Active NPI
Beauregard Urology Center, LLC
Doing business as Chuen K. Kwok, M.D.
- Urology Physician
- Deridder, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- BEAUREGARD UROLOGY CENTER, LLC
- Doing business as
- Chuen K. Kwok, M.D.
- Practice address
- 316 W 7TH St
Deridder, LA 70634-4914 - Phone
- (337) 462-7409
- Fax
- (337) 462-7479
- NPI assigned
- Nov 5, 2013
- Last updated
- Nov 3, 2016
- Organization subpart
- Yes
- Parent organization
- WEST LOUISIANA HEALTH SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darrell L Kingham, CPA
- Title
- Cfo
- Phone
- (337) 462-7409
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
316 W 7TH St
Deridder, LA 70634-4914
Mailing address
PO Box 730
Deridder, LA 70634-0730
Phone (337) 462-7409
Other names 1
- Chuen K. Kwok, M.D.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2073339 | Beauregard Urology Center, LLC | Certificate of waiver | Feb 16, 2028 |
National Provider Directory
National Provider Directory- Part of
- Beauregard Memorial Hos
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Beauregard Health System
- Obstetrics & Gynecology Physician
- Deridder, LA
- NPI 1164985495
Member Of
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Family Nurse Practitioner
- Deridder, LA
- NPI 1295082568
-
- Urology Physician
- Deridder, LA
- NPI 1851369920
-
- Primary Care Nurse Practitioner
- Deridder, LA
- NPI 1023789328
-
- Adult Health Nurse Practitioner
- Leesville, LA
- NPI 1154564169
-
- Nurse Practitioner
- Leesville, LA
- NPI 1710647532
-
- Adult Health Nurse Practitioner
- Lake Charles, LA
- NPI 1154747186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478131200000",
"number": "1891124384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 730",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706340730",
"telephone_number": "337-462-7409",
"fax_number": "337-462-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 W 7TH ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706344914",
"telephone_number": "337-462-7409",
"fax_number": "337-462-7479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAUREGARD UROLOGY CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEST LOUISIANA HEALTH SERVICES, INC.",
"enumeration_date": "2013-11-05",
"last_updated": "2016-11-03",
"status": "A",
"authorized_official_last_name": "KINGHAM",
"authorized_official_first_name": "DARRELL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "337-462-7409",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chuen K. Kwok, M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Deridder, LA
- Beauregard Physical Therapy Clinic, Inc
- Beauregard Physician Group, LLC
- Beauregard Physician Services LLC
- Beauregard Surgery Center, LLC (David J. Brown, M.D.)
- Beauregard Urgent Care Center, LLC
- Beauregard Women's Health Center, LLC
- Kristen M Behar Allen, LICENCED MASSAGE
- Andraws Beibi, CPT
- Jessica Nicole Bell, LPC
- Kimber Bennett
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.