Active NPI
Womens Primary Care
- Gynecology Physician
- Baton Rouge, LA
National Provider Identifier
1003075441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 021832
- Legal business name
- WOMENS PRIMARY CARE
- Practice address
- 5145 Bluebonnet Blvd
Baton Rouge, LA 70809-3076 - Phone
- (225) 408-1422
- Fax
- (225) 408-1462
- NPI assigned
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James G Gengelbach, D.O.
- Title
- Owner
- Phone
- (225) 408-1422
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1192 | LA | |
| Chiropractor | 111N00000X | 11665 | LA | |
| Gynecology Physician | 207VG0400X | 021832 | LA | Primary |
Addresses
Primary practice location
5145 Bluebonnet Blvd
Baton Rouge, LA 70809-3076
Mailing address
5145 Bluebonnet Blvd
Baton Rouge, LA 70809-3076
Phone (225) 408-1422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G6134 | Other | LA | BCBS |
Other names 1
- Back in action Rehab
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212364800000",
"number": "1003075441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5145 BLUEBONNET BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093076",
"telephone_number": "225-408-1422",
"fax_number": "225-408-1462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5145 BLUEBONNET BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093076",
"telephone_number": "225-408-1422",
"fax_number": "225-408-1462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A",
"authorized_official_last_name": "GENGELBACH",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-408-1422",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "LA",
"license": "1192",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "LA",
"license": "11665",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "LA",
"license": "021832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G6134",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Back in action Rehab",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.