Organization Active NPI

Swla Neonatology

  • Neonatal-Perinatal Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1962174342
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
SWLA NEONATOLOGY
Practice address
2903 1St Ave
Lake Charles, LA 70601-8809
Phone
(337) 478-6480
NPI assigned
Oct 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Mary L Talbert
Title
Credentialing Manager
Phone
(337) 794-1585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X Primary

Addresses

Primary practice location

2903 1St Ave
Lake Charles, LA 70601-8809

Mailing address

PO Box 13047
Lake Charles, LA 70612-3047
Phone (337) 794-1724

National Provider Directory

National Provider Directory

Locations

4150 Nelson Rd
Ste G
Lake Charles, LA 70605

117 Gloria Dr
Lake Charles, LA 70611

4150 Nelson Rd
Ste D2B
Lake Charles, LA 70605
Phone (337) 475-4020

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1962174342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13047",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706123047",
            "telephone_number": "337-794-1724",
            "fax_number": "337-855-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 1ST AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018809",
            "telephone_number": "337-478-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWLA NEONATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "TALBERT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "337-794-1585"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 4, 2021; 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.