LCMS Maternal Fetal Medicine, LLC

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

LCMS MATERNAL FETAL MEDICINE, LLC

Doing business as

Maternal Fetal Medicine

Practice address

1900 W Gauthier Rd
Lake Charles, LA 70605-7170

Phone

(337) 480-7267

Fax

(337) 480-7467

NPI assigned

Dec 1, 2010

Last updated

Dec 4, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

LAKE CHARLES MEDICAL SERVICES, INCAs reported in NPPES

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

Addresses

Other names 1

• Maternal Fetal Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Part of

Leesville Health Center

Member of 1

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

• Lake Charles Medical Services, Inc

  dba Iowa Health Center

  • Rural Health Clinic/Center
  • Iowa, LA
  • NPI 1134271497

  Member Of

  NPD member

Practitioners 7

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.

• Tara D Benjamin, M.D.

  • Maternal & Fetal Medicine Physician
  • Baton Rouge, LA
  • NPI 1427222413
  Medicare reassignment Care Compare group NPD
• John A Morgan, MD

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
  • NPI 1952721946

  Maternal & Fetal Medicine

  Medicare reassignment Care Compare group NPD
• Pamela M Simmons, DO

  • Maternal & Fetal Medicine Physician
  • Baton Rouge, LA
  • NPI 1982950648
  Medicare reassignment Care Compare group NPD
• Edward W Veillon, MD

  • Maternal & Fetal Medicine Physician
  • Baton Rouge, LA
  • NPI 1700081247
  Medicare reassignment Care Compare group
• Robert Clifton Moore, MD

  • Maternal & Fetal Medicine Physician
  • Baton Rouge, LA
  • NPI 1932156379
  Medicare reassignment NPD
• Marshall S St. Amant, M.D.

  • Maternal & Fetal Medicine Physician
  • Baton Rouge, LA
  • NPI 1649279969
  Medicare reassignment NPD
• Albert Lewie Diket, MD

  • Maternal & Fetal Medicine Physician
  • Baton Rouge, LA
  • NPI 1588685507
  NPD (past)

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": [],
    "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"
        }
    ]
}

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• Maternal & Fetal Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Maternal & Fetal Medicine Physician in Louisiana

• 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.