NPIMap

Individual provider Active NPI

Clifford Armand Courville, M.D.

  • Pulmonary Disease Physician
  • Lake Charles, LA
National Provider Identifier
1942461207
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD.206845 Issued in LA
Practice address
2770 3Rd Ave Ste 350
Lake Charles, LA 70601-0404
Phone
(337) 494-2750
Fax
(337) 494-2760
NPI assigned
Jun 19, 2008
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD.206845 LA Primary

Addresses

Primary practice location

2770 3Rd Ave Ste 350
Lake Charles, LA 70601-0404

Mailing address

PO Box 122309
Dept 2309
Dallas, TX 75312-2309
Phone (337) 494-2921

Other identifiers 2

IdentifierTypeStateIssuer
2368729MedicaidLA
MD.206845OtherLASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140902001565 LA Practitioner - Pulmonary Disease 4880830603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Louisiana State University School of Medicine in New Orleans, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LCMS Pulmonary Associates of Southwest LouisianaGroup PAC ID 0446439939, 9 clinicians

Practice addresses (Care Compare)

2770 3Rd Ave
Suite 350
Lake Charles, LA 70601-0404
Phone (337) 494-2750

920 1St Ave
Sulphur, LA 70663-3425
Phone (337) 528-7472

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.206845LAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Hospital Service District Current Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Oct 1, 2022 Accepting new patients
LCMS Pulmonary Associates of Southwest Louisiana Pulmonary Disease CurrentSince Aug 1, 2014 Accepting new patients
Calcasieu Cameron Hospital Service District Pulmonary Disease CurrentSince Oct 1, 2022 Accepting new patients
Radiology Associates of Southwest Louisiana Past Accepting new patients
Lake Charles Medical Services Inc Pulmonary Disease Past Accepting new patients
Louisiana Department of Health - Office of Public Health Past Accepting new patients

Locations

1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

2770 3rd Ave
Lake Charles, LA 70601
Phone (337) 494-2674

2770 3rd Ave
Ste 110
Lake Charles, LA 70601
Phone (337) 494-2750

2770 3rd Ave
Ste 350
Lake Charles, LA 70601
Phone (337) 494-2750

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

920 1st Ave
Sulphur, LA 70663
Phone (337) 527-6301

921 1st Ave
Sulphur, LA 70663
Phone (337) 527-2491

Interoperability endpoints

  • Direct secure messaging: ccourville5281914@direct.casso.us.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Charles Memorial HospitalLake Charles, LA, CCN 190060 Hospital Corporate Officer Jan 1, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1942461207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122309",
            "address_2": "DEPT 2309",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122309",
            "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": "2770 3RD AVE STE 350",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706010404",
            "telephone_number": "337-494-2750",
            "fax_number": "337-494-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURVILLE",
        "first_name": "CLIFFORD",
        "middle_name": "ARMAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "MD.206845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2368729",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD.206845",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.