Active NPI
Baton Rouge Orthopaedic Clinic
Doing business as Ascension Orthopaedic Clinic
- Orthopaedic Surgery Physician
- Gonzales, LA
National Provider Identifier
1164697983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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, 2011
- Organization subpart
- Yes
- Parent organization
- BATON ROUGE ORTHOPAEDIC CLINIC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1793418 | Medicaid | LA |
Other names 1
- Ascension Orthopaedic Clinic
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
- 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.