NPIMap

Organization Active NPI

Lutcher Family Clinic

  • Family Medicine Physician
  • Lutcher, LA
National Provider Identifier
1508186172
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
203080 Issued in LA
Legal business name
LUTCHER FAMILY CLINIC
Practice address
1731 Lutcher Ave
Lutcher, LA 70071-0000
Phone
(225) 869-9890
Fax
(225) 869-3822
NPI assigned
Jun 7, 2010
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ST JAMES PARISH HOSP SERV DISTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Dr. Cullen M Ocmond, MDNPI 1053588467
Title
Physician
Phone
(225) 869-9890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 203080 LA Primary

Addresses

Primary practice location

1731 Lutcher Ave
Lutcher, LA 70071-0000

Mailing address

1731 Lutcher Ave
Lutcher, LA 70071-0000
Phone (225) 869-9890

Other identifiers 2

IdentifierTypeStateIssuer
1072940MedicaidLA
1053588467OtherLADR'S NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000748 LA Part B Supplier - Clinic/Group Practice 3476459850 Receives reassigned benefits from 13 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lutcher, LA; Vacherie, LA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
St James Parish Hosp SE6 organizations share this tax ID, including this one
Part of
St James Parish Hosp SE

Other organizations with this tax ID 5

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2670/brand/3/csg/61/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1508186172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 LUTCHER AVE",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700710000",
            "telephone_number": "225-869-9890",
            "fax_number": "225-869-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 LUTCHER AVE",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700710000",
            "telephone_number": "225-869-9890",
            "fax_number": "225-869-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTCHER FAMILY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST JAMES PARISH HOSP SERV DIST",
        "enumeration_date": "2010-06-07",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "OCMOND",
        "authorized_official_first_name": "CULLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "225-869-9890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "203080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1072940",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR'S NPI",
            "identifier": "1053588467",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutcher, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.