LOUISIANA EAR, NOSE, THROAT & SINUS, LLC (NPI# 1114483872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114483872 |
| Entity Type | Organization |
| Organization Name | LOUISIANA EAR, NOSE, THROAT & SINUS, LLC |
| Practice Address |
8080 Bluebonnet Blvd Ste 2121 Baton Rouge LA 70810-7830 |
| Mailing Address |
8080 Bluebonnet Blvd Ste 2222 Baton Rouge LA 70810-7828 |
| Practice Telephone | 2254086900 |
| Practice Fax Number | 2254086946 |
| Mailing Telephone | 2254086900 |
| Mailing Fax Number | 2254086946 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | MS. EDIE C SCULLY-TUCKER (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2254086900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5258 Dijon Dr, Baton Rouge, LA 708084311 | 2254086900 | 2254086946 |
| Street Address |
8080 BLUEBONNET BLVD STE 2121 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-7830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255848719 | Amy David | Nurse Practitioner | 8080 Bluebonnet Blvd Ste 2121, Baton Rouge, LA 70810-7830 | 2018-01-05 |
| 1710506837 | Claire Elizabeth Dufrene | Audiologist-Hearing Aid Fitter | 8080 Bluebonnet Blvd Ste 2121, Baton Rouge, LA 70810-7830 | 2020-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366096950 | Harold Edward Zylicz II | Otolaryngology | 8585 Picardy Ave Ste 210, Baton Rouge, LA 70809-3749 | 2019-07-31 |
| 1972893816 | Lacey Katherine Adkins | Otolaryngology | 4950 Essen Ln Ste 401, Baton Rouge, LA 70809-3738 | 2011-04-12 |
| 1114226925 | Collin Blake Sutton | Otolaryngology | 8080 Bluebonnet Blvd Ste 2222, Baton Rouge, LA 70810-7828 | 2011-03-18 |
| 1780895052 | Earl James Garitty IIi | Otolaryngology | 4116 Claycut Rd, Baton Rouge, LA 70806-7002 | 2007-05-25 |
| 1902891476 | Ryan T Boone | Otolaryngology | 5258 Dijon Dr, Baton Rouge, LA 70808-4311 | 2005-09-12 |
| 1578565073 | Anthony James Martinez | Otolaryngology | 3856 N Bluebonnet Rd, Baton Rouge, LA 70809-2653 | 2005-08-15 |
| 1578563474 | Michael David Dileo | Otolaryngology | 4950 Essen Ln, 4th Floor, Suite A, Baton Rouge, LA 70809-3738 | 2005-07-21 |
| 1205836186 | Warner Lee Bruner IIi | Otolaryngology | 710 Colonial Dr, Baton Rouge, LA 70806-6511 | 2005-07-21 |
| 1437522216 | W. Lee Bruner Md LLC | Otolaryngology | 8068 Goodwood Blvd, Baton Rouge, LA 70806-7631 | 2015-11-03 |
| 1285029975 | Caroline Rieger | Otolaryngology | 7373 Perkins Rd, Baton Rouge, LA 70808-4373 | 2015-03-31 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on LOUISIANA EAR, NOSE, THROAT & SINUS, LLC.
| 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.