Spine Specialists of Louisiana, L.L.C.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

07385R Issued in LA

Legal business name

SPINE SPECIALISTS OF LOUISIANA, L.L.C.

Practice address

10629 Hillary CT
Baton Rouge, LA 70810-2842

Phone

(225) 769-3993

Fax

(225) 448-3667

NPI assigned

Nov 18, 2015

Last updated

Oct 21, 2022By 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

Dr. Jorge Eduardo Isaza, M.D.NPI 1639127335

Title

Owner

Phone

(225) 769-3993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12312/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge Eduardo Isaza, MD

  • Orthopaedic Surgery Physician
  • Baton Rouge, LA
  • NPI 1639127335
  Medicare reassignment Authorized official
• Clint M. Costanza, ,PA

  • Surgical Physician Assistant
  • Baton Rouge, LA
  • NPI 1619266954
  Medicare reassignment
• Sebastian Florez, PA-C

  • Physician Assistant
  • Baton Rouge, LA
  • NPI 1164152328
  Medicare reassignment

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1144694860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10629 HILLARY CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102842",
            "telephone_number": "225-769-3993",
            "fax_number": "225-448-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10629 HILLARY CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102842",
            "telephone_number": "225-769-3993",
            "fax_number": "225-448-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SPECIALISTS OF LOUISIANA, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "ISAZA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-769-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "07385R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine and Body LLC (Spine and Body)
• Spine Center, LLC
• Spine Cin of Baton Rouge LLC
• Spine Clinic of Baton Rouge
• Spine Diagnostic Center of Baton Rouge, Inc a Professional Medical Cor (The Spine Diagnostic and Pain Treatment Center)
• Spinemark Baton Rouge Clinic LLC (SpineMark Neurospine Clinic)
• Spinemark Baton Rouge, LLC (SpineMark Neurospine Center)
• Shaun R Spinks, M.D.
• Madelene Stepter Spinner, MSW, LCSW,C-SSWS
• Scarlett Kate Splane, PHARM.D.

• Orthopaedic Surgery Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.