Active NPI
Swla Neonatology
- Neonatal-Perinatal Medicine Physician
- Lake Charles, LA
National Provider Identifier
1962174342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 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 DirectoryLocations
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.
-
- Pediatrics Physician
- Lake Charles, LA
- NPI 1306027701
-
- Neonatal-Perinatal Medicine Physician
- Lake Charles, LA
- NPI 1346231875
-
- Physician Assistant
- Lake Charles, LA
- NPI 1629308481
-
- Pediatrics Physician
- Lake Charles, LA
- NPI 1760473490
-
- Pediatrics Physician
- Lake Charles, LA
- NPI 1083605133
-
- Pediatrics Physician
- Lake Charles, LA
- NPI 1770574485
-
- Pediatrics Physician
- Lake Charles, LA
- NPI 1255322780
-
- Pediatrics Physician
- Lake Charles, LA
- NPI 1831180553
-
- Pediatrics Physician
- Metairie, LA
- NPI 1144587288
-
- Pediatric Nurse Practitioner
- Lake Charles, LA
- NPI 1821184201
-
- Pediatrics Physician
- Lake Charles, LA
- NPI 1528059235
-
- Pediatrics Physician
- Lake Charles, LA
- NPI 1619310992
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.