Active NPI
Mary C Ghere, MD
- Plastic Surgery Physician
- Baton Rouge, LA
National Provider Identifier
1063679512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD.202966
- Practice address
- 4212 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9675 - Phone
- (225) 399-0001
- Fax
- (225) 399-0008
- NPI assigned
- May 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD.202966 | LA | Primary |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | MD.202966 | LA |
Addresses
Primary practice location
4212 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9675
Mailing address
4212 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9675
Phone (225) 399-0001
Other names 1
- Mary C Elliott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weiler Plastic Surgery | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1063679512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 BLUEBONNET BLVD STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708099675",
"telephone_number": "225-399-0001",
"fax_number": "225-399-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 BLUEBONNET BLVD STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708099675",
"telephone_number": "225-399-0001",
"fax_number": "225-399-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHERE",
"first_name": "MARY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "LA",
"license": "MD.202966",
"primary": true
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "LA",
"license": "MD.202966",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "ELLIOTT",
"middle_name": "C",
"credential": "MD",
"code": "1",
"type": "Former 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 Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.