Organization Active NPI

Baton Rouge Orthopaedic Clinic

Doing business as Ascension Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Gonzales, LA
National Provider Identifier
1164697983
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BATON ROUGE ORTHOPAEDIC CLINIC
Doing business as
Ascension Orthopaedic Clinic
Practice address
1023 W Highway 30
Gonzales, LA 70737-5002
Phone
(225) 743-2366
Fax
(225) 743-2369
NPI assigned
Apr 23, 2008
Last updated
Aug 9, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BATON ROUGE ORTHOPAEDIC CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Mary C Bowlin
Title
Credentials Coordinator
Phone
(985) 974-0422

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

1023 W Highway 30
Gonzales, LA 70737-5002

Mailing address

8080 Bluebonnet Blvd
Suite 1000
Baton Rouge, LA 70810-7827
Phone (225) 924-2424

Other identifiers 1

IdentifierTypeStateIssuer
1793418MedicaidLA

Other names 1

  • Ascension Orthopaedic Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Baton Rouge Orthopaedic Clinic LLC

Locations

1023 W Highway 30
Gonzales, LA 70737
Phone (225) 743-2366

Interoperability endpoints

  • FHIR API: https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1164697983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUITE 1000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-924-2424",
            "fax_number": "225-408-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 W HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375002",
            "telephone_number": "225-743-2366",
            "fax_number": "225-743-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE ORTHOPAEDIC CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BATON ROUGE ORTHOPAEDIC CLINIC",
        "enumeration_date": "2008-04-23",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "BOWLIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CREDENTIALS COORDINATOR",
        "authorized_official_telephone_number": "985-974-0422"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1793418",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Orthopaedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.