King Clinic Inc

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

36742669D Issued in LA

Legal business name

KING CLINIC INC

Practice address

4608 Highway 1
Suite 230
Raceland, LA 70394-2623

Phone

(985) 537-2636

Fax

(985) 537-8273

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

John Curtis King, MDNPI 1285674119

Title

President

Phone

(985) 446-5210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 4

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.

• John C King, MD

  • Internal Medicine Physician
  • Raceland, LA
  • NPI 1285674119
  Medicare reassignment NPD Authorized official
• Theresa Bouquet Becnel, P.T.

  • Physical Therapist
  • Raceland, LA
  • NPI 1073608311
  NPD (past)
• Marcia Ann Blereau, FNP

  • Family Nurse Practitioner
  • Morgan City, LA
  • NPI 1588198212
  NPD (past)
• Mark James Kinnard, L.P.T.

  • Physical Therapist
  • Houma, LA
  • NPI 1871605543
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298073600000",
    "number": "1982863262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 HIGHWAY 654",
            "city": "GHEENS",
            "state": "LA",
            "postal_code": "703552103",
            "telephone_number": "985-446-5210",
            "fax_number": "985-446-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 HIGHWAY 1",
            "address_2": "SUITE 230",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942623",
            "telephone_number": "985-537-2636",
            "fax_number": "985-537-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2011-02-19",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-446-5210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "36742669D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brionne Jackson, PLPC
• Jody L. Dunn
• Joseph R. Lacoste, Jr., DDS, Apdc (Louisiana Dental Center)
• David Michael Kalil, CRNA
• Taylor Kimball
• John C King, MD
• Sarah H Knight, M.D.
• La Vie Dental LLC
• Bethany Griffin Labat, PMHNP
• Lafourche Medical Group

• Pulmonary Disease Physician in Raceland, LA
• Providers in Raceland, LA by specialty
• Pulmonary Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2011; 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.