HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH (NPI# 1326249459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326249459 |
| Entity Type | Organization |
| Organization Name | HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH |
| Other Organization Name | LANE REGIONAL MEDICAL CENTER-LANE WOUND CENTER |
| Practice Address |
4917 West Park Drive Zachary LA 70791-4069 |
| Practice Telephone | 2256584110 |
| Practice Fax Number | 2256584108 |
| Mailing Telephone | 2256584110 |
| Mailing Fax Number | 2256584108 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-02-14 |
| Authorized Official Name | LARRY R MEESE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2256584303 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL SERVICE DISTRICT 1 OF |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
LA | Nursing Service Providers | |
| N | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1796662 | 05 |
| Other Name | Type Code |
|---|---|
| LANE REGIONAL MEDICAL CENTER-LANE WOUND CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642556 | Hospital Service District 1 of East Baton Rouge Parish | Pharmacy | 6300 Main St Ste 100, Zachary, LA 70791-4037 | 2019-01-03 |
| 1952878506 | Hospital Service District 1 of East Baton Rouge Parish | Internal Medicine | 6550 Main St Ste 3500, Zachary, LA 70791-4092 | 2018-10-31 |
| 1528586518 | Hospital Service District 1 of East Baton Rouge Parish | Psychiatry & Neurology | 4801 Mchugh Rd Ste A, Zachary, LA 70791-5364 | 2017-08-30 |
| 1508380197 | Hospital Service District 1 of East Baton Rouge Parish | Pediatrics | 6110 Main St Ste B, Zachary, LA 70791-4079 | 2017-07-26 |
| 1558319129 | Hospital Service District 1 of East Baton Rouge Parish | Skilled Nursing Facility | 6300 Main Street, Zachary, LA 70791 | 2006-05-05 |
| 1609302918 | Hospital Service District 1 of East Baton Rouge Parish | Otolaryngology | 6110 Main St, Suite D, Zachary, LA 70791-4033 | 2017-05-05 |
| 1700326618 | Hospital Service District 1 of East Baton Rouge Parish | Internal Medicine | 6180 Main St, Suite A, Zachary, LA 70791-4069 | 2017-02-27 |
| 1235585423 | Hospital Service District 1 of East Baton Rouge Parish | Preventive Medicine | 4917 W Park Dr, Zachary, LA 70791-4012 | 2016-05-06 |
| 1366896813 | Hospital Service District 1 of East Baton Rouge Parish | Surgery | 4801 Mchugh Rd, Suite H, Zachary, LA 70791-5364 | 2016-04-21 |
| 1780046508 | Hospital Service District 1 of East Baton Rouge Parish | Clinic/Center | 19900 Old Scenic Hwy, Suite H/i, Zachary, LA 70791-7368 | 2016-03-22 |
| Street Address |
4917 WEST PARK DRIVE |
| City | ZACHARY |
| State | LA |
| Zip Code | 70791-4069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054110 | Amandalin Hopkins Whittington | Occupational Therapist | 4555 Bert St, Zachary, LA 70791 | 2020-02-07 |
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1902451131 | Edward Williams | Case Manager/Care Coordinator | 22749 Fairvway View Drive, Zachary, LA 70791 | 2019-08-05 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1629574447 | Darren Keith Ryland | Massage Therapist | 5037 Main St, Suite B, Zachary, LA 70791 | 2018-04-02 |
| 1306355102 | Radiation Oncology Center - Zachary | Clinic/Center | 6180 Main Street, Ste B, Zachary, LA 70791 | 2017-09-25 |
| 1861913568 | Sylvia Simone Henderson | Case Manager/Care Coordinator | 8932 Highland Oaks Ave, Zachary, LA 70791 | 2017-07-03 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
| Find all providers in zip 70791 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235585423 | Hospital Service District 1 of East Baton Rouge Parish | Preventive Medicine | 4917 W Park Dr, Zachary, LA 70791-4012 | 2016-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154461267 | Tony Alleman | Preventive Medicine | 106 Heritage, Broussard, LA 70518-8046 | 2007-02-07 |
| 1912935578 | Jsk Professional Physician Services, LLC | Preventive Medicine | 16300 Highway 1085, Covington, LA 70433-7227 | 2006-06-30 |
| 1841233608 | Michael Joseph Torma | Preventive Medicine | 2530 Bert Kouns Industrial Blvd., Suite 138, Shreveport, LA 71118-6114 | 2006-06-13 |
| 1487002150 | Louisiana Hyperbarics | Preventive Medicine | 42388 Pelican Professional Park, Hammond, LA 70403-2412 | 2016-06-02 |
| 1134528623 | Healogics Specialty Physicians of Louisiana, LLC | Preventive Medicine | 1801 Oak Park Blvd, Lake Charles, LA 70601-8900 | 2014-08-20 |
| 1740602572 | Brian H. Strand, M.d., A Professional Medical Corporation | Preventive Medicine | 200 Greenleaves Blvd, Suite 11, Mandeville, LA 70448-7092 | 2014-01-14 |
| 1023331675 | Sarah Elizabeth Parks | Preventive Medicine | 1816 Industrial Blvd, Harvey, LA 70058-2314 | 2010-03-11 |
| 1609910231 | Joseph Serio | Preventive Medicine | 3305 W Pinhook Rd, Lafayette, LA 70508-3506 | 2007-02-16 |
| 1982763074 | John Kessels | Preventive Medicine | 16300 Highway 1085, Covington, LA 70433-7227 | 2006-12-06 |
| 1902848849 | Roderick P Perron | Preventive Medicine | 801 Poinciana Ave, Mamou, LA 70554-2243 | 2006-06-12 |
| Find all providers with the same taxonomy | ||||
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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.