St. Jude Children'S Research Hospital

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

Legal business name

ST. JUDE CHILDREN'S RESEARCH HOSPITAL

Doing business as

St. Jude Affiliate/Baton Rouge

Practice address

7777 Hennessy Blvd
Ste. 312
Baton Rouge, LA 70808-4300

Phone

(225) 763-6337

Fax

(225) 761-4072

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Michael C Canarios

Title

VP/Cfo

Phone

(901) 495-3006

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• St. Jude Affiliate/Baton Rouge Doing business as

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063428688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "STE. 312",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-763-6337",
            "fax_number": "225-761-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "STE. 312",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-763-6337",
            "fax_number": "225-761-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JUDE CHILDREN'S RESEARCH HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANARIOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "901-495-3006"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1446131",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01554572",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2678828",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Jude Affiliate/Baton Rouge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. George Fire Protection District #2
• St. Helena Hospice, LLC
• St. James Place of Baton Rouge
• St. John the Baptist, Human Services, Inc.
• St. Joseph Hospice
• Michael John St. Pierre, M.D.
• Anna E. St. Romain, AU.D, CCC/A
• St. Tammany Pathology
• St. Vincent de Paul Community Pharmacy
• Zelia St.Ann

• Pediatric Hematology & Oncology Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Pediatric Hematology & Oncology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.