Active NPI
Susan A. Jones, MD
- Internal Medicine Physician
- Lake Charles, LA
National Provider Identifier
1699760439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18234
- Practice address
- 2770 2ND Ave
Suite 101a
Lake Charles, LA 70601-8992 - Phone
- (337) 474-0046
- Fax
- (337) 474-8919
- NPI assigned
- Sep 19, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18234 | LA | Primary |
Addresses
Primary practice location
2770 2ND Ave
Suite 101a
Lake Charles, LA 70601-8992
Mailing address
2770 2ND Ave
Suite 101a
Lake Charles, LA 70601-8992
Phone (337) 474-0046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1921564 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18234 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swla Center for Health Services | Past | Accepting new patients | |
| Swla Center for Health Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Crowley, LA
- NPI 1336383033
-
- Pediatrics Physician
- Lafayette, LA
- NPI 1366111791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1699760439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 2ND AVE",
"address_2": "SUITE 101A",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018992",
"telephone_number": "337-474-0046",
"fax_number": "337-474-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 2ND AVE",
"address_2": "SUITE 101A",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018992",
"telephone_number": "337-474-0046",
"fax_number": "337-474-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SUSAN",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "18234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1921564",
"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 May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.