ATHAN JOSEPH JEFFERSON (NPI# 1598246670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598246670 |
| Entity Type | Individual |
| Full Name | ATHAN JOSEPH JEFFERSON |
| Practice Address |
1097 S Flannery Rd Baton Rouge LA 70815-6920 |
| Mailing Address |
14741 Brightview Ct Baton Rouge LA 70819-4012 |
| Practice Telephone | 5049570001 |
| Mailing Telephone | 5049570001 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
LA | Other Service Providers |
| Street Address |
1097 S FLANNERY RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70815-6920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338343 | Gods Gift Transportation Service | Non-emergency Medical Transport (VAN) | 12333 Flordia Blvd, Suite A, Baton Rouge, LA 70815 | 2020-08-27 |
| 1033733746 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 | 2020-05-29 |
| 1740769264 | Angela Johnson | Driver | 10545 Darryl Dr, Baton Rouge, LA 70815 | 2018-08-07 |
| 1821592924 | Best Choice Transportation LLC | Non-emergency Medical Transport (VAN) | 2035 Wooddale Ave., Baton Rouge, LA 70815 | 2018-03-22 |
| 1679085609 | Kevia Neshell Green | Case Manager/Care Coordinator | 211 Antrim Dr Apt C, Baton Rouge, LA 70815 | 2017-10-31 |
| 1104349828 | Priscilla Carter | Case Manager/Care Coordinator | 9726 West Coronado Drive, Baton Rouge, LA 70815 | 2017-07-25 |
| 1023545902 | Krystal Ross | Counselor | 9420 Lindale Ave Ste A&b, Baton Rouge, LA 70815 | 2017-05-22 |
| 1679014351 | Daniel Joseph Woods | Counselor | 12459 Goodwood Blvd, Baton Rouge, LA 70815 | 2017-03-15 |
| 1073058319 | April Coleman | Case Manager/Care Coordinator | 11534 E Black Oak Dr, Baton Rouge, LA 70815 | 2016-12-22 |
| 1407213499 | Earnestine Payne | Counselor | 1314 S Mike Dr, Baton Rouge, LA 70815 | 2016-01-21 |
| Find all providers in zip 70815 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528693736 | Crystal Leblanc | Specialist | 810 Oneal Ln, Baton Rouge, LA 70816-1805 | 2020-03-09 |
| 1811542830 | Trenisha Bonton | Specialist | 9626 Airline Hwy Ste 202, Baton Rouge, LA 70815-5564 | 2019-08-06 |
| 1992244107 | Willie Payne | Specialist | 10782 N Harrells Ferry Rd Ste A, Baton Rouge, LA 70816-8227 | 2017-02-21 |
| 1578921813 | Vanessa Spencer | Specialist | 8544 Scotland Ave, Baton Rouge, LA 70807-4615 | 2016-02-01 |
| 1831128776 | The Total Woman Boutique, Inc. | Specialist | 9244 Florida Blvd, Suite C, Baton Rouge, LA 70815-1160 | 2006-07-02 |
| 1861853046 | Vanessa's Hair Company | Specialist | 8544 Scotland Ave, Baton Rouge, LA 70807-4615 | 2016-03-15 |
| 1972746022 | James Franklin Hunnicutt Jr. | Specialist | 7968 Essen Park Ave, Slvhcs, Baton Rouge, LA 70809-7439 | 2009-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483609 | Keondra Prevost | Specialist | 3357 Whisper Ln, Gretna, LA 70056-7788 | 2020-10-04 |
| 1518500255 | Extensions & Flow Salon | Specialist | 561 Phyllis Dr, Westwego, LA 70094-2927 | 2019-10-25 |
| 1871146605 | Pamela Denise Haynes | Specialist | 116 Maryland St, Hammond, LA 70403-3948 | 2019-07-21 |
| 1639634686 | Tammy Ledet Guillory | Specialist | 1323 12th St, Lake Charles, LA 70601-6377 | 2019-02-04 |
| 1245714997 | Jaleesa Chantell Carprue | Specialist | 5000 Forsythe Byp Ste 114, Monroe, LA 71201-2168 | 2018-09-19 |
| 1548764996 | Latousha Dorsey | Specialist | 2310 Riverwood Dr Ste C, Bossier City, LA 71111-3498 | 2018-03-21 |
| 1407350812 | Marquita Henderson | Specialist | 1101 Gooseberry Hl, Shreveport, LA 71118-3508 | 2018-03-20 |
| 1750883880 | National Hair Loss Foundation | Specialist | 3570 Holiday Dr Ste 8, New Orleans, LA 70114-8287 | 2018-03-05 |
| 1467954560 | Dana Perry I | Specialist | 3810 Elysian Fields Ave, New Orleans, LA 70122-4565 | 2018-03-05 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70815 |
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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.