SPINE CIN OF BATON ROUGE LLC (NPI# 1801394176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801394176 |
| Entity Type | Organization |
| Organization Name | SPINE CIN OF BATON ROUGE LLC |
| Practice Address |
9655 Perkins Rd Ste C-217 Baton Rouge LA 70810-1533 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Practice Fax Number | 6153860067 |
| Mailing Telephone | 6153860064 |
| Mailing Fax Number | 6153860067 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
LA | Allopathic & Osteopathic Physicians | |
| Y | 207X00000X | Orthopaedic Surgery | LA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10105 Park Rowe Cir, Baton Rouge, LA 708101688 | 6153860064 | 6153860067 |
| Street Address |
9655 PERKINS RD STE C-217 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467935965 | Marco Rodriguez Md LLC | Orthopaedic Surgery | 606 Colonial Dr Ste A, Baton Rouge, LA 70806-6535 | 2018-09-11 |
| 1144694860 | Spine Specialists of Louisiana, L.L.C. | Orthopaedic Surgery | 10629 Hillary Ct, Baton Rouge, LA 70810-2842 | 2015-11-18 |
| 1376860148 | Mark Tyson Garon | Orthopaedic Surgery | 7301 Hennessy Blvd Ste 200, Department of Orthopedics, Baton Rouge, LA 70808-4794 | 2010-05-03 |
| 1609002849 | Baton Rouge Sports Medicine Clinic, LLC | Orthopaedic Surgery | 720 Connells Park Ln, Baton Rouge, LA 70806-6522 | 2009-06-02 |
| 1508037516 | William Franklin Sherman Jr. | Orthopaedic Surgery | 7301 Hennessy Blvd., Suite 200, Baton Rouge, LA 70808 | 2008-03-18 |
| 1407034051 | Randall D. Lea, M.d. PC | Orthopaedic Surgery | 14635 S Harrell's Ferry Road, Suite 3a, Baton Rouge, LA 70816-2961 | 2008-02-06 |
| 1720004864 | Craig Castleman Greene | Orthopaedic Surgery | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2006-07-14 |
| 1013995091 | Kenneth C. Cranor | Orthopaedic Surgery | 5408 Flanders Dr, Baton Rouge, LA 70808-9168 | 2006-01-09 |
| 1184612582 | David M Pope | Orthopaedic Surgery | 7301 Hennessy, Suite 200, Baton Rouge, LA 70808 | 2005-10-10 |
| 1053894402 | Tabitha Lynn Franklin | Orthopaedic Surgery | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2018-09-12 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
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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.