Core Clinics, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

CORE CLINICS, LLC

Practice address

10059 N. Reiger Road
Baton Rouge, LA 70809

Phone

(225) 456-2330

Fax

(225) 456-2301

NPI assigned

Sep 22, 2010

Last updated

Jan 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Major Mittendorf, PA-C

Title

Managing Partner

Phone

(225) 756-2676

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1093023285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10059 N REIGER RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708094559",
            "telephone_number": "225-456-2330",
            "fax_number": "225-456-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10059 N. REIGER ROAD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-456-2330",
            "fax_number": "225-456-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "MITTENDORF",
        "authorized_official_first_name": "MAJOR",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "225-756-2676",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.