BATON ROUGE CLINIC, A MEDICAL CORPORATION (NPI# 1639734973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639734973 |
| Entity Type | Organization |
| Organization Name | BATON ROUGE CLINIC, A MEDICAL CORPORATION |
| Practice Address |
8160 Ymca Blvd Suite C Baton Rouge LA 70810 |
| Mailing Address |
7373 Perkins Rd Baton Rouge LA 70808-4373 |
| Practice Telephone | 2257637770 |
| Practice Fax Number | 2257637773 |
| Mailing Telephone | 2252469790 |
| Mailing Fax Number | 2252469100 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | SHUNN PHILLIPS (CFO) |
| Authorized Official Telephone | 2257694044 |
| Is Organization Subpart | Y |
| Parent Organization Name | BATON ROUGE CLINIC, A MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831496793 | Baton Rouge Clinic, A Medical Corporation | Clinic/Center | 7479 Perkins Rd, Baton Rouge, LA 70808-4328 | 2011-02-11 |
| 1073178075 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 4860 Bluebonnet Blvd, Baton Rouge, LA 70809-9644 | 2019-05-06 |
| 1871546911 | Baton Rouge Clinic, A Medical Corporation | Allergy & Immunology | 7373 Perkins Rd, Attention: Administration, Baton Rouge, LA 70808-4326 | 2006-05-18 |
| Street Address |
8160 YMCA BLVD SUITE C |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| 1699185579 | Parker Jones | Psychiatry & Neurology | 3342 Rue D' Orleans Dr., Baton Rouge, LA 70810 | 2014-05-01 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326306465 | Elina Douenias | Podiatrist | 10735 Linkwood Ct, Baton Rouge, LA 70810-2901 | 2012-04-26 |
| 1215184585 | Diabetic Foot Institute, LLC | Podiatrist | 5428 O'donovan Drive, Suite D, Baton Rouge, LA 70808 | 2008-08-19 |
| 1174703789 | Rosemarie Jack Caillier,dpm | Podiatrist | 5516 Superior Dr Ste A, Baton Rouge, LA 70816-8022 | 2007-11-12 |
| 1003820788 | Hieu Vuong | Podiatrist | 3851 S Sherwood Forest Blvd, Ste. 360, Baton Rouge, LA 70816-4361 | 2006-07-28 |
| 1568407658 | Foot Care & Surgery Clinic, Inc | Podiatrist | 7434 Picardy Ave, Suite A, Baton Rouge, LA 70808-4331 | 2006-06-20 |
| 1639146749 | Christopher B Formanek | Podiatrist | 6141 Parkforest Dr, Baton Rouge, LA 70816-6111 | 2006-03-07 |
| 1598757551 | Joseph Kemp Tullier | Podiatrist | 4860 Bluebonnet Blvd, Baton Rouge, LA 70809-9644 | 2005-08-16 |
| 1821098674 | Elizabeth S. Hawkins | Podiatrist | 7423 Picardy Ave Ste B, Baton Rouge, LA 70808-4362 | 2005-07-22 |
| 1679579759 | Otto Christian Hall | Podiatrist | 7301 Hennessy Blvd, #200, Baton Rouge, LA 70808 | 2005-06-23 |
| 1801246186 | Carey Clifton | Podiatrist | 16777 Medical Center Dr, Baton Rouge, LA 70816 | 2016-06-16 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on BATON ROUGE CLINIC, A MEDICAL CORPORATION.
| 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.