DR. DANIEL JOSEPH BOURGEOIS III


Address: 4950 Essen Ln, Baton Rouge, LA 70809-3738
Phone: 2257670847

DR. DANIEL JOSEPH BOURGEOIS III (NPI# 1043568991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043568991
Entity Type Individual
Full Name DR. DANIEL JOSEPH BOURGEOIS III
Credential MD
Practice Address 4950 Essen Ln
Baton Rouge
LA 70809-3738
Practice Telephone 2257670847
Practice Fax Number 2257661417
Mailing Telephone 2257670847
Mailing Fax Number 2257661417
Enumeration Date 2012-08-27
Last Update Date 2020-01-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
MD.304471 LA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
LA 2437461 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1120 Robert Blvd Ste 100, Slidell, LA 704582068 9852808868 9852806642

Office Location

Street Address 4950 ESSEN LN
City BATON ROUGE
State LA
Zip Code 70809-3738

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578563474 Michael David Dileo Otolaryngology 4950 Essen Ln, 4th Floor, Suite A, Baton Rouge, LA 70809-3738 2005-07-21
1407475031 Allyson Dupre Registered Nurse 4950 Essen Ln, Baton Rouge, LA 70809-3738 2020-04-14
1558848234 Julie Teresa Gomez Nurse Practitioner 4950 Essen Ln, Baton Rouge, LA 70809-3738 2018-07-25
1477925527 Malorie Irwin Nurse Practitioner 4950 Essen Ln, Suite 500, Baton Rouge, LA 70809-3738 2015-10-28
1285051540 Suchit Patel Radiology 4950 Essen Ln, Baton Rouge, LA 70809-3738 2014-03-25
1336561539 Katherine Osusky Castle Radiology 4950 Essen Ln, Baton Rouge, Baton Rouge, LA 70809-3738 2014-01-08
1851727192 Bridgette Janette Pierre Nurse Practitioner 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 2013-09-18
1528406832 Konstantin Kovtun Radiology 4950 Essen Ln, Baton Rouge, LA 70809 2013-06-08
1740541440 Tanisha Burrell Smith Nurse Practitioner 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 2012-05-30
1073879508 Dustin David Denicola Nurse Practitioner 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 2012-04-10
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114956000 Cynthia I Boyer Radiology 4950 Essen Lane, Baton Rouge, LA 70809-3432 2006-07-02
1912326919 Rockne Joseph Hymel IIi Radiology 17050 Medical Center Dr, Baton Rouge, LA 70816 2014-04-08
1285051540 Suchit Patel Radiology 4950 Essen Ln, Baton Rouge, LA 70809-3738 2014-03-25
1336561539 Katherine Osusky Castle Radiology 4950 Essen Ln, Baton Rouge, Baton Rouge, LA 70809-3738 2014-01-08
1528406832 Konstantin Kovtun Radiology 4950 Essen Ln, Baton Rouge, LA 70809 2013-06-08
1649596107 Andrew Elson Radiology 4950 Essen Ln, Baton Rouge, LA 70809-3738 2010-04-08
1174765192 Jingya Wang Radiology 4950 Essen Ln, Baton Rouge, LA 70809-3738 2009-04-06
1740346543 Charles G Wood Radiology 4950 Essen Lane, Baton Rouge, LA 70809-3482 2006-12-28
1639264237 Gregory C Henkelmann Radiology 4950 Essen Lane, Baton Rouge, LA 70809 2006-10-03
1568554871 Sheldon A Johnson Radiology 4950 Essen Lane, Baton Rouge, LA 70809-3482 2006-09-28
Find all providers in BATON ROUGE

Competitor

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City BATON ROUGE
Zip Code 70809

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Dataset Information

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.

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