KATY WILTZ (NPI# 1619168846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619168846 |
| Entity Type | Individual |
| Full Name | KATY WILTZ |
| Credential | MD |
| Practice Address |
Infirmary Rd Baton Rouge LA 70803-0001 |
| Practice Telephone | 3472779573 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2017-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | MD2016-0964 | NM | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | MD.202130 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1007706 | 05 |
| Street Address |
INFIRMARY RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70803-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922000553 | Leslie Sullivan Elkins | Family Medicine | Infirmary Rd, Baton Rouge, LA 70803-0001 | 2005-08-12 |
| 1255992368 | Janell Soileau | Nurse Practitioner | Infirmary Rd, Baton Rouge, LA 70803-0001 | 2019-06-28 |
| 1104262617 | Chad Frederickson | Physical Medicine & Rehabilitation | Infirmary Rd, Baton Rouge, LA 70803-2401 | 2013-05-13 |
| 1720201908 | Louisiana State University and A & M College Student Health Center | Clinic/Center | Infirmary Rd, Lsu Campus, Baton Rouge, LA 70803-2401 | 2007-04-10 |
| 1356318620 | Alicia Rutherford Restivo | Nurse Practitioner | Infirmary Rd, Baton Rouge, LA 70803-0001 | 2006-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649822164 | Joshua Vaughn Bunch | Specialist/Technologist | Lsu Athletic Department, Athletic Training, North Stadium Drive, Baton Rouge, LA 70803 | 2019-07-15 |
| 1225512767 | Louisiana State University | Pharmacy | 1 North Stadium Drive, Broussard Center for Athletic Training, Baton Rouge, LA 70803 | 2018-09-20 |
| 1447652433 | Joshua Pratt | Specialist/Technologist | Lsu Athletic Training, Athletic Administration Building, Baton Rouge, LA 70803 | 2014-09-22 |
| 1851709216 | Derek Calvert | Specialist/Technologist | Lsu Athletic Administration Building, Athletic Training Room, Baton Rouge, LA 70803 | 2014-07-30 |
| 1770924599 | Malena Badon | Clinical Medical Laboratory | 340 East Parker Street, Baton Rouge, LA 70803 | 2013-07-09 |
| 1649394057 | Cheryl Larrieu Bourg | Pharmacist | Lsu Student Health Center Pharmacy, Infirmary Road, Lsu, Baton Rouge, LA 70803 | 2007-03-19 |
| 1548369465 | Louisiana State Univ Students Health Ctr | Pharmacist | Infirmary Road, Room 172 Pharmacy, Baton Rouge, LA 70803 | 2006-09-21 |
| 1912937145 | Louisiana Emergency & Trauma Specialists | Emergency Medicine | 3600 Florida Blvd, Baton Rouge, LA 70803 | 2006-07-04 |
| 1295373025 | Jacqueline Casey Crouch | Student in an Organized Health Care Education/Training Program | North Stadium Drive Athletics Administration Building, Baton Rouge, LA 70803-0001 | 2019-12-11 |
| 1013552512 | Kelly Stephens | Specialist/Technologist | 1 North Stadium Dr, Baton Rouge, LA 70803-0001 | 2019-11-08 |
| Find all providers in zip 70803 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528421872 | Joshua Mark Pitre | Dermatology | 163 Burgin Ave, Baton Rouge, LA 70808-4925 | 2016-04-04 |
| 1972763340 | Nicole Matths Harrell | Dermatology | 5326 O'dovan Drive, Baton Rouge, LA 70808 | 2008-06-10 |
| 1053579862 | Dermasurgery Center, LLC | Dermatology | 7414 Picardy Ave, Suite C, Baton Rouge, LA 70808-4696 | 2008-05-28 |
| 1386783280 | Laci Lafleur Theunissen | Dermatology | 7855 Jefferson Hwy, Baton Rouge, LA 70809-1206 | 2007-02-06 |
| 1245397397 | Lynn Z. Tucker | Dermatology | 7388 Highland Rd, Ste. A, Baton Rouge, LA 70808-6601 | 2007-01-01 |
| 1902976921 | Ann C Zedlitz | Dermatology | 5326 Odonovan Dr, Baton Rouge, LA 70808-4691 | 2006-11-08 |
| 1710095120 | Chad Landon Prather | Dermatology | 6411 Perkins Rd Ste 100, Baton Rouge, LA 70808-4125 | 2006-08-26 |
| 1437186228 | Christopher James Mcewen | Dermatology | 5220 Flanders Dr, Baton Rouge, LA 70808 | 2006-06-27 |
| 1093742769 | Calais Dermatology Associates | Dermatology | 5220 Flanders Drive, Baton Rouge, LA 70808 | 2006-06-27 |
| 1356381800 | Stephanie R. Frederic | Dermatology | 7373 Perkins Rd., Baton Rouge, LA 70808-4686 | 2006-06-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70803 |
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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.