DR. CECIL NOEL BANKSTON JR. (NPI# 1891793188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891793188 |
| Entity Type | Individual |
| Full Name | DR. CECIL NOEL BANKSTON JR. |
| Credential | M.D. |
| Practice Address |
4841 Woodlake Dr Baton Rouge LA 70817-1833 |
| Practice Telephone | 2257537917 |
| Mailing Telephone | 2257537917 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
011675 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1189596 | 05 |
| Street Address |
4841 WOODLAKE DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659575173 | John Grezaffi Jr. | Radiology | 7887 Picardy Ave, Baton Rouge, LA 70809-3534 | 2007-06-11 |
| 1144300666 | Chester Chattin Coles Jr. | Radiology | 5937 Goodwood Ave, Baton Rouge, LA 70806-7308 | 2006-10-17 |
| 1366469884 | Cheryl D Randal Knatt | Radiology | 6821 Fountain Ln, Baton Rouge, LA 70809-1046 | 2006-07-17 |
| 1922041334 | Jacques A De La Bretonne | Radiology | 5422 Dijon Dr, Baton Rouge, LA 70808-4315 | 2006-06-14 |
| 1841270592 | Keith Robert Gibson | Radiology | 5000 Hennessey Blvd, Baton Rouge, LA 70808 | 2006-01-19 |
| 1326027632 | Michael Lynn Bruce | Radiology | 8230 Summa Ave Ste C, Baton Rouge, LA 70809-3421 | 2006-01-13 |
| 1801895578 | Imaging Center of Louisiana LLC | Radiology | 8338 Summa Ave, Suite 100, Baton Rouge, LA 70809-3669 | 2005-07-15 |
| 1558780940 | Maverick Joseph Leblanc | Radiology | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2014-04-14 |
| 1700220977 | Lisa Katherine Harris | Radiology | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2013-04-18 |
| 1285976084 | Andrew Claiborne Matthews | Radiology | 8585 Picardy Ave, Baton Rouge, LA 70809-3748 | 2013-03-20 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
Please comment or provide details below to improve the information on DR. CECIL NOEL BANKSTON JR..
| 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.