SPINEMARK BATON ROUGE CLINIC LLC (NPI# 1861905291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861905291 |
| Entity Type | Organization |
| Organization Name | SPINEMARK BATON ROUGE CLINIC LLC |
| Other Organization Name | SPINEMARK NEUROSPINE CLINIC |
| Practice Address |
455 E Airport Ave Baton Rouge LA 70806-4832 |
| Mailing Address |
6020 Cornerstone Ct W Ste 230 San Diego CA 92121-3729 |
| Practice Telephone | 2255702300 |
| Practice Fax Number | 2255702301 |
| Mailing Telephone | 8586580044 |
| Mailing Fax Number | 8586580050 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |
| Authorized Official Name | MS. MARCY ROGERS (SOLE OWNER) |
| Authorized Official Telephone | 8583358254 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SpineMark Neurospine Clinic | Doing Business As Name - Organization |
| Street Address |
455 E AIRPORT AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-4832 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790026789 | Jillian Ann Ploof | Neurological Surgery | 8200 Constantin Blvd Fl 1, Baton Rouge, LA 70809-3481 | 2013-03-15 |
| 1386885440 | Thomas Patrick Perone | Neurological Surgery | 4200 Essen Ln, Baton Rouge, LA 70809-2158 | 2009-03-18 |
| 1730239708 | Lori A. Mcbride | Neurological Surgery | 7777 Hennessy Blvd Ste 306, Baton Rouge, LA 70808-4365 | 2007-01-11 |
| 1255423992 | Marvin Dementreous Clifton | Neurological Surgery | 4884 Constitution Ave, Ste 1e, Baton Rouge, LA 70808-3324 | 2006-09-29 |
| 1295746378 | Anthony S Ioppolo | Neurological Surgery | 7777 Hennessy Blvd Plaza 1, 709, Baton Rouge, LA 70808 | 2006-08-11 |
| 1760447882 | Kelly J Scrantz | Neurological Surgery | 10101 Park Rowe Ave., Suite 200, Baton Rouge, LA 70810 | 2006-04-20 |
| 1013902766 | Thomas B Flynn | Neurological Surgery | 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810-1686 | 2005-09-19 |
| 1609102045 | Neurosurgery Associates of Louisiana, LLC | Neurological Surgery | 7855 Howell Blvd, Suite 130-b, Baton Rouge, LA 70807-2016 | 2009-10-20 |
| 1497956403 | Charles Rodney Bowie | Neurological Surgery | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2007-05-29 |
| 1659581601 | Richard A Stanger | Neurological Surgery | 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810 | 2007-05-22 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on SPINEMARK BATON ROUGE CLINIC 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.