W O MOSS REGIONAL MEDICAL CENTER
NPI 1770524597
Nurse Anesthetist, Certified Registered in Lake Charles, LA
NPI Status: Active since June 10, 2006
Contact Information
1000 WALTERS ST
LAKE CHARLES, LA
ZIP 70607
Phone: (337) 475-8100
Fax: (337) 475-8104
- Organization
- Nurse Anesthetist, Certified Registered
- CLIA Number: 19D2062049
- CLIA Cert. Type: Other - OUTPATIENT CLINIC
- CLIA Exp. Date: 07-09-2027
About W O MOSS REGIONAL MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for W O Moss Regional Medical Center, a provider established in Lake Charles, Louisiana operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1770524597 assigned on June 2006. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Donald R Smithburg (Vice Chancellor Ceo)
- NPI
- 1770524597
- Provider Name
- W O MOSS REGIONAL MEDICAL CENTER
- Entity Type
- Organization
- Location Address
- 1000 WALTERS ST LAKE CHARLES, LA 70607
- Location Phone
- (337) 475-8100
- Location Fax
- (337) 475-8104
- Mailing Address
- 1000 WALTERS ST LAKE CHARLES, LA 70607
- Mailing Phone
- (337) 475-8100
- Mailing Fax
- (337) 475-8104
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-10-2006
- Last Update Date
- 09-11-2025
- Code Navigator
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
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 282N00000X | Hospitals | General Acute Care Hospital | |
| 2 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 3 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1799165 | MEDICAID (05) | LA | |
| 1449415 | MEDICAID (05) | LA |
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
- 19D2062049
- Facility Type
- Other - OUTPATIENT CLINIC
- Certificate Effective Date
- July 10, 2025
- Certificate Expiration Date
- July 09, 2027
- Laboratory Director
- JOSEPH C. HIGGINBOTHAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to W O Moss Regional Medical Center 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.
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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 1770524597, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LAKE CHARLES, LA 70607
LAKE CHARLES, LA 70607
LAKE CHARLES, LA 70607
LAKE CHARLES, LA 70607
LAKE CHARLES, LA 70607
LAKE CHARLES, LA 70607
LAKE CHARLES, LA 70607
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770524597, enumerated as an "organization" on June 10, 2006.
The provider is located at 1000 WALTERS ST LAKE CHARLES, LA 70607 and the phone number is (337) 475-8100.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
