NPIMap

Organization Active NPI

LCMS Maternal Fetal Medicine, LLC

  • Maternal & Fetal Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1801198528
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
LCMS MATERNAL FETAL MEDICINE, LLC
Practice address
1900 W Gauthier Rd
Lake Charles, LA 70605-7170
Phone
(337) 480-7267
Fax
(337) 480-7467
NPI assigned
Dec 1, 2010
Organization subpart
Yes
Parent organization
LAKE CHARLES MEDICAL SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dawn Johnson-Hatcher
Title
Cfo
Phone
(337) 494-2094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

1900 W Gauthier Rd
Lake Charles, LA 70605-7170

Mailing address

PO Box 122616 Dept 2616
Dallas, TX 75312-0001
Phone (337) 494-2921

Other identifiers 1

IdentifierTypeStateIssuer
2137824MedicaidLA

Other names 1

  • Maternal Fetal Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120530000136 LA Part B Supplier - Clinic/Group Practice 8628231784 Receives reassigned benefits from 6 practitioners
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory
Part of
Family Medical Clinic S

Member of 1

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

Locations

15813 Paul Vega Md Dr
Ste 200A
Hammond, LA 70403
Phone (985) 230-7790

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1801198528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122616 DEPT 2616",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W GAUTHIER RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706057170",
            "telephone_number": "337-480-7267",
            "fax_number": "337-480-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCMS MATERNAL FETAL MEDICINE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE CHARLES MEDICAL SERVICES, INC",
        "enumeration_date": "2010-12-01",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-HATCHER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-494-2094"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2137824",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal Fetal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maternal Fetal Medicine",
            "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 Dec 4, 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.