EUGENE AND OLEANDER LLC (NPI# 1467927723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467927723 |
Entity Type | Organization |
Organization Name | EUGENE AND OLEANDER LLC |
Practice Address |
11715 Bricksome Ave Ste A6 Baton Rouge LA 70816-2307 |
Mailing Address |
1604 Lichester Dr Baton Rouge LA 70810-0503 |
Practice Telephone | 2252467136 |
Practice Fax Number | 2253027015 |
Mailing Telephone | 9852261606 |
Mailing Fax Number | 2253027015 |
Enumeration Date | 2018-10-12 |
Last Update Date | 2018-10-12 |
Authorized Official Name | DR. JOSHUA RAI CLARK (OWNER) |
Authorized Official Telephone | 9852261606 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
11715 BRICKSOME AVE STE A6 |
City | BATON ROUGE |
State | LA |
Zip Code | 70816-2307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
Find all providers in zip 70816 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700305679 | Horizon Medical Treatment Centers | Family Medicine | 4313 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9679 | 2017-09-12 |
1750573747 | Louis Cataldie | Family Medicine | 6038 Jefferson Hwy, Baton Rouge, LA 70806-8013 | 2007-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609002799 | Michael Philip Melcher | Family Medicine | 2116 N Bolton Ave, Alexandria, LA 71303-4405 | 2009-06-03 |
1952556094 | Chad W Trosclair | Family Medicine | 19411 Helenbirg Rd Ste 101, Covington, LA 70433-5199 | 2008-11-17 |
1154787554 | Ecl Group, LLC | Family Medicine | 2445 E Milton Ave, Youngsville, LA 70592-5346 | 2016-01-14 |
1265749519 | Clyde E. Elliott, M. D. A Professional Corporation | Family Medicine | 304 Circle Dr, West Monroe, LA 71291-5308 | 2010-09-08 |
1073732541 | Douglas Wayne Cook | Family Medicine | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2007-04-24 |
1821004078 | Georgette Somjen | Family Medicine | 4836 Wabash St, Suite 202, Metairie, LA 70001-6717 | 2006-07-31 |
1356363428 | John Cedric Dauphin | Family Medicine | 809 Martin Luther King Jr Dr, Lafayette, LA 70501-1884 | 2006-07-24 |
City | BATON ROUGE |
Zip Code | 70816 |
Please comment or provide details below to improve the information on EUGENE AND OLEANDER LLC.
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.