Active NPI
Richard Anthony Sachitano, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Lake Charles, LA
National Provider Identifier
1790834794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 17337
- Practice address
- 1910 Oak Park Blvd
Lake Charles, LA 70601-8916 - Phone
- (337) 494-3187
- Fax
- (337) 494-3187
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 17337 | LA | Primary |
Addresses
Primary practice location
1910 Oak Park Blvd
Lake Charles, LA 70601-8916
Mailing address
1721 Swan Dr
Lake Charles, LA 70605-5261
Phone (337) 474-7741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1345075 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17337 | LA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790834794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 SWAN DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055261",
"telephone_number": "337-474-7741",
"fax_number": "337-494-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 OAK PARK BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018916",
"telephone_number": "337-494-3187",
"fax_number": "337-494-3187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACHITANO",
"first_name": "RICHARD",
"middle_name": "ANTHONY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "LA",
"license": "17337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1345075",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.