EUGENE AND OLEANDER LLC


Address: 11715 Bricksome Ave Ste A6, Baton Rouge, LA 70816-2307
Phone: 2252467136

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 11715 BRICKSOME AVE STE A6
City BATON ROUGE
State LA
Zip Code 70816-2307

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1427698778 Patricia Salton-hobson Case Manager/Care Coordinator 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 2020-01-14
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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
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Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City BATON ROUGE
Zip Code 70816

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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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