NPIMap

Individual provider Active NPI

Garth Thesieger King, MD

  • Internal Medicine Physician
  • Sulphur, LA
National Provider Identifier
1598775355
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200225 Issued in LA
Practice address
701 Cypress St
Sulphur, LA 70663-5053
Phone
(800) 893-9698
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200225 LA
Internal Medicine Physician 207R00000X 200225 LA Primary

Addresses

Primary practice location

701 Cypress St
Sulphur, LA 70663-5053

Mailing address

200 Corporate Blvd
Ste 201
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other identifiers 1

IdentifierTypeStateIssuer
1058394MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061206000268 LA Practitioner - Emergency MedicinePractitioner - Internal Medicine 8628077302 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Miami, LM Miller School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coolidge Physician Services LLCGroup PAC ID 7113156035, 52 clinicians
Ambassador Physician Services LLCGroup PAC ID 7810099090, 14 clinicians
Checkup LLCGroup PAC ID 0446536288, 4 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 981-2949

850 Kaliste Saloom Rd
Suite 122
Lafayette, LA 70508-4230
Phone (337) 235-9355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200225LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Checkup, LLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Coolidge Physician Services LLC CurrentSince Apr 1, 2018 Accepting new patients
Ambassador Physician Services LLC CurrentSince Sep 1, 2006 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients
LHCG XII, LLC Past Accepting new patients

Locations

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

850 Kaliste Saloom Rd
Ste 122
Lafayette, LA 70508
Phone (337) 235-9355

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

310 Youngsville Hwy
Lafayette, LA 70508
Phone (337) 837-5250

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1598775355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "STE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635053",
            "telephone_number": "800-893-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "GARTH",
        "middle_name": "THESIEGER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "200225",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "200225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1058394",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.