LOUISIANA STATE UNIVERSITY AND A & M COLLEGE STUDENT HEALTH CENTER (NPI# 1720201908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720201908 |
| Entity Type | Organization |
| Organization Name | LOUISIANA STATE UNIVERSITY AND A & M COLLEGE STUDENT HEALTH CENTER |
| Practice Address |
Infirmary Rd Lsu Campus Baton Rouge LA 70803-2401 |
| Practice Telephone | 2255786271 |
| Practice Fax Number | 2255780805 |
| Mailing Telephone | 2255786271 |
| Mailing Fax Number | 2255780805 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-07-29 |
| Authorized Official Name | DR. JOHN N PERRET (CHIEF OF STAFF) |
| Authorized Official Telephone | 2255786271 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Street Address |
INFIRMARY RD LSU CAMPUS |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70803-2401 |
| 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 |
| 1619168846 | Katy Wiltz | Dermatology | Infirmary Rd, Baton Rouge, LA 70803-0001 | 2007-08-05 |
| 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 | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992093132 | Health Care Centers In Schools | Clinic/Center | 10650 Avenue F, Baton Rouge, LA 70807-2501 | 2011-07-20 |
| 1023209731 | Central Community School District | Clinic/Center | 13421 Hooper Rd, Baton Rouge, LA 70818-2900 | 2007-08-07 |
| 1164614855 | Central Community School District | Clinic/Center | 13421 Hooper Rd, Baton Rouge, LA 70818-2900 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130486 | Glencoe Education Foundation | Clinic/Center | 4491 Highway 83, Franklin, LA 70538-7500 | 2020-10-01 |
| 1013472646 | New Orleans Job Corps Center | Clinic/Center | 8825 Airline Hwy, New Orleans, LA 70118-3439 | 2019-02-07 |
| 1225488562 | Carver Community Clinic, LLC | Clinic/Center | 3059 Higgins Blvd, New Orleans, LA 70126-5422 | 2016-06-17 |
| 1386961977 | Ehret School Based Health Center | Clinic/Center | 4300 Patriot St, Marrero, LA 70072-4305 | 2010-04-23 |
| 1043443682 | Bonnabel Sbhc | Clinic/Center | 2801 Bruin Drive, Kenner, LA 70065 | 2009-08-31 |
| 1437302288 | St Francis Richwood School Based Health Center | Clinic/Center | 5901 Highway 165 Byp, Monroe, LA 71202-7236 | 2008-10-24 |
| 1164687307 | Christus Health Central Louisiana | Clinic/Center | 132 Cherry St, Provencal, LA 71468 | 2008-07-28 |
| 1609031962 | Christus Health Central Louisiana | Clinic/Center | 10800 Hwy 120, Marthaville, LA 71450 | 2008-07-25 |
| 1679758890 | Avoyelles Parish School Board | Clinic/Center | 148 S Fair Street, Marksville, LA 71351 | 2008-01-07 |
| 1093996969 | Richardson Medical Center School Based Health Clinic | Clinic/Center | 155 Hwy 3048, Rayville, LA 71269 | 2007-11-20 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70803 |
Please comment or provide details below to improve the information on LOUISIANA STATE UNIVERSITY AND A & M COLLEGE STUDENT HEALTH CENTER.
| 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.