LOUISIANA PHS LLC (NPI# 1538399704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538399704 |
| Entity Type | Organization |
| Organization Name | LOUISIANA PHS LLC |
| Practice Address |
2900 Westfork Dr Suite 401 Baton Rouge LA 70827-0004 |
| Mailing Address |
1509 Dulles Drive Lafayette LA 70506 |
| Practice Telephone | 3379919276 |
| Practice Fax Number | 3379430846 |
| Mailing Telephone | 3379919276 |
| Mailing Fax Number | 3379919288 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | NICOLE HOWARD (CFO) |
| Authorized Official Telephone | 3379919276 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROVIDER HEALTH SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2127471 | 05 |
| Street Address |
2900 WESTFORK DR SUITE 401 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70827-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336138304 | Glenn N Jones | Psychologist | 2900 Westfork Dr, Suite 200, Baton Rouge, LA 70827-0004 | 2005-10-20 |
| 1023654134 | A and T Aziz Enterprises, LLC | Meals | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2019-11-24 |
| 1487201562 | Wilbert Dangerfield | Non-emergency Medical Transport (VAN) | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2019-08-22 |
| 1831565589 | Karen Jones | Nurse Practitioner | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2015-08-18 |
| 1710360615 | Brittney Howell | Nurse Practitioner | 2900 Westfork Dr, Ste 401, Baton Rouge, LA 70827-0010 | 2015-07-09 |
| 1164801965 | Kristin Kennedy | Nurse Practitioner | 2900 Westfork Dr, Ste 401, Baton Rouge, LA 70827-0010 | 2015-05-26 |
| 1295088326 | Tri Parish Medical Services Inc | Private Vehicle | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2012-10-26 |
| 1073825311 | Ashley Nicole Carrier | Nurse Practitioner | 2900 Westfork Dr, Ste 401, Baton Rouge, LA 70827-0010 | 2010-07-01 |
| 1801110127 | Christopher Manuel | Nurse Practitioner | 2900 Westfork Dr, Suite 200, Baton Rouge, LA 70827-0010 | 2010-03-15 |
| 1871760207 | Professional Quality Care Services, LLC | Technician | 2900 Westfork Dr, Suite 200, Baton Rouge, LA 70827-0010 | 2008-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003350489 | Central Ophthalmic & Medical Billing Services LLC | Technician/Technologist | 2900 West Fork Dr, Suite 401, Baton Rouge, LA 70827 | 2016-12-05 |
| 1972602662 | Monitetra M King | Social Worker | 2900 W Fork Dr, Suite 200, Baton Rouge, LA 70827 | 2006-09-21 |
| 1710403852 | The Chrysalis Center, LLC | Clinic/Center | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827 | 2017-08-21 |
| 1811289390 | Mission Medical Group of Louisiana LLC | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2011-05-03 |
| 1912511007 | Shameka Mitchell | Social Worker | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-09-04 |
| 1275142325 | Thomas G Greer | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-07-24 |
| 1770101883 | Pure Mind Counseling & Wellness | Community/Behavioral Health | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-07-07 |
| 1912533613 | D&t Med La, LLC | Non-emergency Medical Transport (VAN) | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-03-13 |
| 1447882162 | Kristen M. Hill | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-02-11 |
| 1487299715 | National Youth Advocate Program, Inc | Foster Care Agency | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2019-11-11 |
| Find all providers in zip 70827 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023571460 | Robert Dwight Brower | Family Medicine | 7037 Woodstock Dr, Baton Rouge, LA 70809-1131 | 2019-04-11 |
| 1154896470 | Jornel Rarnise Dixon | Family Medicine | 10627 Hillary Ct, Baton Rouge, LA 70810-2842 | 2018-10-13 |
| 1588187686 | Baton Rouge General Physicians Concierge Medicine, LLC | Family Medicine | 10523 N Oak Hills Pkwy Ste A, Baton Rouge, LA 70810-2858 | 2017-07-20 |
| 1265886303 | Rachael Kermis | Family Medicine | 8595 Picardy Ave Ste 200, Baton Rouge, LA 70809-3674 | 2016-04-14 |
| 1902266489 | Jon Anthony Savoie | Family Medicine | 19527 East Lakeway Avenue, Baton Rouge, LA 70810-8926 | 2016-02-26 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| 1477950202 | Baton Rouge General Physicians, Inc. | Family Medicine | 9241 Bluebonnet Blvd Ste B, Baton Rouge, LA 70810-2971 | 2014-11-21 |
| 1275808305 | Jonathan Arlen Roundtree | Family Medicine | 504 Mayflower St, Baton Rouge, LA 70802-6419 | 2012-03-22 |
| 1295019743 | Christine L. Mills Smith, Md, LLC | Family Medicine | 8261 Summa Ave Ste A, Baton Rouge, LA 70809 | 2011-10-03 |
| 1093095408 | Oscar Menees Thompson Jr. | Family Medicine | 8655 Jefferson Hwy, # 3, Baton Rouge, LA 70809-2244 | 2011-08-17 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70827 |
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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.