IMPACT NETWORK, LLC (NPI# 1275087033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275087033 |
| Entity Type | Organization |
| Organization Name | IMPACT NETWORK, LLC |
| Practice Address |
13636 Highland Rd Baton Rouge LA 70810-5013 |
| Mailing Address |
11408 Lake Sherwood Ave N Suite A Baton Rouge LA 70816-0406 |
| Practice Telephone | 2255057104 |
| Mailing Telephone | 2252140077 |
| Mailing Fax Number | 2252143423 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | DR. MOHAMMAD ZOHAIR PIRZADAH (OWNER) |
| Authorized Official Telephone | 2255057104 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
13636 HIGHLAND RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-5013 |
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366486292 | Christopher Bryan Thomas | Internal Medicine | 8585 Picardy Ave Ste 313, Baton Rouge, LA 70809-3749 | 2006-06-14 |
| 1073518510 | Stuart John Lebas | Internal Medicine | 500 Rue De La Vie St Ste 513, Baton Rouge, LA 70817-5129 | 2005-06-20 |
| 1164835880 | Ashrita Abraham | Internal Medicine | 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 | 2014-06-10 |
| 1740623503 | Naveen Venkata Turlapati | Internal Medicine | 7777 Hennessy Blvd Ste 701, Baton Rouge, LA 70808-4370 | 2013-04-11 |
| 1356784284 | Bevan Ambus Myles | Internal Medicine | 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808-4300 | 2013-04-10 |
| 1457511362 | Jonathan Mark Richards | Internal Medicine | 7777 Hennessy Blvd, Ste. 701, Baton Rouge, LA 70808-4300 | 2008-06-13 |
| 1780872804 | Critical Care Medicine Services | Internal Medicine | 7777 Hennessy Blvd, Suite 701, Baton Rouge, LA 70808-4300 | 2007-10-15 |
| 1588747406 | Brad David Vincent | Internal Medicine | 7777 Hennessy Blvd, Ste. 701, Baton Rouge, LA 70808-4300 | 2006-10-23 |
| 1447274741 | John Robert Godke | Internal Medicine | 5825 Airline Hwy, Ekl Hospital, Baton Rouge, LA 70805 | 2006-07-27 |
| 1316960362 | Stephen P Brierre | Internal Medicine | 8585 Picardy Ave, Suite 313, Baton Rouge, LA 70809 | 2006-07-25 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on IMPACT NETWORK, 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.