BRIAN AMMON


Address: 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120
Phone: 2256107268

BRIAN AMMON (NPI# 1376078022) 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) 1376078022
Entity Type Individual
Full Name BRIAN AMMON
Practice Address 11831 Oakwilde Ave
Baton Rouge
LA 70810-3120
Practice Telephone 2256107268
Mailing Telephone 2256107268
Enumeration Date 2017-05-01
Last Update Date 2017-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11831 OAKWILDE AVE
City BATON ROUGE
State LA
Zip Code 70810-3120

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699382176 Morgan Prejean Physician Assistant 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 2020-09-28
1194148437 Margot Lebourgeois Physician Assistant 7777 Hennessy Blvd Ste 700, Baton Rouge, LA 70808-4300 2014-01-22
1477995645 Ashley Raburn Physician Assistant 7444 Picardy Ave Ste A, Baton Rouge, LA 70808-4331 2013-07-29
1609177161 Kimberly Bergeron Physician Assistant 7301 Hennessey Blvd., Suite 200, Baton Rouge, LA 70808 2010-11-15
1487968327 Ronald Ray Torres Jr. Physician Assistant 10059 N. Reiger Road, Baton Rouge, LA 70809 2010-08-03
1639294564 Sarah Ponder Physician Assistant 7777 Hennessy Blvd Ste 5000, Baton Rouge, LA 70808-4368 2007-03-20
1033113980 Vickie Sue Rice Physician Assistant 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 2005-06-09
1124635164 Marissa Tana Burnett Physician Assistant 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 2020-09-24
1053973750 Laura Clesi Knight Physician Assistant 7777 Hennessy Blvd Ste 701, Baton Rouge, LA 70808-4370 2019-07-02
1912491234 Sabrina Grantham Physician Assistant 3801 North Blvd, Baton Rouge, LA 70806-3825 2018-06-20
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Competitor

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City BATON ROUGE
Zip Code 70810

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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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