IMPERIAL CALCASIEU MEDICAL GROUP
NPI 1932448354
Family Medicine in Sulphur, LA

NPI Status: Active since February 05, 2013

Contact Information

921 1ST AVE
SULPHUR, LA
ZIP 70663
Phone: (337) 527-6385
Fax: (337) 527-3527

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  • Organization
  • Family Medicine
  • CLIA Number: 19D2076172
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-13-2026

About IMPERIAL CALCASIEU MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Imperial Calcasieu Medical Group, a primary care provider established in Sulphur, Louisiana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1932448354 assigned on February 2013. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Imperial Calcasieu Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kris Hickingbottom (Ceo)

NPI
1932448354
Provider Name
IMPERIAL CALCASIEU MEDICAL GROUP
Entity Type
Organization
Location Address
921 1ST AVE SULPHUR, LA 70663
Location Phone
(337) 527-6385
Location Fax
(337) 527-3527
Mailing Address
501 DR MICHAEL DEBAKEY DR LAKE CHARLES, LA 70601
Mailing Phone
(337) 312-8284
Mailing Fax
(337) 527-3527
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2013
Last Update Date
02-05-2013
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A primary care provider (PCP) like Imperial Calcasieu Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRIS HICKINGBOTTOM

Authorized Official Title
CEO
Authorized Official Phone
(337) 433-8400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2076172
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 14, 2024
Certificate Expiration Date
April 13, 2026
Laboratory Director
JUAN C. TERAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Imperial Calcasieu Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for IMPERIAL CALCASIEU MEDICAL GROUP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1932448354
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29628416310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 8 + 4 + 1 + 6 + 3 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1932448354 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871740233KEVIN T. SCHLAMP, MD, LLC
Organization
Family Medicine921 1ST AVE
SULPHUR, LA 70663
(337) 527-6385
1841723905HOLLY HILL NURSING & REHABILITATION CENTER LLC
Organization
Nursing Facility/Intermediate Care Facility921 1ST AVE
SULPHUR, LA 70663
(337) 527-6385
1306343561MOAB LLC
Organization
Family Medicine921 1ST AVE
SULPHUR, LA 70663
(337) 527-6385
1235676404 EMILY CALLENS SCUDERI FNP
Individual
Nurse Practitioner (Family)921 1ST AVE
SULPHUR, LA 70663
(337) 527-6285
1336996008CALCASIEU CAMERON HOSPITAL SERVICE DISTRICT
Organization
Clinic/Center921 1ST AVE
SULPHUR, LA 70663
(337) 527-6385
1083349435 ANGIE EWALT DUKES FNP-C
Individual
Nurse Practitioner (Family)921 1ST AVE
SULPHUR, LA 70663
(337) 527-6385
1992700272MRS. MAUREEN ADRIAN POE APRN
Individual
Nurse Practitioner (Gerontology)921 1ST AVE
SULPHUR, LA 70663
(337) 526-6774

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932448354, enumerated in the NPI registry as an "organization" on February 05, 2013

The provider is located at 921 1st Ave Sulphur, La 70663 and the phone number is (337) 527-6385

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 19D2076172 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 05, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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