CHILI MEDICAL CORPORATION (NPI# 1902287634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902287634 |
| Entity Type | Organization |
| Organization Name | CHILI MEDICAL CORPORATION |
| Practice Address |
4655 Bluebonnet Rd Baton Rouge LA 70809-2648 |
| Practice Telephone | 2259397787 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |
| Authorized Official Name | JAY N YALAMANCHILI (VICEPRESIDENT) |
| Authorized Official Telephone | 2259397787 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
11651R | LA | Ambulatory Health Care Facilities |
| Street Address |
4655 BLUEBONNET RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 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 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| 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 |
| 1508342239 | Audubon Palliative Care Services Inc | Clinic/Center | 9181 Interline Ave Ste 220, Baton Rouge, LA 70809-1900 | 2018-07-16 |
| 1295264729 | Advanced Care Team LLC | Clinic/Center | 7122 Government St, Baton Rouge, LA 70806-6336 | 2017-06-08 |
| 1619409141 | Communitas Primary Care St James | Clinic/Center | 998 Stanford Ave Apt 305, Baton Rouge, LA 70808-3665 | 2017-04-03 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1063841898 | Infinity Primary Care Clinic | Clinic/Center | 2142 Oneal Ln # 128, Baton Rouge, LA 70816-3205 | 2013-11-02 |
| 1366878076 | The Healthcare Gallery | Clinic/Center | 3488 Brentwood Dr, Suite 103, Baton Rouge, LA 70809-1639 | 2013-09-25 |
| 1023326279 | Deekay Medical | Clinic/Center | 3923 Convention St, Baton Rouge, LA 70806-3806 | 2010-09-22 |
| 1497919435 | Michael Todd Howard Md LLC | Clinic/Center | 3525 Riley St, Baton Rouge, LA 70805-2746 | 2008-07-17 |
| 1154463305 | James Edward Hines IIi | Clinic/Center | 2149 N Foster Dr, Baton Rouge, LA 70806-1012 | 2007-02-13 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on CHILI MEDICAL CORPORATION.
| 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.