LAKE CHARLES PRIMARY CARE AND WELLNESS
NPI 1083306815
Family Medicine in Lake Charles, LA

NPI Status: Active since May 22, 2023

Contact Information

1905 COUNTRY CLUB RD STE B
LAKE CHARLES, LA
ZIP 70605
Phone: (337) 990-8002

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 19D2142425
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About LAKE CHARLES PRIMARY CARE AND WELLNESS

This page provides the complete NPI Profile along with additional information for Lake Charles Primary Care And Wellness, a primary care provider established in Lake Charles, Louisiana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1083306815 assigned on May 2023. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Melvin Marque Md (Owner / Medical Director)

NPI
1083306815
Provider Name
LAKE CHARLES PRIMARY CARE AND WELLNESS
Entity Type
Organization
Location Address
1905 COUNTRY CLUB RD STE B LAKE CHARLES, LA 70605
Location Phone
(337) 990-8002
Mailing Address
1905 COUNTRY CLUB RD LAKE CHARLES, LA 70605
Mailing Phone
(337) 990-8000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2023
Last Update Date
06-26-2025
Code Navigator

A primary care provider (PCP) like Lake Charles Primary Care And Wellness 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 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO
  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
  • Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MELVIN MARQUE MD

Authorized Official Title
OWNER / MEDICAL DIRECTOR
Authorized Official Phone
(337) 990-8000

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
19D2142425
Facility Type
Community Clinic
Certificate Effective Date
January 10, 2018
Certificate Expiration Date
May 22, 2026
Laboratory Director
JANE DRY
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Lake Charles Primary Care And Wellness on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for LAKE CHARLES PRIMARY CARE AND WELLNESS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083306815, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 6 + 0 + 1 + 2 + 8 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1083306815.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083306815, enumerated as an "organization" on May 22, 2023.

The provider is located at 1905 COUNTRY CLUB RD STE B LAKE CHARLES, LA 70605 and the phone number is (337) 990-8002.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and HMO. Please consult your insurance carrier or call the provider to verify.