Individual provider Active NPI

Lesley M Warshaw Jr., MD

  • Specialist
  • Alexandria, LA
National Provider Identifier
1669476172
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
018329 Issued in LA
Practice address
2108 Texas Ave
Ste 3061
Alexandria, LA 71301-3903
Phone
(318) 443-8380
Fax
(318) 443-8761
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 018329 LA Primary

Addresses

Primary practice location

2108 Texas Ave
Ste 3061
Alexandria, LA 71301-3903

Mailing address

2108 Texas Ave
Ste 3061
Alexandria, LA 71301-3903
Phone (318) 443-8380

Other identifiers 1

IdentifierTypeStateIssuer
1372781MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080303000075 LA Practitioner - Otolaryngology 2668490822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in New Orleans, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Cameron Hospital Service DistrictGroup PAC ID 1052221447, 49 clinicians

Practice addresses (Care Compare)

1629 Beglis Pkwy
Sulphur, LA 70663-5906
Phone (337) 439-2040

Hospital & facility affiliations

  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Hospital Service District Current Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Jan 1, 2019 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Jan 1, 2019 Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients

Locations

1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

1629 Beglis Pkwy
Sulphur, LA 70663
Phone (337) 439-2040

Interoperability endpoints

  • Direct secure messaging: lwarshaw@alexandriaotolaryngologyassociates.mdlogic.direct-ci.com

Organizations & group practices 4

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1669476172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 TEXAS AVE",
            "address_2": "STE 3061",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013903",
            "telephone_number": "318-443-8380",
            "fax_number": "318-443-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 TEXAS AVE",
            "address_2": "STE 3061",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013903",
            "telephone_number": "318-443-8380",
            "fax_number": "318-443-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSHAW",
        "first_name": "LESLEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "018329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1372781",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.