Maureen A Kaough, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.019075 Issued in LA

Practice address

1960 Tybee St
Lake Charles, LA 70605-4173

Phone

(337) 421-0090

Fax

(337) 421-0015

NPI assigned

Nov 5, 2006

Last updated

Sep 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4

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.

• C H Wilkinson Physician Network

  dba CHRISTUS Physician Group

  • Family Medicine Physician
  • Irving, TX
  • NPI 1457382947

  Internal Medicine, LA

  Medicare reassignment NPD
• C H Wilkinson Physician Network

  dba CHRISTUS Physician Group

  • Orthopaedic Surgery Physician
  • Corpus Christi, TX
  • NPI 1750826095
  NPD
• Swlhs LLC

  dba Internal Medicine Clinic of Lake Charles

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1669494654
  NPD (past)

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474070400000",
    "number": "1972682300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 HIDDEN RDG",
            "address_2": "6TH FLOOR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383813",
            "telephone_number": "469-282-2711",
            "fax_number": "469-282-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 TYBEE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054173",
            "telephone_number": "337-421-0090",
            "fax_number": "337-421-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAOUGH",
        "first_name": "MAUREEN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-05",
        "last_updated": "2016-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.019075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1389587",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kacey Guillory DDS Professional Dental LLC
• Janardana P. Kaimal, MD
• Percival I Kane, M.D.
• Vijay S Kantam
• Caressa Elzia Kaough
• Peter W Karam, M.D.
• Julie George Karimian, LCSW
• Karlnelius Duhon DDS LLC (Duhon Family Dentistry)
• Anatole Karpovs, MD
• Bryan Scott Karriker, MD

• Internal Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.