SEASIDE HEALTH SYSTEM, LLC (NPI# 1639547243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639547243 |
| Entity Type | Organization |
| Organization Name | SEASIDE HEALTH SYSTEM, LLC |
| Other Organization Name | SHS PHYSICIAN GROUP |
| Practice Address |
4363 Convention Street Baton Rouge LA 70806 |
| Mailing Address |
425 Ashley Ridge Blvd Shereport LA 71106 |
| Practice Telephone | 2255224076 |
| Practice Fax Number | 2254482733 |
| Mailing Telephone | 3188412619 |
| Mailing Fax Number | 3188412611 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |
| Authorized Official Name | JOHNNY D. LANCASTER (CFO) |
| Authorized Official Telephone | 3188412619 |
| Is Organization Subpart | Y |
| Parent Organization Name | SEASIDE HEALTH SYSTEMS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2203781725 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2700081 | 05 |
| Other Name | Type Code |
|---|---|
| SHS Physician Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720345663 | Seaside Health System, LLC | Psychiatric Hospital | 4363 Convention St, Baton Rouge, LA 70806-3906 | 2012-04-17 |
| 1013235985 | Seaside Health System, LLC | Long Term Care Hospital | 615 E Worthey Road, Gonzales, LA 70737-4240 | 2010-05-17 |
| Street Address |
4363 CONVENTION STREET |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801302716 | Tomeka Jones | Psychiatry & Neurology | 1701 Ryder Dr Apt 6, Baton Rouge, LA 70808-4168 | 2017-12-15 |
| 1164940938 | Robert C Harvey Md LLC | Psychiatry & Neurology | 3535 Brentwood Dr, Baton Rouge, LA 70809-1643 | 2017-08-31 |
| 1699185579 | Parker Jones | Psychiatry & Neurology | 3342 Rue D' Orleans Dr., Baton Rouge, LA 70810 | 2014-05-01 |
| 1346673332 | Shweta Sidhu | Psychiatry & Neurology | 5131 Odonovan Dr Ste 300, Baton Rouge, LA 70808-4792 | 2013-08-14 |
| 1801231329 | Brian Lochlan Mcgee | Psychiatry & Neurology | 7777 Hennessy Blvd Ste 6000, Baton Rouge, LA 70808 | 2013-05-10 |
| 1356658116 | Abdul Majid Khan | Psychiatry & Neurology | 9270 Siegen Ln Bldg 402, Baton Rouge, LA 70810-0933 | 2010-08-31 |
| 1457672735 | Moturu Lalitha Kumari | Psychiatry & Neurology | 4983 Bluebonnet Blvd Ste A, Baton Rouge, LA 70809-3086 | 2010-06-21 |
| 1053504274 | Kari Akili Jones | Psychiatry & Neurology | 7521 Kings Hill Ave, Baton Rouge, LA 70810-1002 | 2007-08-21 |
| 1639369499 | Gerald C Heintz Md LLC | Psychiatry & Neurology | 3122 Mcconnell Dr, Baton Rouge, LA 70809-1521 | 2007-07-27 |
| 1578785630 | Jennifer Sue Gilkes | Psychiatry & Neurology | 8414 Bluebonnet Blvd, Suite 200, Baton Rouge, LA 70810-2823 | 2007-05-02 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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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.