NPIMap

Organization Active NPI

Lake Charles Medical Services, Inc

Doing business as Charles B. Woodard, M.D., Cardiovascular Diseases

  • Cardiovascular Disease Physician
  • Lake Charles, LA
National Provider Identifier
1811060866
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
012245 Issued in LA
Legal business name
LAKE CHARLES MEDICAL SERVICES, INC
Doing business as
Charles B. Woodard, M.D., Cardiovascular Diseases
Practice address
2800 1St Ave
Suite C
Lake Charles, LA 70601-8884
Phone
(337) 439-1737
Fax
(337) 439-4990
NPI assigned
Nov 16, 2006
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST LOUISIANA HOSPITAL ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Mr. David B Usher, COO
Title
Chief Operations Officer
Phone
(337) 494-3202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 012245 LA Primary

Addresses

Primary practice location

2800 1St Ave
Suite C
Lake Charles, LA 70601-8884

Mailing address

2800 1St Ave
Suite C
Lake Charles, LA 70601-8884
Phone (337) 439-1737

Other identifiers 4

IdentifierTypeStateIssuer
06-00004568OtherLAOCCUPATIONAL LICENSE
1944408MedicaidLA
CH1901OtherLARAILROAD MEDICARE
NG4865OtherLABCBS

Other names 1

  • Charles B. Woodard, M.D., Cardiovascular Diseases Doing business as

National Provider Directory

National Provider Directory
Part of
William G Hebert

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1811060866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 1ST AVE",
            "address_2": "SUITE C",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018884",
            "telephone_number": "337-439-1737",
            "fax_number": "337-439-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 1ST AVE",
            "address_2": "SUITE C",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018884",
            "telephone_number": "337-439-1737",
            "fax_number": "337-439-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CHARLES MEDICAL SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST LOUISIANA HOSPITAL ASSOCIATION",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "337-494-3202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "012245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL LICENSE",
            "identifier": "06-00004568",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1944408",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH1901",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NG4865",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles B. Woodard, M.D., Cardiovascular Diseases",
            "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 Apr 17, 2008; 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.