NPIMap

Organization Active NPI

Lake Charles Medical Services, Inc

Doing business as Endocrinology Center of SWLA

  • Specialist
  • Lake Charles, LA
National Provider Identifier
1780789974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LAKE CHARLES MEDICAL SERVICES, INC
Doing business as
Endocrinology Center of SWLA
Practice address
2770 3Rd Ave Ste 345
Lake Charles, LA 70601-8994
Phone
(337) 494-4765
Fax
(337) 494-4766
NPI assigned
Sep 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Brian Usher, FACHE
Title
V.P. of Operations
Phone
(337) 494-3202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2770 3Rd Ave Ste 345
Lake Charles, LA 70601-8994

Mailing address

PO Box 1907
Lake Charles, LA 70602-1907
Phone (337) 494-2919

Other identifiers 1

IdentifierTypeStateIssuer
06-00010290OtherLAOCCUPATIONAL LICENSE

Other names 1

  • Endocrinology Center of SWLA Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780789974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1907",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706021907",
            "telephone_number": "337-494-2919",
            "fax_number": "337-494-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 345",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018994",
            "telephone_number": "337-494-4765",
            "fax_number": "337-494-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHARLES MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "V.P. OF OPERATIONS",
        "authorized_official_telephone_number": "337-494-3202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL LICENSE",
            "identifier": "06-00010290",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrinology Center of SWLA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.