NPIMap

Organization Active NPI

Wellness & Health Clinic LLC

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1033720826
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLNESS & HEALTH CLINIC LLC
Practice address
9241 Bluebonnet Blvd Ste B
Baton Rouge, LA 70810-2971
Phone
(225) 757-6031
NPI assigned
Aug 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Dr. Marykutty J Thomas, MD
Title
Physician
Phone
(225) 757-6031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9241 Bluebonnet Blvd Ste B
Baton Rouge, LA 70810-2971

Mailing address

18756 Bienville CT
Prairieville, LA 70769-3240
Phone (225) 939-3131

Other practice location 1

9241 Bluebonnet Blvd Ste B
Baton Rouge, LA 70810-2971
Phone (225) 757-6031

Other names 1

  • Wellness & Health Clinic LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1033720826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18756 BIENVILLE CT",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693240",
            "telephone_number": "225-939-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 BLUEBONNET BLVD STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102971",
            "telephone_number": "225-757-6031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9241 Bluebonnet Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708102971",
            "country_code": "US",
            "telephone_number": "225-757-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNESS & HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARYKUTTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "225-757-6031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness & Health Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellness & Health Clinic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 10, 2020; 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.