WILLIAM NOAH BERGERON (NPI# 1720183148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720183148 |
| Entity Type | Individual |
| Full Name | WILLIAM NOAH BERGERON |
| Credential | MD |
| Practice Address |
8768 Quarters Lake Rd Suite 4 Baton Rouge LA 70809 |
| Mailing Address |
Po Box 41574 Baton Rouge LA 70835-1574 |
| Practice Telephone | 2259227885 |
| Practice Fax Number | 2259229114 |
| Mailing Telephone | 2259227885 |
| Mailing Fax Number | 2259229114 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
011625 | LA | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
011625 | LA | Allopathic & Osteopathic Physicians |
| X | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
011625 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1383198 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427514314 | William F Bergeron IIi | Student in an Organized Health Care Education/Training Program | 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 | 2019-02-15 |
| 1295755296 | William Frederick Bergeron Jr. | Dentist | 111 W 16th Ave, Suite 203, Anchorage, AK 99501-6206 | 2006-07-20 |
| Street Address |
8768 QUARTERS LAKE RD SUITE 4 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457894362 | Peggy Billeaudeau | Counselor | 8768 Quarters Lake Rd, Building 11, Baton Rouge, LA 70809-2195 | 2016-11-25 |
| 1841625829 | Cherez Kailynn Marioneaux | Massage Therapist | 8768 Quarters Lake Rd, Baton Rouge, LA 70809-2195 | 2013-09-09 |
| 1851668768 | Theresa Wilkerson Kontos | Marriage & Family Therapist | 8768 Quarters Lake Rd, Suite 3, Baton Rouge, LA 70809-2195 | 2011-11-20 |
| 1003981838 | Don E Gulczynski | Occupational Therapist | 8768 Quarters Lake Rd, Baton Rouge, LA 70809-2195 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194978122 | Pathology Group of Louisiana, A Professional Medical Corporation | Pathology | 5339 Odonovan, Baton Rouge, LA 70808-4388 | 2008-11-04 |
| 1528248556 | Pathology Laboratory Consultants Apmc | Pathology | 3933 Convention St, Baton Rouge, LA 70806-3806 | 2007-11-07 |
| 1477672251 | Tracy Marie Rauch | Pathology | Pathology Group of Louisiana, 5339 O'donovan Drive, Baton Rouge, LA 70808 | 2007-03-29 |
| 1952437873 | Suzanne Lam | Pathology | 5339 Odonovan Dr, Baton Rouge, LA 70808-4388 | 2007-02-26 |
| 1093733412 | Zarius Drummond | Pathology | 5339 O'donovan Drive, Baton Rouge, LA 70808-4338 | 2006-07-17 |
| 1225098155 | Peggy H. Polk | Pathology | 5339 Odonavan, Baton Rouge, LA 70808-4388 | 2006-03-24 |
| 1124027925 | Leo A. Pei | Pathology | 17000 Medical Center Drive, Baton Rouge, LA 70816 | 2005-07-14 |
| 1104472117 | Pathology Group of Louisiana, A Professional Medical Corporation | Pathology | 5339 Odonovan Dr, Baton Rouge, LA 70808-4388 | 2019-08-15 |
| 1487996591 | Aleksandra Sowder | Pathology | 5339 Odonovan Dr, Baton Rouge, LA 70808-4388 | 2013-03-27 |
| 1457674855 | Jeremy Thomas Spencer | Pathology | 17000 Medical Center Drive, Baton Rouge, LA 70815-3246 | 2010-03-12 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on WILLIAM NOAH BERGERON.
| 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.