Organization Active NPI

Lake Charles Medical Services, Inc

Doing business as Cardiovascular-Thoracic Surgery Center

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lake Charles, LA
National Provider Identifier
1699717231
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
LAKE CHARLES MEDICAL SERVICES, INC
Doing business as
Cardiovascular-Thoracic Surgery Center
Practice address
1717 Oak Park Blvd
Second Floor
Lake Charles, LA 70601-8991
Phone
(337) 494-6799
Fax
(337) 430-6950
NPI assigned
Jun 11, 2006
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
David B Usher
Title
Vice President
Phone
(337) 494-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

1717 Oak Park Blvd
Second Floor
Lake Charles, LA 70601-8991

Mailing address

1717 Oak Park Blvd
Second Floor
Lake Charles, LA 70601-8991
Phone (337) 494-6799

Other identifiers 1

IdentifierTypeStateIssuer
1944408MedicaidLA

Other names 1

  • Cardiovascular-Thoracic Surgery Center Doing business as

National Provider Directory

National Provider Directory
Part of
Lake Charles Memorial H

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1699717231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD",
            "address_2": "SECOND FLOOR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018991",
            "telephone_number": "337-494-6799",
            "fax_number": "337-430-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD",
            "address_2": "SECOND FLOOR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018991",
            "telephone_number": "337-494-6799",
            "fax_number": "337-430-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHARLES MEDICAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "337-494-3200"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1944408",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular-Thoracic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 23, 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.