LEON CANNIZZARO III (NPI# 1356585228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356585228 |
| Entity Type | Individual |
| Full Name | LEON CANNIZZARO III |
| Credential | MD |
| Practice Address |
7777 Hennessy Blvd Ste 1000 Baton Rouge LA 70808-4370 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 2257673900 |
| Practice Fax Number | 2257662226 |
| Mailing Telephone | 2255260001 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD.207678 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2395611 | 05 |
| Street Address |
7777 HENNESSY BLVD STE 1000 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515011 | Norman Joseph Deumite | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2005-08-10 |
| 1942826953 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2020-06-25 |
| 1295398808 | Nicholas Glen Maggio | Nurse Practitioner | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2019-04-18 |
| 1982104790 | Brett Janis | Nurse Practitioner | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808 | 2018-02-19 |
| 1235653890 | Rosaline Osu | Nurse Practitioner | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2017-07-26 |
| 1083046759 | Robin Beth Fischer | Nurse Practitioner | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2013-08-05 |
| 1639469851 | John Cullen Gulotta | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808 | 2011-04-08 |
| 1376792879 | Jorge Alejandro Castellanos | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2008-09-09 |
| 1205084076 | Wenjie Xu | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2008-09-04 |
| 1124215173 | Elias B Hanna | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2007-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1235789595 | Cardiovascular Specialty Care Center - Vascular | Internal Medicine | 7777 Hennessy Blvd Ste 215, Baton Rouge, LA 70808-4365 | 2019-09-18 |
| 1083002331 | Twilight Center LLC | Internal Medicine | 3800 Florida Blvd, Baton Rouge, LA 70806 | 2015-01-08 |
| 1457492571 | James Robert Calvin | Internal Medicine | 1831 Old Plantation Ln, Baton Rouge, LA 70806-8429 | 2007-02-09 |
| 1043232804 | Alfredo Suarez | Internal Medicine | 5825 Airline Highway, Earl K Long Hospital Lsu Unit, Baton Rouge, LA 70805 | 2006-07-24 |
| 1740202555 | Michael O'donnell Bourgeois | Internal Medicine | Lsu Healthcare Network, 3401 North Blvd, Suite 400, Baton Rouge, LA 70806 | 2006-07-24 |
| 1972525749 | Dorothy V. Hayden | Internal Medicine | 1700 Medical Center Drive, Baton Rouge, LA 70816 | 2006-07-24 |
| 1134141856 | Phillip J. Brantley | Internal Medicine | Earl K. Long Hospital, Lsu Unit, 5825 Airline Highway, Baton Rouge, LA 70805 | 2006-07-24 |
| 1659331247 | Leon Francis Kraft | Internal Medicine | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2006-03-27 |
| 1154309318 | Red Stick Cardiology LLC | Internal Medicine | 17050 Medical Center Dr, Ste 111, Baton Rouge, LA 70816-3252 | 2006-01-06 |
| 1073515011 | Norman Joseph Deumite | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2005-08-10 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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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.