DR. GARY STEPHEN MCDANIEL JR. (NPI# 1407198286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407198286 |
| Entity Type | Individual |
| Full Name | DR. GARY STEPHEN MCDANIEL JR. |
| Credential | M.D. |
| Practice Address |
4460 Bluebonnet Blvd Ste A Baton Rouge LA 70809 |
| Mailing Address |
Po Box 77878 Baton Rouge LA 70879-7878 |
| Practice Telephone | 2254423166 |
| Mailing Telephone | 2254423166 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2020-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MD.207498 | LA | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD.207498 | LA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
MD.207498 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508132747 | Gary A Mcdaniel Jr. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3014 Hedrick Ct, Danville, VA 24540-1458 | 2012-03-30 |
| 1154340487 | Gary Mcdaniel | Counselor | 1353 N Westmoreland Rd Bldg A, Dallas, TX 75211-1655 | 2006-07-18 |
| 1821035189 | Gary David Mcdaniel | Pharmacist | 4245 Holland Rd, Virginia Beach, VA 23452-1904 | 2006-06-02 |
| 1639367485 | Gary W Mcdaniel | Social Worker | 235 S Water St, Martinsburg, WV 25401-4241 | 2007-10-05 |
| Street Address |
4460 BLUEBONNET BLVD STE A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598267262 | Baton Rouge Interventional Pain Management LLC | Pain Medicine | 4460 Bluebonnet Blvd Ste A, Baton Rouge, LA 70809-9658 | 2018-03-08 |
| 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 Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1538673694 | Advanced Pain Management, LLC | Pain Medicine | 6536 Lasalle Ave, Baton Rouge, LA 70806-7318 | 2017-11-28 |
| 1821431024 | Felman Institute for Wellness and Longevity | Pain Medicine | 455 East Airport Road, Baton Rouge, LA 70806 | 2013-04-08 |
| 1851370159 | Arnold Erwin Feldman | Pain Medicine | 505 E Airport Ave, Baton Rouge, LA 70806-6515 | 2006-01-13 |
| 1598267262 | Baton Rouge Interventional Pain Management LLC | Pain Medicine | 4460 Bluebonnet Blvd Ste A, Baton Rouge, LA 70809-9658 | 2018-03-08 |
| 1003259896 | Landon Tyler Burns | Pain Medicine | 16777 Medical Center Dr, Baton Rouge, LA 70816 | 2013-04-10 |
| 1609914373 | Southwest Mississippi Anesthesia | Pain Medicine | 505 E Airport Ave, Baton Rouge, LA 70806-6515 | 2007-02-02 |
| 1225000649 | John Michael Burdine | Pain Medicine | 5408 Flanders Dr, Baton Rouge, LA 70808 | 2006-02-02 |
| 1922079201 | Joseph W Turnipseed | Pain Medicine | 5408 Flanders Dr, Baton Rouge, LA 70808-9168 | 2006-01-27 |
| 1164493458 | John Braswell | Pain Medicine | 5408 Flanders Dr, Baton Rouge, LA 70808-9168 | 2006-01-27 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.