Howard Stelly LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

HOWARD STELLY LLC

Practice address

1920 W Sale Rd Ste 6
Lake Charles, LA 70605-2400

Phone

(337) 477-6061

Fax

(337) 474-3576

NPI assigned

Nov 2, 2019

Organization subpart

No

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

Authorized official

Name

Howard Mark Stelly, MD

Title

Owner

Phone

(337) 309-3404

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Howard Stelly LLC Doing business as

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

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572652800000",
    "number": "1457995482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 TAIMER ST STE 6",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W SALE RD STE 6",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052400",
            "telephone_number": "337-477-6061",
            "fax_number": "337-474-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD STELLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-02",
        "last_updated": "2019-11-02",
        "status": "A",
        "authorized_official_last_name": "STELLY",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-309-3404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191770",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Stelly LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.