DR. CHARLES GRUENWALD JR. (NPI# 1518961952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518961952 |
| Entity Type | Individual |
| Full Name | DR. CHARLES GRUENWALD JR. |
| Credential | M.D. |
| Practice Address |
4309 Bluebonnet Blvd Baton Rouge LA 70809 |
| Practice Telephone | 2259253140 |
| Practice Fax Number | 2252236010 |
| Mailing Telephone | 2259253140 |
| Mailing Fax Number | 2252236010 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2011-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 04294R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | AETNA | 690256 | 01 |
| LA | UNITED | 13-00043 | 01 |
| LA | 1188506 | 05 |
| Street Address |
4309 BLUEBONNET BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063679512 | Mary C Ghere | Plastic Surgery | 6717 Perkins Rd, Baton Rouge, LA 70808 | 2008-05-21 |
| 1396915047 | Jonathan Ernest Weiler | Plastic Surgery | 4212 Bluebonnet Blvd Ste A, Baton Rouge, LA 70809-9675 | 2008-03-10 |
| 1639173081 | Michael Albert Teague | Plastic Surgery | 8425 Cumberland Pl, Baton Rouge, LA 70806-6544 | 2005-06-13 |
| 1174140594 | Rjs Plastic Surgery LLC | Plastic Surgery | 6717 Perkins Rd, Baton Rouge, LA 70808-4263 | 2020-07-01 |
| 1417441650 | Ghere Plastic and Reconstructive Surgery | Plastic Surgery | 6717 Perkins Rd, Baton Rouge, LA 70808-4263 | 2018-06-20 |
| 1043639495 | Ruston James Sanchez | Plastic Surgery | 6717 Perkins Rd, Baton Rouge, LA 70808-4263 | 2014-04-14 |
| 1023337417 | Erick Roy Sanchez | Plastic Surgery | 8777 Bluebonnet Blvd, Baton Rouge, LA 70810-2975 | 2010-05-25 |
| 1619201530 | Weiler Plastic Surgery | Plastic Surgery | 4212 Bluebonnet Blvd Ste A, Baton Rouge, LA 70809-9675 | 2009-09-24 |
| 1396907770 | J Anthony Stephens Md | Plastic Surgery | 5233 Dijon Dr, Baton Rouge, LA 70808-4692 | 2008-06-27 |
| 1104086271 | Robyn Deranger Daugherty | Plastic Surgery | 4212 Bluebonnet Blvd Ste A, Baton Rouge, LA 70809-9675 | 2008-06-12 |
| 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.