Organization Active NPI

Champion Medical, LLC

  • Specialist
  • Baton Rouge, LA
National Provider Identifier
1013335835
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHAMPION MEDICAL, LLC
Practice address
10620 Timberlake Dr
Baton Rouge, LA 70810-6614
Phone
(225) 761-1985
NPI assigned
Mar 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Zubair M. Chaudary
Title
Ceo
Phone
(225) 761-1981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

10620 Timberlake Dr
Baton Rouge, LA 70810-6614

Mailing address

10620 Timberlake Dr
Baton Rouge, LA 70810-6614
Phone (225) 761-1985

National Provider Directory

National Provider Directory

Locations

10620 Timberlake Dr
Baton Rouge, LA 70810
Phone (225) 761-1982

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1013335835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 TIMBERLAKE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106614",
            "telephone_number": "225-761-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 TIMBERLAKE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106614",
            "telephone_number": "225-761-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "CHAUDARY",
        "authorized_official_first_name": "ZUBAIR",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-761-1981"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.