Active NPI
Thomas Paul Alderson, M.D.
- Urology Physician
- Sulphur, LA
National Provider Identifier
1477544815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 07139R
- Practice address
- 1327 Stelly Lane
Suite 2
Sulphur, LA 70663 - Phone
- (337) 528-7898
- Fax
- (337) 528-7427
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 07139R | LA | Primary |
Addresses
Primary practice location
1327 Stelly Lane
Suite 2
Sulphur, LA 70663
Mailing address
PO Box 5009
Brentwood, TN 37024-5009
Phone (615) 221-3642
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1900198 | Other | LA | UNITED HEALTHCARE |
| 340004858 | Other | LA | RAILROAD MEDICARE |
| 41480555490 | Other | LA | BLUE CROSS BLUE SHIELD |
| LA6002281 | Other | LA | TRICARE |
| 1361674 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07139R | LA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Center of Southwest Louisiana Inc | Urology | Current | Accepting new patients |
| Urology Specialty and Surgery Center of Southwest Louisiana | Past | Accepting new patients |
Locations
234 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 433-5282
1327 Stelly Ln
Ste 2
Sulphur, LA 70663
Phone (337) 528-7898
Interoperability endpoints
- https://api.platform.athenahealth.com/1885/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Lake Charles, LA
- NPI 1619993672
-
- Ambulatory Surgical Clinic/Center
- Lake Charles, LA
- NPI 1942282256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1477544815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5009",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370245009",
"telephone_number": "615-221-3642",
"fax_number": "615-371-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 STELLY LANE",
"address_2": "SUITE 2",
"city": "SULPHUR",
"state": "LA",
"postal_code": "70663",
"telephone_number": "337-528-7898",
"fax_number": "337-528-7427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDERSON",
"first_name": "THOMAS",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "LA",
"license": "07139R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1900198",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340004858",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "41480555490",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "LA6002281",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1361674",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sulphur, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.