Red Stick Cardiology LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

10749R Issued in LA

Legal business name

RED STICK CARDIOLOGY LLC

Practice address

17050 Medical Center Dr
Ste 111
Baton Rouge, LA 70816-3252

Phone

(225) 753-8686

Fax

(225) 753-8774

NPI assigned

Jan 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Allen Thompson, MD

Title

Physician

Phone

(225) 753-8686

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison R. Jackson, PA-C

  • Physician Assistant
  • Greenwell Springs, LA
  • NPI 1063489003
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154309318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17050 MEDICAL CENTER DR",
            "address_2": "STE 111",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163252",
            "telephone_number": "225-753-8686",
            "fax_number": "225-753-8774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 MEDICAL CENTER DR",
            "address_2": "STE 111",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163252",
            "telephone_number": "225-753-8686",
            "fax_number": "225-753-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED STICK CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "225-753-8686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "10749R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1666840",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Recovery Innovations, Inc
• Recovery Spine and Neurology
• Deja Rector
• Red River
• Red Stick Anesthesia, LLC
• Red Stick Counseling Services, LLC
• Red Stick Emergency Group LLC
• Red Stick Healthcare
• Red Stick Mental Health, LLC
• Red Stick Orthopedics & Prosthetics

• Cardiovascular Disease Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Cardiovascular Disease 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.