Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Takach

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386105740

Timothy Takach is a Family Practice in Lake Charles, Louisiana. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2018, 8 years ago. Practices with Lsuhsc Family Practice Center @ Lcmh, an 8-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
8
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
LA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1525 Oak Park Blvd
Lake Charles, LA 70601-8849
Phone: (337) 494-6767
Fax: (337) 494-6750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 331233 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 309446 (LA)

Record details

NPI number1386105740
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2018 (8 years in practice)
Group practice Lsuhsc Family Practice Center @ Lcmh — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Charles