Beauregard Internal Medicine Center, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BEAUREGARD INTERNAL MEDICINE CENTER, LLC

Practice address

495 W 8TH St
Deridder, LA 70634-5507

Phone

(337) 462-7409

Fax

(337) 462-7479

NPI assigned

Oct 28, 2010

Last updated

Nov 4, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

WEST LOUISIANA HEALTH SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Darrell L. Kingham

Title

Cfo

Phone

(337) 462-7409

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Part of

John E McMillan MD

Member of 1

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

• West Louisiana Health Services Inc

  dba Beauregard Health System

  • Obstetrics & Gynecology Physician
  • Deridder, LA
  • NPI 1164985495

  Member Of

  NPD member

Practitioners 6

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.

• Kaylyn Ann Cooley

  • Nurse Practitioner
  • Deridder, LA
  • NPI 1275268807
  Medicare reassignment Care Compare group NPD
• Steven C Farquhar, MD

  • Internal Medicine Physician
  • Deridder, LA
  • NPI 1538153002
  Medicare reassignment Care Compare group
• Christine Hoffpauir, NP

  • Family Nurse Practitioner
  • Deridder, LA
  • NPI 1063087112
  Medicare reassignment NPD
• Samantha Martin

  • Family Nurse Practitioner
  • Deridder, LA
  • NPI 1699384628
  Medicare reassignment NPD
• Kellie Bourg Paddy, A.P.R.N.

  • Adult Health Nurse Practitioner
  • Leesville, LA
  • NPI 1154564169
  Medicare reassignment NPD
• Kallie Hess, MSN, FNP-C

  • Family Nurse Practitioner
  • Lake Charles, LA
  • NPI 1316308927
  Medicare reassignment

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1588964175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706340730",
            "telephone_number": "337-462-7409",
            "fax_number": "337-462-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 W 8TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706345507",
            "telephone_number": "337-462-7409",
            "fax_number": "337-462-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUREGARD INTERNAL MEDICINE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST LOUISIANA HEALTH SERVICES, INC.",
        "enumeration_date": "2010-10-28",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "KINGHAM",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-462-7409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beauregard Emergency Group LLC
• Beauregard Family Medical Center, LLC
• Beauregard Family Medicine LLC
• Beauregard Hematolog & Oncology
• Beauregard Hematology & Oncology
• Beauregard Medical and Surgical Center, LLC
• Beauregard Medical Solutions LLC (Beauregard Medical Supply)
• Beauregard Medical Supply
• Beauregard Medical Supply LLC
• Beauregard Memorial Home Health

• Internal Medicine Physician in Deridder, LA
• Providers in Deridder, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.