W O Moss Regional Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

W O MOSS REGIONAL MEDICAL CENTER

Practice address

1000 Walters St
Lake Charles, LA 70607-4647

Phone

(337) 475-8100

Fax

(337) 415-8104

NPI assigned

Jun 10, 2006

Last updated

Feb 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael K Butler, M.D.

Title

Acting Ceo

Phone

(225) 922-0775

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1598706319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WALTERS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074647",
            "telephone_number": "337-475-8100",
            "fax_number": "337-415-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WALTERS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074647",
            "telephone_number": "337-475-8100",
            "fax_number": "337-415-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W O MOSS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "225-922-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ACUTE",
            "identifier": "90161",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720402",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Volunteers of America Greater Baton Rouge
• Volunteers of America Greater Baton Rouge
• Anurag Reddy Vootla
• Vanchi Ronnie Vu, MD
• W O Moss Regional Medical Center
• W O Moss Regional Medical Center
• W.O. Moss Regional Medical Center
• Kenneth Joseph Waddell
• Ka'Dea Wade-George, FNP
• Eric Waetjen, MD

• General Acute Care Hospital in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• General Acute Care Hospital in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.