NPIMap

Organization Active NPI

Urology Specialty and Surgery Center of Southwest Louisiana

  • Ambulatory Surgical Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1942282256
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
42 Issued in LA
Legal business name
UROLOGY SPECIALTY AND SURGERY CENTER OF SOUTHWEST LOUISIANA
Practice address
234 Dr Michael Debakey Dr
Lake Charles, LA 70601-5960
Phone
(337) 439-8857
Fax
(337) 433-1159
NPI assigned
Nov 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Kenneth S Verheeck, M.D.
Title
Medical Director
Phone
(337) 439-8857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 42 LA Primary

Addresses

Primary practice location

234 Dr Michael Debakey Dr
Lake Charles, LA 70601-5960

Mailing address

234 Dr Michael Debakey Dr
Lake Charles, LA 70601-5960
Phone (337) 439-8857

Other identifiers 3

IdentifierTypeStateIssuer
490001185OtherLARAILROAD MEDICARE
1390429MedicaidLA
2097COtherLABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

234 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 433-5282

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1942282256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015960",
            "telephone_number": "337-439-8857",
            "fax_number": "337-433-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015960",
            "telephone_number": "337-439-8857",
            "fax_number": "337-433-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SPECIALTY AND SURGERY CENTER OF SOUTHWEST LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "VERHEECK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "337-439-8857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490001185",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1390429",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2097C",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2010; 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.