DARRYL W. PETERSON (NPI# 1487949657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487949657 |
Entity Type | Organization |
Organization Name | DARRYL W. PETERSON |
Practice Address |
7855 Howell Place Blvd Suite 200 Baton Rouge LA 70807-5256 |
Mailing Address |
7855 Howell Blvd Baton Rouge LA 70807 |
Practice Telephone | 2254546000 |
Practice Fax Number | 2254542603 |
Mailing Telephone | 2254546000 |
Mailing Fax Number | 2254546016 |
Enumeration Date | 2011-06-15 |
Last Update Date | 2011-06-15 |
Authorized Official Name | DARRYL WAYNE PETERSON (PHYSICIAN) |
Authorized Official Telephone | 2254546000 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 284300000X | Special Hospital | 012182R | LA | Hospitals |
Street Address |
7855 HOWELL PLACE BLVD SUITE 200 |
City | BATON ROUGE |
State | LA |
Zip Code | 70807-5256 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962642926 | Susan Bartol | Specialist | 7855 Howell Place Blvd, Ste 220, Baton Rouge, LA 70807-5256 | 2009-03-03 |
1982035960 | Champion Medical Center Louisiana, LLC | Special Hospital | 7855 Howell Place Blvd, Baton Rouge, LA 70807-5256 | 2013-12-02 |
1992130728 | Universal Care Management Systems, LLC | Clinic/Center | 7855 Howell Place Blvd, Suite 200, Baton Rouge, LA 70807-5256 | 2013-09-11 |
1558795724 | Louisiana Center for Eyes, LLC | Clinic/Center | 7855 Howell Place Blvd, Suite 130a, Baton Rouge, LA 70807-5256 | 2013-08-24 |
1992065122 | Ochsner Clinic LLC | General Practice | 7855 Howell Place Blvd, 3rd Floor, Baton Rouge, LA 70807-5256 | 2012-05-22 |
1033409909 | Charletta S. Montgomery | Social Worker | 7855 Howell Place Blvd, Suite 330, Baton Rouge, LA 70807-5256 | 2011-04-13 |
1871897082 | Mamye Hall | Social Worker | 7855 Howell Place Blvd, Suite 330, Baton Rouge, LA 70807-5256 | 2011-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194384586 | Martha B Price | Nurse's Aide | 1950 Goudchaux St, Baton Rouge, LA 70807 | 2019-06-10 |
1083120026 | Germaine Nicole Baker | Counselor | 11824 Kingston Dr, Baton Rouge, LA 70807 | 2017-12-27 |
1962916197 | Sheila F. Lawson | Case Manager/Care Coordinator | 1955 Cunard Ave, Baton Rouge, LA 70807 | 2017-11-27 |
1730600776 | Sheeba Michelle King | Non-emergency Medical Transport (VAN) | 1529 Fairchild Street, Baton Rouge, LA 70807 | 2017-06-29 |
1073056818 | Sherlita Ann Varnado | Behavior Technician | 7801 Scenic Highway Apt. 1121, Baton Rouge, LA 70807 | 2016-11-28 |
1013469220 | Tonya Michelle Hill | Counselor | 1279 Rosenwald Road, Baton Rouge, LA 70807 | 2016-11-04 |
1093168536 | Anthony Wells Jr | Rehabilitation Practitioner | 2782 Thomas Rd, Baton Rouge, LA 70807 | 2016-07-20 |
1023468493 | Kasha Green | Case Manager/Care Coordinator | 2246 78th Ave, Baton Rouge, LA 70807 | 2016-06-16 |
1861852089 | Cheryl Morris | Counselor | 2867 Brig Gen Isaac Ave, Baton Rouge, LA 70807 | 2016-03-01 |
1871966762 | Monique Moses | Counselor | 2765 70th Ave, Baton Rouge, LA 70807 | 2015-11-02 |
Find all providers in zip 70807 |
Taxonomy Code | 284300000X |
Grouping | Hospitals |
Classification | Special Hospital |
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
Notes: Source: AHA Guide, Registration section, p. A5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659327096 | Paragon Long Term Acute Care Hospital | Special Hospital | 4040 North Blvd, Baton Rouge, LA 70806-3829 | 2006-05-26 |
1982035960 | Champion Medical Center Louisiana, LLC | Special Hospital | 7855 Howell Place Blvd, Baton Rouge, LA 70807-5256 | 2013-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962916544 | Promise Behavioral Health Hospital of Shreveport, Inc. | Special Hospital | 1800 Irving Pl Fl 3, Shreveport, LA 71101-4608 | 2017-11-19 |
1790094985 | Hammond Surgical Hospital, LLC | Special Hospital | 42570 S. Airport Road, Hammond, LA 70403 | 2010-10-05 |
1346475522 | Heart Hospital of Acadiana, LLC | Special Hospital | 2621 North Dr Rm 2, Abbeville, LA 70510-4078 | 2009-05-18 |
1639323595 | St. Charles Surgical Hospital, LLC | Special Hospital | 1717 St. Charles Ave, New Orleans, LA 70130-5223 | 2008-11-05 |
1609062181 | Mary and Joseph Specialty Hospital | Special Hospital | 1420 General Taylor St Ste 400, New Orleans, LA 70115-3718 | 2007-09-19 |
1447474416 | Parish Anesthesia Assoc.,ltd Apmc | Special Hospital | 116 Pinehurst Dr, New Orleans, LA 70131-3356 | 2007-04-12 |
1700966504 | Mya Thornburgh | Special Hospital | 1424 Crete St, New Orleans, LA 70119-3005 | 2006-10-16 |
1538278718 | St. Anne Rehabilitation Hospital, LLC | Special Hospital | 629 Dunn St, Houma, LA 70360-4707 | 2006-08-30 |
1003836552 | Prestige Rehab | Special Hospital | 64030 Highway 434 Fl 2, Lacombe, LA 70445-3456 | 2006-07-20 |
1962441667 | Health Services Group of Louisiana, LLC | Special Hospital | 621 S Columbia St, Bogalusa, LA 70427-4721 | 2006-06-06 |
Find all providers with the same taxonomy |
City | BATON ROUGE |
Zip Code | 70807 |
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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.