Organization Active NPI

J. William Groves, Jr., M.D., L.L.C.

  • Obstetrics & Gynecology Physician
  • Lake Charles, LA
National Provider Identifier
1740545466
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.201254 Issued in LA
Legal business name
J. WILLIAM GROVES, JR., M.D., L.L.C.
Practice address
1890 W Gauthier Rd Ste 130
Lake Charles, LA 70605-7179
Phone
(337) 480-5530
Fax
(337) 480-5531
NPI assigned
Jul 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Dr. James William Groves Jr., M.D.NPI 1386859106
Title
Owner
Phone
(337) 480-5530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD.201254 LA Primary

Addresses

Primary practice location

1890 W Gauthier Rd Ste 130
Lake Charles, LA 70605-7179

Mailing address

1890 W Gauthier Rd Ste 130
Lake Charles, LA 70605-7179
Phone (337) 480-5530

Other identifiers 1

IdentifierTypeStateIssuer
1014826MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121025000219 LA Part B Supplier - Clinic/Group Practice 5799935821 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1740545466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 W GAUTHIER RD STE 130",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706057179",
            "telephone_number": "337-480-5530",
            "fax_number": "337-480-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 W GAUTHIER RD STE 130",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706057179",
            "telephone_number": "337-480-5530",
            "fax_number": "337-480-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. WILLIAM GROVES, JR., M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "GROVES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-480-5530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.201254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014826",
            "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 Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.