LOUISIANA REGENERATIVE MEDICINE CENTER (NPI# 1790301596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790301596 |
| Entity Type | Organization |
| Organization Name | LOUISIANA REGENERATIVE MEDICINE CENTER |
| Practice Address |
9456 Jefferson Hwy St A Baton Rouge LA 70809 |
| Mailing Address |
9456 Jefferson Hwy St A Baton Rouge LA 70809-2883 |
| Practice Telephone | 2257169100 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | ELIZABETH R CONSTANT (OFFICE MANAGER) |
| Authorized Official Telephone | 9854144530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOUISIANA REGENERATIVE MEDICINE CENTER LLC | 9456 Jefferson Highway Ste A, Baton Rouge, LA 70809-2883 |
| Street Address |
9456 JEFFERSON HWY ST A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 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 |
| 1154830008 | Anelcia Rayford | Counselor | 3040 Teddy Drive, Baton Rouge, LA 70809 | 2017-09-22 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528129616 | Pain Mastery and Rehabilitaion Institute | Clinic/Center | 16777 Medical Center Drive, Suite 302, Baton Rouge, LA 70816 | 2006-12-12 |
| 1780135632 | Dynamic Spinal Imaging of Baton Rouge, LLC | Clinic/Center | 7922 Summa Ave, Suite 4, Baton Rouge, LA 70809-3475 | 2016-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972051548 | Dynamic Spinal Imaging of Swla, LLC | Clinic/Center | 805 W Bayou Pines Dr, Suite D, Lake Charles, LA 70601-9605 | 2016-09-13 |
| 1003954199 | Louisiana Pain Care | Clinic/Center | 210 Layton Avenue, Suite 20, Monroe, LA 71210 | 2007-02-02 |
| 1174099568 | Comprehensive Medical LLC | Clinic/Center | 3434 Houma Blvd Ste 301, Metairie, LA 70006-4201 | 2018-10-23 |
| 1710218698 | Vipul Shelat Apmc | Clinic/Center | 312 Grammont St, #400b, Monroe, LA 71201-7457 | 2010-01-16 |
| 1962633636 | Coastal Surgery Center, LLC | Clinic/Center | 215 W Prien Lake Rd, Suite B, Lake Charles, LA 70601-8450 | 2009-07-29 |
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on LOUISIANA REGENERATIVE MEDICINE 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.