NPIMap

Organization Active NPI

Imperial Health LLP

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lake Charles, LA
National Provider Identifier
1740982115
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
IMPERIAL HEALTH LLP
Practice address
4150 Nelson Rd
BLDG D Ste 1
Lake Charles, LA 70605-4133
Phone
(337) 508-1000
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Tonya Richard
Title
Chief Operating Officer
Phone
(337) 312-8360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

4150 Nelson Rd
BLDG D Ste 1
Lake Charles, LA 70605-4133

Mailing address

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 312-8360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230626002037 LA DME Supplier - Physician - Unknown Physician SpecialtyDME Supplier - Sports Medicine 7719886779 Practice locations: Lake Charles, LA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Urgent Care Clinic41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

1700 Kaliste Saloom Rd
Bldg 2
Lafayette, LA 70508
Phone (337) 534-8346

4201 Nelson Rd
Ste 100
Lake Charles, LA 70605
Phone (337) 310-2273

721 Bayou Pines East Dr
Lake Charles, LA 70601
Phone (337) 310-3670

333 Dr Michael Debakey Dr
Ste 110
Lake Charles, LA 70601
Phone (337) 419-1947

1920 W Sale Rd
Ste 2
Lake Charles, LA 70605
Phone (337) 312-8284

4150 Nelson Rd
Ste E1
Lake Charles, LA 70605
Phone (337) 474-1386

601 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 436-1370

4150 Nelson Rd
Ste 1
Lake Charles, LA 70605
Phone (337) 474-2056

1747 Imperial Blvd
Lake Charles, LA 70605
Phone (337) 721-7236

1920 W Sale Rd
Ste 1
Lake Charles, LA 70605
Phone (337) 475-2252

277 N Highway 171
Ste 8
Moss Bluff, LA 70611
Phone (337) 312-0030

Practitioners & affiliated clinicians

Practitioners 87

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

View all 87

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1740982115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724",
            "telephone_number": "337-312-8360",
            "fax_number": "337-312-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "BLDG D STE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054133",
            "telephone_number": "337-508-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL HEALTH LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "CHIEF  OPERATING OFFICER",
        "authorized_official_telephone_number": "337-312-8360"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 17, 2023; 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.