Pelican Iom, LLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

PELICAN IOM, LLC

Practice address

7516 Bluebonnet Blvd
PMB#166
Baton Rouge, LA 70810-1627

Phone

(225) 442-3549

NPI assigned

Dec 21, 2015

Organization subpart

No

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

Authorized official

Name

Bernie McHugh, M.D.

Title

Manger

Phone

(225) 442-3549

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1174988067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7516 BLUEBONNET BLVD",
            "address_2": "PMB#166",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7516 BLUEBONNET BLVD",
            "address_2": "PMB#166",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101627",
            "telephone_number": "225-442-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN IOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "MCHUGH",
        "authorized_official_first_name": "BERNIE",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "225-442-3549",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Leslie Pegues, D.C.
• Leo A. Pei, M.D.
• Mary Pelaez, MSN, PMHNP-BC
• Pelican Educational Foundation
• Pelican Home Health, LLC
• Alicia Pellegrin, PH.D.
• Jamie Pellegrin
• Caroline Margaret Pellerin, PA-C
• Brittany Pellichino, PHARMD
• Jacob Peltier

• Clinical Neurophysiology Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinical Neurophysiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.