MASTOLOGY CENTER, INC (NPI# 1730264201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730264201 |
Entity Type | Organization |
Organization Name | MASTOLOGY CENTER, INC |
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 | 2006-10-25 |
Last Update Date | 2020-02-24 |
Authorized Official Name | DR. ROBERT LANGE ELLIOTT (DOCTOR) |
Authorized Official Telephone | 2257553070 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
3326R | LA | Allopathic & Osteopathic Physicians |
Street Address |
541 SHADOWS LN STE C |
City | BATON ROUGE |
State | LA |
Zip Code | 70806-6559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265752430 | Pedaegis, LLC | Clinic/Center | 541 Shadows Ln Ste C, Baton Rouge, LA 70806-6531 | 2010-06-10 |
1588845184 | Catherine Clayton Baucom | Surgery | 541 Shadows Ln Ste C, Baton Rouge, LA 70806-6559 | 2007-11-25 |
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 |
---|---|---|---|---|
1215934740 | Peter James Bostick | Surgery | 3401 North Blvd, Ste 330, Baton Rouge, LA 70806 | 2005-06-30 |
1649299330 | Robert Lange Elliott Jr. | Surgery | 541 Shadows Ln, Ste C, Baton Rouge, LA 70806-6559 | 2006-07-19 |
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.