| Center For Orthopaedics And Spine Llc | |
|
1747 Imperial Blvd Lake Charles LA 70605-5362 | |
| (337) 721-7236 | |
| (337) 721-7237 |
| Full Name | Center For Orthopaedics And Spine Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 1747 Imperial Blvd, Lake Charles, Louisiana |
| Authorized Official Name and Position | Steven S Hale (AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Contact | 3377217236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Orthopaedics And Spine Llc 1747 Imperial Blvd Lake Charles LA 70605-5362 Ph: (337) 602-6074 | Center For Orthopaedics And Spine Llc 1747 Imperial Blvd Lake Charles LA 70605-5362 Ph: (337) 721-7236 |
| NPI Number | 1538703335 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 04/16/2024 |
| Medicare PECOS PAC ID | 1557797206 |
|---|---|
| Medicare Enrollment ID | O20200129000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538703335 | NPI | - | NPPES |
| Provider Name | David Guillory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558313742 PECOS PAC ID: 1456331875 Enrollment ID: I20040724000201 |
| Provider Name | Enrique A Mendez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1174605646 PECOS PAC ID: 7113993015 Enrollment ID: I20040902000434 |
| Provider Name | Craig G Morton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154465300 PECOS PAC ID: 0143320572 Enrollment ID: I20070713000282 |
| Provider Name | John K Pourciau |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053589580 PECOS PAC ID: 2860569902 Enrollment ID: I20080916000259 |
| Provider Name | Tyson E Green |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407001787 PECOS PAC ID: 9032260690 Enrollment ID: I20090623000097 |
| Provider Name | Steven S Hale |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205059763 PECOS PAC ID: 8729131669 Enrollment ID: I20090724000586 |
| Provider Name | William J Lowry |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1568673077 PECOS PAC ID: 0345374716 Enrollment ID: I20100820000441 |
| Provider Name | George J Trappey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043340144 PECOS PAC ID: 1254466949 Enrollment ID: I20101027001183 |
| Provider Name | Andrew Lee Foret |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1124205778 PECOS PAC ID: 2961673645 Enrollment ID: I20110929000502 |
| Provider Name | Senia T Fontenot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861783417 PECOS PAC ID: 6608040829 Enrollment ID: I20111123000610 |
| Provider Name | Corey J. Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477831196 PECOS PAC ID: 9436317625 Enrollment ID: I20120220000289 |
| Provider Name | Jeremy W Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437437977 PECOS PAC ID: 0547428682 Enrollment ID: I20120221000911 |
| Provider Name | Katherine V Hanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346503828 PECOS PAC ID: 2264697739 Enrollment ID: I20120706000607 |
| Provider Name | Jonathan Lynn Foret |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538365994 PECOS PAC ID: 5294982427 Enrollment ID: I20120823000341 |
| Provider Name | Brian C Kelley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750587838 PECOS PAC ID: 8729220066 Enrollment ID: I20130815000407 |
| Provider Name | Kari L Mccall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891106084 PECOS PAC ID: 1456575422 Enrollment ID: I20140612001607 |
| Provider Name | Lance M Henagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326422924 PECOS PAC ID: 4789990532 Enrollment ID: I20150825004206 |
| Provider Name | David R Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265743595 PECOS PAC ID: 2062727589 Enrollment ID: I20160426000183 |
| Provider Name | Stephen L Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891016150 PECOS PAC ID: 6507098431 Enrollment ID: I20160630000407 |
| Provider Name | Lindsay D Viator |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740644897 PECOS PAC ID: 0345534145 Enrollment ID: I20160802000946 |
| Provider Name | Joseph William Crookshank |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1710245964 PECOS PAC ID: 4082938352 Enrollment ID: I20170808001052 |
| Provider Name | Alex Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295155778 PECOS PAC ID: 6305062431 Enrollment ID: I20180718001114 |
| Provider Name | Sarah Elizabeth Clevenger |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427475482 PECOS PAC ID: 0446560767 Enrollment ID: I20180724000982 |
| Provider Name | Wendy A Wingate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356908917 PECOS PAC ID: 6305170317 Enrollment ID: I20190625003308 |
| Provider Name | Michael James Garitty |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962815332 PECOS PAC ID: 6406075480 Enrollment ID: I20200820003799 |
| Provider Name | Timothy Eric Vanwinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922018167 PECOS PAC ID: 4183029846 Enrollment ID: I20210819000673 |
| Provider Name | Bradley Lane Jimerson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013579150 PECOS PAC ID: 6002297520 Enrollment ID: I20220714003674 |
Lake Charles Medical Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-582-7632 Fax: 337-582-7656 | |
Family Medical Center. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 Aster St, Lake Charles, LA 70601 Phone: 337-478-2650 Fax: 337-478-8183 | |
Cardiovascular Outpatient Center Of Southwest Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 Dr Michael Debakey Dr, Suite 300, Lake Charles, LA 70601 Phone: 337-602-9991 | |
Washington-marion Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2802 Pineview St, Lake Charles, LA 70615 Phone: 337-217-4540 Fax: 337-439-5029 | |
Headache And Wellness Center Of Southwest Louisiana, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 W Bayou Pines Dr Ste B, Lake Charles, LA 70601 Phone: 337-508-2333 | |
Imperial Health, Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-8400 Fax: 337-312-6708 | |
Kndl Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4200 Nelson Rd, Lake Charles, LA 70605 Phone: 337-475-4748 Fax: 337-944-4421 |