Active NPI
Urology Center of Southwest Louisiana Inc
- Urology Physician
- Lake Charles, LA
National Provider Identifier
1619993672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY CENTER OF SOUTHWEST LOUISIANA INC
- Practice address
- 234 Dr Michael Debakey Dr
Lake Charles, LA 70601-5960 - Phone
- (337) 433-5282
- Fax
- (337) 433-1159
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Steven Verheeck, M.D.
- Title
- President
- Phone
- (337) 433-5282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
234 Dr Michael Debakey Dr
Lake Charles, LA 70601-5960
Mailing address
234 Dr Michael Debakey Dr
Lake Charles, LA 70601-5960
Phone (337) 433-5282
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1795411 | Medicaid | LA | |
| 760760185 | Other | LA | UNITED HEALTHCARE |
| 7607601850 | Other | LA | BLUE CROSS BLUE SHIELD |
| CP2688 | Other | LA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1634 Elton Rd
Ste 202
Jennings, LA 70546
Phone (337) 439-8857
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Sulphur, LA
- NPI 1477544815
-
- Family Nurse Practitioner
- Lake Charles, LA
- NPI 1053302745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301875200000",
"number": "1619993672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 DR MICHAEL DEBAKEY DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015960",
"telephone_number": "337-433-5282",
"fax_number": "337-433-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 DR MICHAEL DEBAKEY DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015960",
"telephone_number": "337-433-5282",
"fax_number": "337-433-1159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY CENTER OF SOUTHWEST LOUISIANA INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2011-04-04",
"status": "A",
"authorized_official_last_name": "VERHEECK",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-433-5282",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1795411",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "760760185",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "7607601850",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CP2688",
"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 Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.