REYNARD C ODENHEIMER MD A PROFESSIONAL MEDICAL CORPORATION
NPI 1215326756
Psychiatry & Neurology - Neurology in Lake Charles, LA

Active since January 22, 2015
816 W BAYOU PINES DR, LAKE CHARLES, LA 70601(337) 439-5588(337) 439-0808 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Reynard C Odenheimer Md A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REYNARD C ODENHEIMER MD A PROFESSIONAL MEDICAL CORPORATION (NPI 1215326756) is a healthcare organization registered as a neurology in Lake Charles, Louisiana and active in the NPI registry since January 2015. The organization lists Pat Gail Kersch, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1215326756
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameREYNARD C ODENHEIMER MD A PROFESSIONAL MEDICAL CORPORATION
Location Address816 W BAYOU PINES DRLake Charles, LA 70601-7077
Mailing Address816 W Bayou Pines DrLake Charles, LA 70601-7077 · (337) 439-5588 · Fax (337) 439-0808
Fax(337) 439-0808
Organization SubpartNo
Authorized OfficialPat Gail KerschOffice Manager · (337) 439-5588
Enumeration DateJanuary 22, 2015
NPI 1215326756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in LA · 020159
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

816 W BAYOU PINES DR, Lake Charles, LA 70601

Other Identifiers 1

Medicaid1684821LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
816 W BAYOU PINES DR
LAKE CHARLES, LA 70601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215326756, enumerated as an "organization" on January 22, 2015.

The provider is located at 816 W BAYOU PINES DR LAKE CHARLES, LA 70601 and the phone number is (337) 439-5588.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

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