ANTHONY ROBERT MANCUSO JR. (NPI# 1265716435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265716435 |
| Entity Type | Individual |
| Full Name | ANTHONY ROBERT MANCUSO JR. |
| Credential | R.N. |
| Practice Address |
4682 Drusilla Dr Baton Rouge LA 70809-6947 |
| Practice Telephone | 2256036620 |
| Mailing Telephone | 2256036620 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
RN080691 | LA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952393258 | Anthony D Mancuso | Anesthesiology | 1 Meadows Pkwy, Vidalia, GA 30474-8759 | 2005-08-22 |
| 1841718830 | Anthony Francis Mancuso | Social Worker | 711 Nw 1st St, Gainesville, FL 32601-5343 | 2017-08-30 |
| 1255871687 | Anthony Mancuso II | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2017-03-04 |
| 1700843398 | Anthony J Mancuso | Optometrist | 155 E Market St, Suite 2, Blairsville, PA 15717-1357 | 2006-04-27 |
| 1538131990 | Anthony A Mancuso | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-02-01 |
| Street Address |
4682 DRUSILLA DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-6947 |
| 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 | 163WX0800X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710362686 | Amanda Jean Duncan | Registered Nurse | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2015-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652928 | Charla Johnson | Registered Nurse | 9346 S Hodgeson Rd, Gonzales, LA 70737-8429 | 2020-05-29 |
| 1215576590 | Ethan Anthony Reulet | Registered Nurse | 601 River Highlands Blvd Ste 200, Covington, LA 70433-8913 | 2020-01-03 |
| 1477831196 | Corey J Mccann | Registered Nurse | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2011-07-29 |
| 1861783417 | Senia Timothy Fontenot | Registered Nurse | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2011-04-29 |
| 1922018167 | Timothy Eric Vanwinkle | Registered Nurse | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2006-08-09 |
| 1578587804 | John Wayne Kuehn | Registered Nurse | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2006-07-27 |
| 1376567602 | Leon Ware Prejean | Registered Nurse | 1717 Oak Park Blvd, 3rd Floor, Lake Charles, LA 70601-8991 | 2006-07-27 |
| City | BATON ROUGE |
| Zip Code | 70809 |
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| 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.