Memorial Medical Group, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEMORIAL MEDICAL GROUP, LLC

Practice address

1701 Oak Park Blvd
Lake Charles, LA 70601-8911

Phone

(337) 494-3000

NPI assigned

Feb 5, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Theresa Leblanc

Title

Business Office Analyst /Programmer

Phone

(337) 494-2577

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• MMG Archer Institute, LLC

  dba MMG Archer Institute

  • Psychiatry Physician
  • Lake Charles, LA
  • NPI 1952897688
  NPPES parent name
• MMG Nelson Rd LLC

  • General Practice Physician
  • Lake Charles, LA
  • NPI 1295103844
  NPPES parent name

Practitioners 1

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.

• Jackson Helton

  • Diagnostic Radiology Physician
  • Lake Charles, LA
  • NPI 1740609080
  NPD (past)

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1750846663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018911",
            "telephone_number": "337-494-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018911",
            "telephone_number": "337-494-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "BUSINESS OFFICE ANALYST /PROGRAMMER",
        "authorized_official_telephone_number": "337-494-2577"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Melanson
• Hayden Melanson, PT, DPT
• Kasie Lawson Melerine, M.S. CCC-SLP
• Ray Melerine, LPC, LMFT, RPT-S
• Shannon Marie Melvin
• Menard Eye Center, L.L.C.
• Keith M Menard, O.D.
• Enrique Antonio Mendez, M.D.
• Mental Connections of Southwest LLC
• Merakey Pennsylvania

• Family Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.