ELIZABETH BLOUGH (NPI# 1558917815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558917815 |
| Entity Type | Individual |
| Full Name | ELIZABETH BLOUGH |
| Credential | PA-C |
| Practice Address |
11055 Shoe Creek Dr Baton Rouge LA 70818-4022 |
| Mailing Address |
440 3rd St Apt 601 Baton Rouge LA 70802-5542 |
| Practice Telephone | 2252614493 |
| Mailing Telephone | 2252870066 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 320037 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11055 SHOE CREEK DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70818-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245329325 | Melissa R Barrett | Emergency Medicine | 11055 Shoe Creek Dr, Baton Rouge, LA 70818 | 2006-10-12 |
| 1306446414 | Kyle Michael Leblanc | Physician Assistant | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2020-10-28 |
| 1306457379 | Tram Tran Fruge | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2020-08-13 |
| 1598250870 | Crissy Devall | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2018-06-28 |
| 1437659547 | Crissy Carrier Sharpe | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2018-02-15 |
| 1326571639 | Megan Payne Loupe | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2017-04-05 |
| 1629509518 | Emilie Fiandt | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2017-03-23 |
| 1215477260 | Lacey Callegan | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2017-02-23 |
| 1720497365 | Katie Chatelain | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2014-08-07 |
| 1174938211 | Mallory Bankston | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2014-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508385576 | Stacia Clay | Driver | 8210 Brennen Drive, Baton Rouge, LA 70818 | 2017-09-11 |
| 1952650376 | Tara Rispone Delee | Social Worker | 12249 Hooper Road, Baton Rouge, LA 70818 | 2012-08-30 |
| 1417231705 | Cyril Floyd Broussard | Pharmacist | 14360 Wax Rd., Central, LA 70818 | 2011-10-05 |
| 1972887263 | Charles Erwin Seymour | Pharmacist | 14360 Wax Road, Central, LA 70818 | 2011-10-05 |
| 1306146089 | Central Chiropractic Center, Inc. | Preferred Provider Organization | 8755 Sullivan Road, Suite A, Central, LA 70818 | 2010-10-27 |
| 1649596321 | Fast Lane of Central LLC | Clinic/Center | 11421 Sullivan Rd, Bldg B, Baton Rouge, LA 70818 | 2010-04-20 |
| 1992837710 | James H Hebert | Dentist | 11424 Sullivan Road, Suite A, Baton Rouge, LA 70818 | 2007-03-09 |
| 1235295221 | Walter Jules Vaughan | Dentist | 13323 Hooper Rd., Baton Rouge, LA 70818 | 2006-12-28 |
| 1740208867 | Michael Romaguera | Family Medicine | 11055 Shoe Creek Drive, Baton Rouge, LA 70818 | 2006-07-17 |
| 1841238763 | Helen M Balzli | Physical Therapist | 13111 Hooper Rd, Baton Rouge, LA 70818 | 2006-06-03 |
| Find all providers in zip 70818 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508474958 | Katherine Whittington | Physician Assistant | 778 Albert Hart Dr, Baton Rouge, LA 70808-5805 | 2020-07-21 |
| 1881213254 | Sana Badat | Physician Assistant | 18406 Cedar Line Dr, Baton Rouge, LA 70817-4263 | 2020-04-15 |
| 1770116022 | Auxilio Surgical Solutions Ras, LLC | Physician Assistant | 140 Valhalla Blvd, Baton Rouge, LA 70810-3649 | 2020-02-14 |
| 1861025116 | Auxilio Surgical Solutions Crb, LLC | Physician Assistant | 2621 Cedar Lodge Dr, Baton Rouge, LA 70809-1058 | 2020-02-14 |
| 1154988186 | Michael Chafin Dugas | Physician Assistant | 17000 Medical Center Dr # 70816, Baton Rouge, LA 70816-3246 | 2019-05-24 |
| 1700399037 | Louisana Em-i Medical Services A Medical Corporation | Physician Assistant | 501 Louisiana Ave, Baton Rouge, LA 70802-5921 | 2017-11-08 |
| 1376052514 | Shanna Evans | Physician Assistant | 18303 Perkins Rd E Ste 304, Baton Rouge, LA 70810-3939 | 2017-09-20 |
| 1336668425 | Gregory Scott Miller | Physician Assistant | 8751 Sullivan Rd, Baton Rouge, LA 70818-6014 | 2017-09-11 |
| 1982121141 | Matthew Stephen Chappellie | Physician Assistant | 8585 Picardy Ave Ste 518, Baton Rouge, LA 70809-3748 | 2017-08-28 |
| 1245751569 | Megan Stabiler Schmitt | Physician Assistant | 12525 Perkins Rd Ste B, Baton Rouge, LA 70810-1907 | 2017-06-28 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70818 |
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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.