NPIMap

Organization Active NPI

Sulphur Pediatric Clinic Medical Corporation

Doing business as The Pediatric Center of SW LA

  • Pediatrics Physician
  • Sulphur, LA
National Provider Identifier
1821042086
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SULPHUR PEDIATRIC CLINIC MEDICAL CORPORATION
Doing business as
The Pediatric Center of SW LA
Practice address
600 Cypress Street
Sulphur, LA 70663-5052
Phone
(337) 527-6371
Fax
(337) 528-9616
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Dr. Albert W. Richert Sr., M.D.
Title
Co/Owner
Phone
(337) 527-6371

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 011494 LA

Addresses

Primary practice location

600 Cypress Street
Sulphur, LA 70663-5052

Mailing address

600 Cypress Street
Sulphur, LA 70663-5052
Phone (337) 527-6371

Other identifiers 1

IdentifierTypeStateIssuer
1948195MedicaidLA

Other names 1

  • The Pediatric Center of SW LA Doing business as

National Provider Directory

National Provider Directory

Locations

2770 2ND Ave
Ste 104 105
Lake Charles, LA 70601
Phone (337) 310-2235

2800 Country Club Rd
Lake Charles, LA 70605
Phone (337) 477-0935

340 N Highway 171
#B
Lake Charles, LA 70611
Phone (337) 419-0040

2770 2ND Ave
Ste 104 105
Lake Charles, LA 70601
Phone (337) 310-2235

1920 W Sale Rd
Ste F7
Lake Charles, LA 70605
Phone (337) 447-0935

600 Cypress St
Sulphur, LA 70663
Phone (337) 527-6371

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1821042086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CYPRESS STREET",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635052",
            "telephone_number": "337-527-6371",
            "fax_number": "337-528-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CYPRESS STREET",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635052",
            "telephone_number": "337-527-6371",
            "fax_number": "337-528-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULPHUR PEDIATRIC CLINIC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "RICHERT",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CO/OWNER",
        "authorized_official_telephone_number": "337-527-6371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "011494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948195",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pediatric Center of SW LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.