Organization Active NPI

Our Lady of the Lake Hospital Inc

Doing business as OLOL Assumption ER Physicians

  • Emergency Medicine Physician
  • Napoleonville, LA
National Provider Identifier
1487796710
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
451 Issued in LA
Legal business name
OUR LADY OF THE LAKE HOSPITAL INC
Doing business as
OLOL Assumption ER Physicians
Practice address
135 Hwy 402
Napoleonville, LA 70390
Phone
(985) 369-3600
Fax
(985) 369-4236
NPI assigned
Feb 13, 2007
Last updated
Apr 15, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
OUR LADY OF THE LAKE HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Mr. Wayne M Arboneaux
Title
Ceo
Phone
(985) 369-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X 451 LA Primary

Addresses

Primary practice location

135 Hwy 402
Napoleonville, LA 70390

Mailing address

8415 Goodwood Blvd
Suite 105
Baton Rouge, LA 70806
Phone (225) 765-4361

Other names 1

  • OLOL Assumption ER Physicians Doing business as

National Provider Directory

National Provider Directory
Part of
Our Lady of the Lake Re

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1487796710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 GOODWOOD BLVD",
            "address_2": "SUITE 105",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70806",
            "telephone_number": "225-765-4361",
            "fax_number": "225-765-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HWY 402",
            "city": "NAPOLEONVILLE",
            "state": "LA",
            "postal_code": "70390",
            "telephone_number": "985-369-3600",
            "fax_number": "985-369-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF THE LAKE HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF THE LAKE HOSPITAL INC",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "ARBONEAUX",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-369-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLOL Assumption ER Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Napoleonville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.