LCMS Matthew G Scroggs, MD, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

LCMS MATTHEW G SCROGGS, MD, LLC

Practice address

1890 W Gauthier Rd Ste 140
Lake Charles, LA 70605-7179

Phone

(337) 480-5570

Fax

(337) 480-5581

NPI assigned

Nov 19, 2010

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 identifiers 1

Other names 1

• Matthew G Scroggs MD Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Part of

Family Medical Clinic S

Member of 1

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

• Lake Charles Medical Services, Inc

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

  Member Of

  NPD member

Locations

Practitioners 5

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

• Jessica Marie Miglicco Cole, MD

  • Obstetrics & Gynecology Physician
  • Lake Charles, LA
  • NPI 1386104115
  Medicare reassignment Care Compare group NPD
• Bradley Keith Forsyth, MD

  • Obstetrics Physician
  • Lake Charles, LA
  • NPI 1750410981
  Medicare reassignment Care Compare group NPD
• Kelcie Freyou Miller, APRN

  • Family Nurse Practitioner
  • Lake Charles, LA
  • NPI 1639987761
  Medicare reassignment Care Compare group NPD
• Matthew Gary Scroggs, M.D.

  • Obstetrics & Gynecology Physician
  • Lake Charles, LA
  • NPI 1346249638
  Medicare reassignment NPD
• Bethany Hebert Tramonte

  • Family Nurse Practitioner
  • Lake Charles, LA
  • NPI 1588368682
  Medicare reassignment NPD

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1831491067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122534 DEPT 2534",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122534",
            "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": "1890 W GAUTHIER RD STE 140",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706057179",
            "telephone_number": "337-480-5570",
            "fax_number": "337-480-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCMS MATTHEW G SCROGGS, MD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE CHARLES MEDICAL SERVICES, INC",
        "enumeration_date": "2010-11-19",
        "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": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2320556",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew G Scroggs MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matthew G Scroggs MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Obstetrics & Gynecology 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.