JEANETTE M KOVTUN


Address: 4950 Essen Ln Ste 500, Baton Rouge, LA 70809
Phone: 2257671311

JEANETTE M KOVTUN (NPI# 1275971475) 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) 1275971475
Entity Type Individual
Full Name JEANETTE M KOVTUN
Credential MD
Practice Address 4950 Essen Ln Ste 500
Baton Rouge
LA 70809
Mailing Address 5959 S Sherwood Forest Blvd
Baton Rouge
LA 70816-6038
Practice Telephone 2257671311
Practice Fax Number 2257671335
Mailing Telephone 2255260010
Mailing Fax Number 2257659298
Enumeration Date 2013-06-10
Last Update Date 2018-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
309942 LA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
330 Brookline Ave, Beth Israel Deaconess Medical Center, Shapiro 913, Boston, MA 02215 6176672100 6179755665

Office Location

Street Address 4950 ESSEN LN STE 500
City BATON ROUGE
State LA
Zip Code 70809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356598031 Ghenet Ghebretatios Nurse Practitioner 4950 Essen Ln Ste 500, Baton Rouge, LA 70809-3738 2008-08-25
1396285821 Carrie Perry Nurse Practitioner 4950 Essen Ln Ste 500, Baton Rouge, LA 70809-3738 2017-03-02

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
Find all providers in zip 70809

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265713572 Shaista H. Faruqui, M.d. Apmc Internal Medicine 5320 Dijon Dr, Baton Rouge, LA 70808-4313 2011-08-31
1477601417 Brian Gill Barnett Internal Medicine 17050 Medical Center Drive, Physician Plaza II 4th Floor, Baton Rouge, LA 70816 2007-01-08
1861489783 Shaista Hoda Faruqui Internal Medicine 5320 Dijon Drive, Baton Rouge, LA 70808-4395 2005-10-05
1902809692 Deborah M Johnson Internal Medicine 4950 Essen Ln Ste 300, Baton Rouge, LA 70809-3739 2005-05-27
1982155867 Baton Rouge General Medical Center Internal Medicine 8595 Picardy Ave, Suite 400, Baton Rouge, LA 70809-3670 2016-10-17
1629334347 Sobia Ozair Internal Medicine 4950 Essen Ln Ste 300, Baton Rouge, LA 70809 2012-04-06
1871754028 Radhika M. Thorn Internal Medicine 9001 Summa Ave, Baton Rouge, LA 70809-3726 2008-06-20
1972795250 Joseph Ryan Shows Internal Medicine 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 2007-08-10
1194916650 Lauren Zatarain Internal Medicine 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 2007-08-08
1730370875 Scott R Seals Internal Medicine 8595 Picardy Ave, Suite 400, Baton Rouge, LA 70809-3670 2007-08-05
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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