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OCHSNER CHRISTUS HEALTH CENTER - MOSS BLUFF
NPI 1417429036
Internal Medicine in Lake Charles, LA

Active since December 20, 2018CLIA Certified · 2 labs
1355 SAM HOUSTON JONES PKWY, STE 355, LAKE CHARLES, LA 70611(337) 513-0299(337) 990-6484 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2019, Dec 20, 2018 (2 updates tracked since 2018).

About Ochsner Christus Health Center - Moss Bluff NPPES

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

OCHSNER CHRISTUS HEALTH CENTER - MOSS BLUFF (NPI 1417429036) is a healthcare organization registered as an internal medicine in Lake Charles, Louisiana and active in the NPI registry since December 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Lake Charles, and lists Eduardo Benitez, Director, as its authorized official.

NPPES Registry Identity

NPI1417429036
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOCHSNER CLINIC LLC
Location Address1355 SAM HOUSTON JONES PKWY, STE 355Lake Charles, LA 70611
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Phone(337) 513-0299
Fax(337) 990-6484
Organization SubpartYes
Authorized OfficialEduardo BenitezDirector · (504) 842-6933
Enumeration DateDecember 20, 2018
Last NPPES UpdateJuly 22, 20192 updates tracked since enumeration
✔ NPI 1417429036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1355 SAM HOUSTON JONES PKWY, Lake Charles, LA 70611
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Other Names 1

Doing Business AsOchsner Christus Health Center - Moss Bluff

Secondary Practice Location 1

Location 1217 Sam Houston Jones PkwyLake Charles, LA 70611-5644 · Phone (337) 430-3270

Other Identifiers 1

Medicaid1798118LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2158673

Ochsner Christus Health Center-Moss Bluff · Lake Charles, LA
Active · expires Dec 3, 2026
CLIA Number19D2158673
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorTimothy Haman
Laboratory Phone(337) 430-3270
Laboratory LocationOchsner Christus Health Center-Moss Bluff1355 Sam Houston Jones Parkway, Lake Charles, LA 70611
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2158675

Ochsner Christus Health Center · Lake Charles, LA
Active · expires Dec 3, 2026
CLIA Number19D2158675
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorEmily Paulk
Laboratory Phone(337) 513-0004
Laboratory LocationOchsner Christus Health Center401 Dr Michael Debakey Drive, Suite 100, Lake Charles, LA 70601
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MRS. LORI LEBLANC GRUNDY PA
Physician Assistant
1355 SAM HOUSTON JONES PKWY
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 513-0299
KATHERINE MALLET MSN, FNP-C
Nurse Practitioner (Family)
1355 SAM HOUSTON JONES PKWY
LAKE CHARLES, LA 70611
Calcasieu Parish (337) 513-0299

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ochsner Clinic LLC's NPI number?

The NPI number for Ochsner Clinic LLC is 1417429036. It was assigned to this organization in the NPPES registry on December 20, 2018. The provider is doing business as Ochsner Christus Health Center - Moss Bluff.

Where is Ochsner Clinic LLC located?

Ochsner Clinic LLC is located at 1355 Sam Houston Jones Pkwy Ste 355, Lake Charles, LA 70611. The listed phone number is (337) 513-0299.

What is Ochsner Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Ochsner Clinic LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ochsner Clinic LLC was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.