WOMENS PRIMARY CARE (NPI# 1003075441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003075441 |
| Entity Type | Organization |
| Organization Name | WOMENS PRIMARY CARE |
| Other Organization Name | BACK IN ACTION REHAB |
| Practice Address |
5145 Bluebonnet Blvd Baton Rouge LA 70809-3076 |
| Practice Telephone | 2254081422 |
| Practice Fax Number | 2254081462 |
| Mailing Telephone | 2254081422 |
| Mailing Fax Number | 2254081462 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | DR. JAMES G GENGELBACH (OWNER) |
| Authorized Official Telephone | 2254081422 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 1192 | LA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 11665 | LA | Chiropractic Providers |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
021832 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BCBS | G6134 | 01 |
| Other Name | Type Code |
|---|---|
| Back in action Rehab | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285660761 | Womens Primary Care | Specialist | 1617 Ronald Dr, Raleigh, NC 27609-6224 | 2006-06-25 |
| Street Address |
5145 BLUEBONNET BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023151198 | James Gordon Gengelbach | Obstetrics & Gynecology | 5145 Bluebonnet Blvd, Baton Rouge, LA 70809-3076 | 2007-02-15 |
| 1093028060 | Gulf South Primary Care | General Practice | 5145 Bluebonnet Blvd, Baton Rouge, LA 70809-3076 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083747265 | Karen F. Miller | Obstetrics & Gynecology | 10101 Siegen Ln, Suite 3b, Baton Rouge, LA 70810-4982 | 2007-03-14 |
| 1639201254 | Philip Hindelang | Obstetrics & Gynecology | Louisiana State University, Infirmary Road, Baton Rouge, LA 70803-0001 | 2007-03-09 |
| 1023151198 | James Gordon Gengelbach | Obstetrics & Gynecology | 5145 Bluebonnet Blvd, Baton Rouge, LA 70809-3076 | 2007-02-15 |
| 1770872418 | Phillip A Barksdale Apmc | Obstetrics & Gynecology | 9000 Airline Hwy, Suite 650, Baton Rouge, LA 70815-4114 | 2011-04-04 |
| 1760792931 | Iedm Services Inc | Obstetrics & Gynecology | 8733 Siegen Ln, Ste 369, Baton Rouge, LA 70810-1945 | 2010-10-20 |
| 1356656656 | M. Giles Fort, M.d. ( A.p.m.c.) | Obstetrics & Gynecology | 9000 Airline Hwy, Suite 210, Baton Rouge, LA 70815-4114 | 2010-08-11 |
| 1639301633 | M. Giles Fort, M.d. A P M C | Obstetrics & Gynecology | 9000 Airline Hwy, Suite 210, Baton Rouge, LA 70815-4114 | 2009-08-10 |
| 1629239983 | Tammy Marie Dupuy | Obstetrics & Gynecology | 500 Rue De La Vie, Suite 311, Baton Rouge, LA 70817 | 2008-06-19 |
| 1609909670 | Lauren F Ogden | Obstetrics & Gynecology | 5131 Odonovan Dr, Suite 201, Baton Rouge, LA 70808-4791 | 2007-03-13 |
| 1487746509 | Phillip Anthony Barksdale | Obstetrics & Gynecology | 500 Rue De La Vie St, Suite 511, Baton Rouge, LA 70817-5127 | 2006-09-28 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on WOMENS PRIMARY CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.