| Imperial Health, Llp | |
|
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 | |
| (337) 433-8400 | |
| (337) 312-6708 |
| Full Name | Imperial Health, Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 501 Dr Michael Debakey Dr, Lake Charles, Louisiana |
| Authorized Official Name and Position | Tonya Richard (ASSISTANT ADMINISTRATOR) |
| Authorized Official Contact | 3373128291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Health, Llp 501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 Ph: (337) 433-8400 | Imperial Health, Llp 501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 Ph: (337) 433-8400 |
| NPI Number | 1053352401 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 01/16/2017 |
| Medicare PECOS PAC ID | 7719886779 |
|---|---|
| Medicare Enrollment ID | O20040108000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053352401 | NPI | - | NPPES |
| 1016314 | Medicaid | LA |
| Provider Name | Brian C Wilder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558455733 PECOS PAC ID: 6709782089 Enrollment ID: I20031209000070 |
| Provider Name | John A Digiglia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497717656 PECOS PAC ID: 1951200864 Enrollment ID: I20040108000544 |
| Provider Name | Jason R Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861468068 PECOS PAC ID: 0042101750 Enrollment ID: I20040323000313 |
| Provider Name | Carl Fastabend |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568438984 PECOS PAC ID: 7810964616 Enrollment ID: I20040913000115 |
| Provider Name | Ralph M Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528039922 PECOS PAC ID: 5092760504 Enrollment ID: I20050317000624 |
| Provider Name | Samantha Ann Rider |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053374595 PECOS PAC ID: 3072548577 Enrollment ID: I20051004000504 |
| Provider Name | Jennifer R Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639110117 PECOS PAC ID: 6103839071 Enrollment ID: I20060718000249 |
| Provider Name | Brooke C Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487693644 PECOS PAC ID: 5698778025 Enrollment ID: I20060824000251 |
| Provider Name | Timothy R Gilbert |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467568600 PECOS PAC ID: 5991703514 Enrollment ID: I20061115000127 |
| Provider Name | Michael C Turner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629035647 PECOS PAC ID: 5799889226 Enrollment ID: I20070322000430 |
| Provider Name | Brett Michael Cascio |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093828113 PECOS PAC ID: 6901900513 Enrollment ID: I20070810000031 |
| Provider Name | Errol Wilder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790815512 PECOS PAC ID: 7214028786 Enrollment ID: I20070813000505 |
| Provider Name | Todd A Peavy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649205956 PECOS PAC ID: 4688767601 Enrollment ID: I20070907000302 |
| Provider Name | Laura B Stawecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629122346 PECOS PAC ID: 9638264476 Enrollment ID: I20071009000210 |
| Provider Name | Amanda E Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215145164 PECOS PAC ID: 8729165360 Enrollment ID: I20080408000194 |
| Provider Name | Anna C Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639348394 PECOS PAC ID: 2961580022 Enrollment ID: I20080415000638 |
| Provider Name | Yang-tze Yoko Broussard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922099662 PECOS PAC ID: 5496819666 Enrollment ID: I20090204000698 |
| Provider Name | Steve Springer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477538619 PECOS PAC ID: 8325125941 Enrollment ID: I20100120000747 |
| Provider Name | Keane T O'neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932175353 PECOS PAC ID: 4486742137 Enrollment ID: I20100316000107 |
| Provider Name | Luke Meade Williams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659347854 PECOS PAC ID: 1759479405 Enrollment ID: I20100416000137 |
| Provider Name | Bryan G Barootes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326040858 PECOS PAC ID: 5991836785 Enrollment ID: I20100622000813 |
| Provider Name | Andres J Guillermo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639379837 PECOS PAC ID: 8426245747 Enrollment ID: I20101211000128 |
| Provider Name | Rebecca Ellen Godare Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033412275 PECOS PAC ID: 9830378769 Enrollment ID: I20110125000635 |
| Provider Name | Benjamin Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013195395 PECOS PAC ID: 3678756947 Enrollment ID: I20110323000871 |
| Provider Name | Kara A Headington |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720275498 PECOS PAC ID: 4789768094 Enrollment ID: I20110504000079 |
| Provider Name | Thomas Mulhearn |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285789008 PECOS PAC ID: 9739276007 Enrollment ID: I20110726000500 |
| Provider Name | Ellendale Gabbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134337017 PECOS PAC ID: 6901847474 Enrollment ID: I20110913000394 |
| Provider Name | Jared Ryan Whitehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528356367 PECOS PAC ID: 2567633027 Enrollment ID: I20110914000444 |
| Provider Name | Christina Savant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942435151 PECOS PAC ID: 9234301102 Enrollment ID: I20111019000358 |
| Provider Name | Melissa L Rasberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043451008 PECOS PAC ID: 1153597000 Enrollment ID: I20111227000685 |
| Provider Name | Bridget Catherine Loehn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083875850 PECOS PAC ID: 2567696230 Enrollment ID: I20131011000842 |
| Provider Name | Kari Hankins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154552131 PECOS PAC ID: 3678796893 Enrollment ID: I20140515001507 |
| Provider Name | Clay Lawrence Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174956510 PECOS PAC ID: 3274758339 Enrollment ID: I20140702002465 |
| Provider Name | Corey Foster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669693867 PECOS PAC ID: 3476607433 Enrollment ID: I20140812000284 |
| Provider Name | Olivia Paige Blalock |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598176653 PECOS PAC ID: 2264650027 Enrollment ID: I20140820002202 |
| Provider Name | Sandra E Dempsey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124124870 PECOS PAC ID: 3476794959 Enrollment ID: I20140924000941 |
| Provider Name | Jake Thomas Lebeau |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174659668 PECOS PAC ID: 7517016223 Enrollment ID: I20141015001919 |
| Provider Name | Rikki L Monticello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356730303 PECOS PAC ID: 9931426509 Enrollment ID: I20150318002154 |
| Provider Name | Timothy J Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487046694 PECOS PAC ID: 7214255215 Enrollment ID: I20150422001434 |
| Provider Name | Effat Rasul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699086561 PECOS PAC ID: 3779717855 Enrollment ID: I20150429000800 |
| Provider Name | Juan Carlos Teran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346294691 PECOS PAC ID: 1759390420 Enrollment ID: I20150707001351 |
| Provider Name | Blake Joseph Leblanc |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326365123 PECOS PAC ID: 5092022145 Enrollment ID: I20150922001671 |
| Provider Name | Casey Navarre Fontenot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922481779 PECOS PAC ID: 2062720709 Enrollment ID: I20150930001238 |
| Provider Name | Codie J Lee Guidry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336506922 PECOS PAC ID: 0244535276 Enrollment ID: I20160229001603 |
| Provider Name | Meagan E Hinch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477901379 PECOS PAC ID: 5698060846 Enrollment ID: I20160826000806 |
| Provider Name | Kallie Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477917193 PECOS PAC ID: 0446547269 Enrollment ID: I20160922000923 |
| Provider Name | Brett Jared Goodwin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235457870 PECOS PAC ID: 5597033043 Enrollment ID: I20170626000499 |
| Provider Name | Benjamin Scott Fontenot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508283813 PECOS PAC ID: 5799057097 Enrollment ID: I20170822001448 |
| Provider Name | Jason Burklow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740600683 PECOS PAC ID: 0749406874 Enrollment ID: I20170913001395 |
| Provider Name | Jonathan D Rochon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174046700 PECOS PAC ID: 7416221171 Enrollment ID: I20170919000808 |
| Provider Name | Chad Ray Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154854255 PECOS PAC ID: 3577821610 Enrollment ID: I20171220000211 |
| Provider Name | Amanda N Partin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750890349 PECOS PAC ID: 5395006118 Enrollment ID: I20180219001191 |
| Provider Name | Justin William Rudd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174889794 PECOS PAC ID: 5890091961 Enrollment ID: I20180717003138 |
| Provider Name | Melissa Ann Marcantel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720555188 PECOS PAC ID: 6507100724 Enrollment ID: I20181129000265 |
| Provider Name | Parker G Lavigne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467816595 PECOS PAC ID: 9234425380 Enrollment ID: I20190613000310 |
| Provider Name | Andrew Bradberry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972954006 PECOS PAC ID: 1052606795 Enrollment ID: I20190724000172 |
| Provider Name | Charlotte R Ardoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841857778 PECOS PAC ID: 6507291242 Enrollment ID: I20200127001663 |
| Provider Name | Dorothy Renee Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225640295 PECOS PAC ID: 9537588421 Enrollment ID: I20200925001402 |
| Provider Name | Emily A Presnull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477171312 PECOS PAC ID: 8224458906 Enrollment ID: I20201019001972 |
| Provider Name | Tyler J Zachary |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386025336 PECOS PAC ID: 5193031276 Enrollment ID: I20201103000182 |
| Provider Name | Cynthia Trahan Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043867997 PECOS PAC ID: 4284048893 Enrollment ID: I20210121002908 |
| Provider Name | Devin G Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225627565 PECOS PAC ID: 3476968652 Enrollment ID: I20210222000539 |
| Provider Name | Wade Gillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982223087 PECOS PAC ID: 5698180685 Enrollment ID: I20210225001706 |
| Provider Name | Marissa Ann De La Paz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871090456 PECOS PAC ID: 2961748389 Enrollment ID: I20210610001807 |
| Provider Name | Christine C Palma |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932696754 PECOS PAC ID: 7911309737 Enrollment ID: I20210715001733 |
| Provider Name | Prasanna Sugathan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598847733 PECOS PAC ID: 6709772593 Enrollment ID: I20211007001258 |
| Provider Name | Lacy Jaye Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811653785 PECOS PAC ID: 9931590650 Enrollment ID: I20220106001239 |
| Provider Name | Kyle Mauk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639599053 PECOS PAC ID: 2365714052 Enrollment ID: I20220725003196 |
| Provider Name | Mary Samantha Darbonne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932781747 PECOS PAC ID: 5395127070 Enrollment ID: I20220727002120 |
| Provider Name | Jennifer Lynn Bunch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962134999 PECOS PAC ID: 7911380845 Enrollment ID: I20220810001435 |
| Provider Name | Julie R Fruge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487373213 PECOS PAC ID: 5890165211 Enrollment ID: I20221229002332 |
| Provider Name | Victoria Lynn Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326747080 PECOS PAC ID: 7719352251 Enrollment ID: I20230413002883 |
| Provider Name | Ashley Babineaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356021877 PECOS PAC ID: 6709240849 Enrollment ID: I20230908000113 |
| Provider Name | Blair Alizabeth Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952021412 PECOS PAC ID: 5890159792 Enrollment ID: I20230911003832 |
| Provider Name | Angela Meche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235886458 PECOS PAC ID: 5991150641 Enrollment ID: I20231016002095 |
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 | |
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 |