BATON ROUGE LA ENDOSCOPY ASC LLC (NPI# 1720262405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720262405 |
| Entity Type | Organization |
| Organization Name | BATON ROUGE LA ENDOSCOPY ASC LLC |
| Other Organization Name | LOUISIANA ENDOSCOPY CENTER |
| Practice Address |
9103 Jefferson Hwy Baton Rouge LA 70809-2440 |
| Practice Telephone | 2259271190 |
| Practice Fax Number | 2257060160 |
| Mailing Telephone | 2259271190 |
| Mailing Fax Number | 2257060160 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2013-03-13 |
| Authorized Official Name | PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1902781 | 05 |
| Other Name | Type Code |
|---|---|
| Louisiana Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
9103 JEFFERSON HWY |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245211341 | Marie Adele Burkstaller | Nurse Anesthetist, Certified Registered | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2005-11-07 |
| 1750734356 | Mallori M Fletcher | Internal Medicine | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2016-07-19 |
| 1497025019 | Catherine Delord George | Internal Medicine | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2012-01-12 |
| 1669753216 | Kathryn Regan Hall Baker | Physician Assistant | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2011-09-08 |
| 1346521341 | Julie Lecompte Mcneil | Dietitian, Registered | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2011-09-02 |
| 1568759710 | Brittany M Hall | Physician Assistant | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2011-07-07 |
| 1376878884 | Anesthesiology Affiliates,llc | Nurse Anesthetist, Certified Registered | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2009-10-16 |
| 1043472467 | Kelly Lynn Huddleston | Physician Assistant | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2008-06-26 |
| 1689867434 | Jonathon Casey Chapman | Internal Medicine | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2007-08-24 |
| 1386834281 | John Walker Mcdonald Sr. | Internal Medicine | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2007-07-26 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073026639 | Mid City Specialty Center, LLC | Clinic/Center | 3600 Florida Blvd Ste 2000, Baton Rouge, LA 70806-3842 | 2017-11-06 |
| 1003062274 | Advanced Surgical Care of Baton Rouge,llc | Clinic/Center | 7310 Perkins Road, Baton Rouge, LA 70808 | 2008-08-07 |
| 1205935335 | Cumberland Surgical Center | Clinic/Center | 8425 Cumberland Place, Baton Rouge, LA 70806 | 2006-09-22 |
| 1861458507 | Brass Partnership In Commendam | Clinic/Center | 5328 Didesse Dr, Baton Rouge, LA 70808-4305 | 2006-04-21 |
| 1891772547 | Novamed Surgery Center of Baton Rouge LLC | Clinic/Center | 8748 Bluebonnet Blvd, Baton Rouge, LA 70810-2817 | 2005-12-23 |
| 1578072427 | Spinemark Baton Rouge, LLC | Clinic/Center | 505 E Airport Ave, Baton Rouge, LA 70806-6515 | 2017-09-22 |
| 1023542339 | Baton Rouge Vascular Access Asc LLC | Clinic/Center | 505 E Airport Ave, Baton Rouge, LA 70806-6515 | 2017-04-13 |
| 1235584988 | Dr. Erick Sanchez L.l.c | Clinic/Center | 8777 Bluebonnet Blvd, Baton Rouge, LA 70810-2975 | 2016-05-02 |
| 1699940148 | Louisiana Women's Healthcare Associates | Clinic/Center | 9000 Airline Hwy, Suite 500, Baton Rouge, LA 70815-4114 | 2008-04-25 |
| 1477698454 | Regional Eye Surgery Center,llc | Clinic/Center | 7777 Hennessy Blvd, Suite 5000, Baton Rouge, LA 70808-4300 | 2007-02-20 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on BATON ROUGE LA ENDOSCOPY ASC LLC.
| 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.