-433-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL HEALTH LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "HICKINGBOTTOM",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "CEA",
        "authorized_official_telephone_number": "337-433-8400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.