GULF SOUTH PRIMARY CARE (NPI# 1093028060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093028060 |
| Entity Type | Organization |
| Organization Name | GULF SOUTH PRIMARY CARE |
| Practice Address |
5145 Bluebonnet Blvd Baton Rouge LA 70809-3076 |
| Practice Telephone | 2253682480 |
| Mailing Telephone | 2253682480 |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |
| Authorized Official Name | STEPHEN GUILBAULT (OWNER) |
| Authorized Official Telephone | 2258922872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 025275 | LA | Allopathic & Osteopathic Physicians |
| 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 |
| 1003075441 | Womens Primary Care | Chiropractor | 5145 Bluebonnet Blvd, Baton Rouge, LA 70809-3076 | 2008-06-02 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043509326 | Chad Warren Kaplan | General Practice | 3401 North Blvd Ste 130, Baton Rouge, LA 70806-3743 | 2011-04-07 |
| 1154531465 | Lorenza Marie Winn | General Practice | 8220 Goodwood Blvd Ste 2a, Baton Rouge, LA 70806-7741 | 2007-05-23 |
| 1982790697 | Douglas W Davidson | General Practice | 12525 Perkins Road, Suite B, Baton Rouge, LA 70810 | 2006-10-04 |
| 1548253016 | Jimmy Nooe Guidry | General Practice | 8742 Goodwood Blvd, Baton Rouge, LA 70806-7915 | 2005-08-30 |
| 1255331450 | Gary Brandt | General Practice | 9422 Scotland Ave, Baton Rouge, LA 70807-3951 | 2005-07-29 |
| 1447811831 | Louisiana Assistive Tech Access Network | General Practice | 10988 N Harrells Ferry Rd Ste 5, Baton Rouge, LA 70816-8360 | 2019-06-26 |
| 1902325699 | David Andrew Plaisance | General Practice | 13406 Airline Hwy, Baton Rouge, LA 70817-5917 | 2017-09-13 |
| 1063955060 | Ochsner Clinic LLC | General Practice | 17050 Medical Center Dr, Baton Rouge, LA 70816-3221 | 2016-11-22 |
| 1043691090 | Neurotrac of Baton Rouge LLC | General Practice | 10626 Linkwood Ct, Suite A, Baton Rouge, LA 70810-2965 | 2015-06-16 |
| 1912338690 | Ochsner Clinic LLC | General Practice | 170 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2013-12-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on GULF SOUTH 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.