Samuel Edward Sprehe, M.D.
Individual provider Active NPI Otolaryngology Physician · Lake Charles, LA
NPI 1891781480 · NPPES record last updated Nov 13, 2013
Key facts
- NPI
- 1891781480
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 20619 (MS)
- Practice address
- 1890 W Gauthier Rd
205
Lake Charles, LA 70605-7179 - Phone
- (337) 494-5595
- Fax
- (337) 494-5596
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39361 | KY | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calloway ENT, Asthma & Allergy, PSC | Past |
Accepting new patients | |
| LCMS J William Groves, MD, LLC | Past | Accepting new patients | |
| Amory Hma Physician Management LLC | Family Medicine | Past | Accepting new patients |
| District Medical Group, Inc | Family Medicine | Past | Accepting new patients |
| Alamance Ear Nose and Throat, LLP | Otolaryngology | Past | Accepting new patients |
| Martinsville ENT & Allergy, P.C. | Past |
Accepting new patients |
Interoperability endpoints
- sasp5068@yourcarecommunity.org
- ssprehe265632@direct.valleywisehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | 39361 | KY | |
| Otolaryngology Physician | 207Y00000X | 20619 | MS | Yes |
Addresses
Primary practice location
1890 W Gauthier Rd
205
Lake Charles, LA 70605-7179
Mailing address
1890 W Gauthier Rd
205
Lake Charles, LA 70605-7179
Phone (337) 494-5595
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64098056 | Medicaid | KY |
Other providers in Lake Charles, LA
- John Leroy Speer
- Onita L Speight
- Charles Randolph Speights
- Greta Susanna Spengler
- Jason Randall Spooner
- Springer Family Medical Clinic LLC
- Steve F Springer
- Sprouts Behavior Development Center
- St Jude Medical Group LLC
- St Nicholas Center for Early Intervention
All providers in Lake Charles, LA · Otolaryngology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.