HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH (NPI# 1508380197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508380197 |
| Entity Type | Organization |
| Organization Name | HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH |
| Other Organization Name | LANE REGIONAL MEDICAL CENTER-LANE PEDIATRICS CLINIC |
| Practice Address |
6110 Main St Ste B Zachary LA 70791-4079 |
| Mailing Address |
2335 Church St Ste E Zachary LA 70791-2700 |
| Practice Telephone | 2256543607 |
| Practice Fax Number | 2256582262 |
| Mailing Telephone | 2255702489 |
| Mailing Fax Number | 2255702986 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2020-01-26 |
| Authorized Official Name | LARRY R MEESE (CFO) |
| Authorized Official Telephone | 2256584303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1445126 | 05 |
| Other Name | Type Code |
|---|---|
| Lane Regional Medical Center | Doing Business As Name - Organization |
| LANE REGIONAL MEDICAL CENTER-LANE PEDIATRICS CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642556 | Hospital Service District 1 of East Baton Rouge Parish | Pharmacy | 6300 Main St Ste 100, Zachary, LA 70791-4037 | 2019-01-03 |
| 1952878506 | Hospital Service District 1 of East Baton Rouge Parish | Internal Medicine | 6550 Main St Ste 3500, Zachary, LA 70791-4092 | 2018-10-31 |
| 1528586518 | Hospital Service District 1 of East Baton Rouge Parish | Psychiatry & Neurology | 4801 Mchugh Rd Ste A, Zachary, LA 70791-5364 | 2017-08-30 |
| 1326249459 | Hospital Service District 1 of East Baton Rouge Parish | Registered Nurse | 4917 West Park Drive, Zachary, LA 70791-4069 | 2007-05-29 |
| 1558319129 | Hospital Service District 1 of East Baton Rouge Parish | Skilled Nursing Facility | 6300 Main Street, Zachary, LA 70791 | 2006-05-05 |
| 1609302918 | Hospital Service District 1 of East Baton Rouge Parish | Otolaryngology | 6110 Main St, Suite D, Zachary, LA 70791-4033 | 2017-05-05 |
| 1700326618 | Hospital Service District 1 of East Baton Rouge Parish | Internal Medicine | 6180 Main St, Suite A, Zachary, LA 70791-4069 | 2017-02-27 |
| 1235585423 | Hospital Service District 1 of East Baton Rouge Parish | Preventive Medicine | 4917 W Park Dr, Zachary, LA 70791-4012 | 2016-05-06 |
| 1366896813 | Hospital Service District 1 of East Baton Rouge Parish | Surgery | 4801 Mchugh Rd, Suite H, Zachary, LA 70791-5364 | 2016-04-21 |
| 1780046508 | Hospital Service District 1 of East Baton Rouge Parish | Clinic/Center | 19900 Old Scenic Hwy, Suite H/i, Zachary, LA 70791-7368 | 2016-03-22 |
| Street Address |
6110 MAIN ST STE B |
| City | ZACHARY |
| State | LA |
| Zip Code | 70791-4079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054110 | Amandalin Hopkins Whittington | Occupational Therapist | 4555 Bert St, Zachary, LA 70791 | 2020-02-07 |
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1902451131 | Edward Williams | Case Manager/Care Coordinator | 22749 Fairvway View Drive, Zachary, LA 70791 | 2019-08-05 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1629574447 | Darren Keith Ryland | Massage Therapist | 5037 Main St, Suite B, Zachary, LA 70791 | 2018-04-02 |
| 1306355102 | Radiation Oncology Center - Zachary | Clinic/Center | 6180 Main Street, Ste B, Zachary, LA 70791 | 2017-09-25 |
| 1861913568 | Sylvia Simone Henderson | Case Manager/Care Coordinator | 8932 Highland Oaks Ave, Zachary, LA 70791 | 2017-07-03 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
| Find all providers in zip 70791 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245448208 | Amanda Lavigne Talbot | Pediatrics | 18989 Old Scenic Hwy, Zachary, LA 70791-8105 | 2007-05-21 |
| 1508002494 | Taira Lynn Woodroffe | Pediatrics | 4242 Highway 19, Building 3 Suite A, Zachary, LA 70791-3981 | 2008-12-23 |
| 1376698829 | Amrullah Khelghati | Pediatrics | 9305 Main St, Suite D, Zachary, LA 70791-7441 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182968 | Can Do Kids Pediatric Therapy Services | Pediatrics | 613 Simpson St, Benton, LA 71006-8314 | 2020-07-23 |
| 1205454774 | Jackson Street Pediatrics, LLC | Pediatrics | 5716 Jackson St, Alexandria, LA 71303-2042 | 2020-07-10 |
| 1689290603 | Impact Physician Group, Pediatrics LLC | Pediatrics | 2720 Rue De Jardin Ste 100, Lake Charles, LA 70605-4050 | 2020-06-25 |
| 1609334390 | Southside Pediatrics. A.p.m.c. | Pediatrics | 811 Albertson Pkwy Ste A, Broussard, LA 70518-5256 | 2019-03-12 |
| 1336632728 | Megan Michel Rabalais | Pediatrics | 7777 Hennessy Blvd # 6004, Baton Rouge, LA 70808-4300 | 2018-06-11 |
| 1902393648 | Morehouse Community Medical Centers, Inc | Pediatrics | 1825 N 18th St Ste A&b, Monroe, LA 71201-4420 | 2018-04-18 |
| 1457873572 | All Hours Pediatrics | Pediatrics | 2645 Oneal Ln Bldg C-a, Baton Rouge, LA 70816-3179 | 2017-07-11 |
| 1881122778 | Uchechukwu Ray Eke | Pediatrics | 7777 Hennessy Blvd Ste 6004, Baton Rouge, LA 70808-4300 | 2017-05-23 |
| 1679007298 | Melissa Holland | Pediatrics | 8415 Goodwood Blvd Ste 100, Baton Rouge, LA 70806-7851 | 2017-04-20 |
| 1538692991 | Latasha Henderson | Pediatrics | 311 Veterans Blvd Ste B, Denham Springs, LA 70726-4726 | 2017-04-04 |
| Find all providers with the same taxonomy | ||||
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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.