NPIMap

Organization Active NPI

LCMS Pulmonary Associates of Southwest Louisiana

  • Pulmonary Disease Physician
  • Lake Charles, LA
National Provider Identifier
1508175704
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
LCMS PULMONARY ASSOCIATES OF SOUTHWEST LOUISIANA
Practice address
2770 3Rd Ave Ste 350
Lake Charles, LA 70601-0404
Phone
(337) 494-2750
Fax
(337) 494-2760
NPI assigned
Oct 5, 2010
Organization subpart
Yes
Parent organization
LAKE CHARLES MEDICAL SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dawn Johnson-Hatcher
Title
Cfo
Phone
(337) 494-2094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

2770 3Rd Ave Ste 350
Lake Charles, LA 70601-0404

Mailing address

PO Box 122309, Dept 2309 Dept 2309
Dallas, TX 75312-2309
Phone (337) 494-2921

Other identifiers 1

IdentifierTypeStateIssuer
2128353MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110131000436 LA Part B Supplier - Clinic/Group Practice 0446439939 Receives reassigned benefits from 12 practitioners
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory
Part of
Family Medical Clinic S

Member of 1

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

Locations

2770 3rd Ave
Lake Charles, LA 70601
Phone (337) 494-2674

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1508175704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122309, DEPT 2309 DEPT 2309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122309",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 350",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706010404",
            "telephone_number": "337-494-2750",
            "fax_number": "337-494-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCMS PULMONARY ASSOCIATES OF SOUTHWEST LOUISIANA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE CHARLES MEDICAL SERVICES, INC",
        "enumeration_date": "2010-10-05",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-HATCHER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-494-2094"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128353",
            "state": "LA"
        }
    ],
    "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 Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.