ROBERT LANGE ELLIOTT JR. (NPI# 1649299330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649299330 |
| Entity Type | Individual |
| Full Name | ROBERT LANGE ELLIOTT JR. |
| Credential | M.D. |
| Practice Address |
541 Shadows Ln Ste C Baton Rouge LA 70806-6559 |
| Practice Telephone | 2257553070 |
| Practice Fax Number | 2257553085 |
| Mailing Telephone | 2257553070 |
| Mailing Fax Number | 2257553085 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
MD.03326R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RAILROAD MEDICARE | 020012682 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427511393 | Robert Parker Elliott | Occupational Therapist | 11249 Shelterwood Ln, Dallas, TX 75229-4357 | 2019-04-09 |
| 1699270355 | Robert Troy Elliott | Student in an Organized Health Care Education/Training Program | 1150 N Palm Canyon Dr Ste 109, Palm Springs, CA 92262-4872 | 2018-03-26 |
| 1942479746 | Robert Michael Elliott | Dermatology | 3001 E Tahquitz Canyon Way Ste 104, Palm Springs, CA 92262-6900 | 2008-02-26 |
| 1396889861 | Robert Turnbull Elliott | Psychiatry & Neurology | Tufts House, 2004 Ridgewood Dr, Suite 218, Atlanta, GA 30322-0001 | 2007-02-17 |
| 1093860769 | Robert Charles Elliott | Dentist | 101 Sundial Dr Ste A, Woodland Park, CO 80863-7769 | 2007-01-24 |
| 1689725574 | Robert William Elliott | Clinical Neuropsychologist | 5777 W Century Blvd Ste 1645b, Los Angeles, CA 90045-5696 | 2007-01-16 |
| 1407943236 | Robert D. Elliott | Dentist | 540 New Waverly Pl, Suite 300, Cary, NC 27518-7421 | 2006-10-05 |
| 1417975657 | Robert M Elliott | Chiropractor | 5700 Watkins St, Ooltewah, TN 37363-7811 | 2006-07-17 |
| 1346276334 | Robert Larry Elliott | Surgery | 1600 W. College, Suite 440, Grapevine, TX 76051-3584 | 2006-06-23 |
| 1750326799 | Robert M Elliott | Family Medicine | 415 W Kilpatrick St, Mineola, TX 75773-2032 | 2006-06-16 |
| Street Address |
541 SHADOWS LN STE C |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-6559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547364 | Jeff D. Ellard | Dentist | 541 Shadows Ln, Ste B, Baton Rouge, LA 70806-6531 | 2005-06-08 |
| 1164677233 | Childrens Dental Care LLC | Dentist | 541 Shadows Ln, Suite B, Baton Rouge, LA 70806-6531 | 2008-11-17 |
| 1427188168 | John B Whitley Jr. | Dentist | 541 Shadows Ln, Suite A, Baton Rouge, LA 70806-6531 | 2007-03-06 |
| 1831238336 | Drs Coogan, Drumm and Melton | Pediatrics | 541 Shadows Ln, Suite C, Baton Rouge, LA 70806-6531 | 2007-02-05 |
| 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 | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730264201 | Mastology Center, Inc | Surgery | 541 Shadows Ln Ste C, Baton Rouge, LA 70806-6559 | 2006-10-25 |
| 1215934740 | Peter James Bostick | Surgery | 3401 North Blvd, Ste 330, Baton Rouge, LA 70806 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831142090 | Henry J Kaufman Iv | Surgery | 917 Coolidge Blvd, Lafayette, LA 70503-2433 | 2006-05-18 |
| 1508369489 | Saad Al Awwad | Surgery | 1430 Tulane Ave # Sl-22, New Orleans, LA 70112-2632 | 2018-03-16 |
| 1780994079 | C. Edward Foti, M.d., A Professional Medical Corporation | Surgery | 3106 Houma Blvd, Metairie, LA 70006-5406 | 2010-10-20 |
| 1417109000 | River Parish Surgical Associates | Surgery | 501 Rue De Sante, Suite 5, La Place, LA 70068-5400 | 2008-10-15 |
| 1386834836 | Aimee M Mackey | Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2007-07-31 |
| 1790887677 | Emery August Minnard | Surgery | 120 Meadowcrest St, Ste 450, Gretna, LA 70056-5255 | 2006-09-02 |
| 1316991722 | E. Paul Breaux IIi Md Pmc | Surgery | 917 Coolidge Blvd, Lafayette, LA 70503-2433 | 2006-05-20 |
| 1194773069 | Adam Irwin Riker | Surgery | 1542 Tulane Ave, Room 741, New Orleans, LA 70112-2865 | 2006-05-04 |
| 1396701793 | Kevin Craig Marler | Surgery | 8001 Youree Drive, Suite 840, Shreveport, LA 71115-2302 | 2006-04-25 |
| 1215997564 | George M Fuhrman | Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-03-23 |
| Find all providers with the same taxonomy | ||||
| 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.