NPIMap

Organization Active NPI

Lake Charles Medical Services Orthopedics Associates LLC

Doing business as Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Lake Charles, LA
National Provider Identifier
1962695361
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
LAKE CHARLES MEDICAL SERVICES ORTHOPEDICS ASSOCIATES LLC
Doing business as
Orthopaedic Specialists
Practice address
1717 Oak Park Blvd FL 3
Lake Charles, LA 70601-8990
Phone
(337) 494-4900
Fax
(337) 494-4797
NPI assigned
Aug 20, 2007
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LAKE CHARLES MEDICAL SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Dawn Johnson-Hatcher
Title
Cfo
Phone
(337) 494-2094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1717 Oak Park Blvd FL 3
Lake Charles, LA 70601-8990

Mailing address

PO Box 122165 Dept 2165
Dallas, TX 75312-2165
Phone (337) 494-2921

Other practice location 1

4345 Nelson Rd Ste 101
Lake Charles, LA 70605-4183
Phone (337) 480-7942

Other practice location 2

230 W Sale Rd
Lake Charles, LA 70605-2828
Phone (337) 477-5252

Other identifiers 3

IdentifierTypeStateIssuer
NH8002OtherLABCBS
DG7217OtherLARAILROAD MCR
1030538MedicaidLA

Other names 1

  • Orthopaedic Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071022000727 LA Part B Supplier - Clinic/Group Practice 9638265697 Receives reassigned benefits from 16 practitioners
Practice locations: Lake Charles, LA
O20210907003404 LA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9638265697 Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory
Part of
Family Medical CL of Su

Locations

4345 Nelson Rd
Ste 101
Lake Charles, LA 70605
Phone (337) 480-7942

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1962695361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122165 DEPT 2165",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122165",
            "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": "1717 OAK PARK BLVD FL 3",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018990",
            "telephone_number": "337-494-4900",
            "fax_number": "337-494-4797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4345 Nelson Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706054183",
            "country_code": "US",
            "telephone_number": "337-480-7942",
            "fax_number": "337-480-7964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 W Sale Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706052828",
            "country_code": "US",
            "telephone_number": "337-477-5252",
            "fax_number": "337-502-5069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAKE CHARLES MEDICAL SERVICES ORTHOPEDICS ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKE CHARLES MEDICAL SERVICES INC",
        "enumeration_date": "2007-08-20",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-HATCHER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-494-2094"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NH8002",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "DG7217",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030538",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopaedic Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.