Our Lady of the Lake Physician Group LLC
NPI 1447399308ActiveOrganization· Family Medicine· New Roads, LA
Family Medicine in New Roads, Louisiana, registered in NPPES in February 2007, part of Our Lady of the Lake Hospital Inc. The authorized official on file is Jamy Richard, Vp Finance. Enrolled in Medicare as part a provider - rural health clinic.
Overview
| NPI | 1447399308 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Our Lady of the Lake Hospital Inc |
| NPI issued | Feb 6, 2007 |
| Last updated in NPPES | Jul 28, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | AP07361 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Rural Health Clinic (LA) |
|---|
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