ROBERT JOSEPH VANGOSSEN MD NPI 1437546595

NPI Information

NPI: 1437546595
Provider Name: ROBERT JOSEPH VANGOSSEN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: MMG NELSON RD LLC

PECOS Registration: Yes

Address:
4345 NELSON RD FL 2
LAKE CHARLES, LA
ZIP 70605
Phone: (337) 480-7900
Get Directions

Robert Joseph Vangossen, MD is a family medicine in Lake Charles, LA with 9 years of experience. The provider is 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. Robert Joseph Vangossen, MD NPI is 1437546595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4345 NELSON RD FL 2
LAKE CHARLES, LA
ZIP 70605-156
Phone: (337) 480-7900
Fax: (337) 480-7901

The NPI 1437546595 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/16/2015 and was last updated on 2/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	207Q00000X	Family Medicine		310697	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2429591	MEDICAID	LOUISIANA
2	MD.310697	OTHER	LOUISIANA	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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