Lafourche Medical Group LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LAFOURCHE MEDICAL GROUP LLC

Doing business as

St Charles Urgent Care

Practice address

13100 River Rd
Suite 100
Destrehan, LA 70047-5203

Phone

(985) 235-0010

NPI assigned

Jan 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Lim, MDNPI 1073704540

Title

Owner

Phone

(985) 235-0010

Specialties & licenses 1

Addresses

Other names 1

• St Charles Urgent Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lafourche Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lafourche Medical Group

  • General Practice Physician
  • Raceland, LA
  • NPI 1730567256
  NPD tax ID

Locations

Practitioners 4

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

• Stephen C Lim, M.D.

  • Emergency Medicine Physician
  • Houma, LA
  • NPI 1073704540
  NPD (past) Authorized official
• Adam Joseph Arcement, M.D.

  • Emergency Medicine Physician
  • Houma, LA
  • NPI 1801978515
  NPD (past)
• Tamara Lee, APRN

  • Family Nurse Practitioner
  • Marrero, LA
  • NPI 1811509771
  NPD (past)
• Robert Nathan Smith, NP

  • Family Nurse Practitioner
  • Destrehan, LA
  • NPI 1104430552
  NPD (past)

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1750749263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 RIVER RD",
            "address_2": "SUITE 100",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700475203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 RIVER RD",
            "address_2": "SUITE 100",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700475203",
            "telephone_number": "985-235-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAFOURCHE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-235-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Charles Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christie Lomongo Jones, PNP-PC
• James B. Jones, LCSW
• Jsa Dental, LLC
• Wesley Malcolm Juneau, PT, DPT
• Daniele Wilson Knight, FNP-BC
• James E Lanasa III, M.D.
• Cathleen Beth Landwehr-Zelenka, OT
• Dolleen Licciardi, MD
• Louisiana CVS Pharmacy, L.L.C. (CVS Pharmacy 05442)
• Celeste Love, DMD

• Urgent Care Clinic/Center in Destrehan, LA
• Providers in Destrehan, LA by specialty
• Urgent Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.