Active NPI
John Pierre Amadon, M.D.
- Hospitalist Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 301976
- Practice address
- 5000 Hennessy Blvd
Baton Rouge, LA 70808-4375 - Phone
- (225) 765-4050
- Fax
- (225) 765-4046
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL 33624 | SC | |
| Pediatrics Physician | 208000000X | LL 33624 | SC | |
| Hospitalist Physician | 208M00000X | 301976 | LA | Primary |
Addresses
Primary practice location
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Other practice location 1
169 Ashley Ave
Charleston, SC 29425-8905
Phone (843) 792-2300
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jamadon23687@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-4050
Hospital & facility affiliations
- Amedisys Home Health
- Our Lady of the Lake Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL 33624 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Our Lady of the Lake Hospital Inc. | Past | Accepting new patients |
Locations
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975
Interoperability endpoints
- https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1033494943
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baton Rouge, LA
- NPI 1235912502
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Baton Rouge, LA
- NPI 1588612360
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609372800000",
"number": "1194010652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 HENNESSY BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084375",
"telephone_number": "225-765-4050",
"fax_number": "225-765-4046"
}
],
"practiceLocations": [
{
"address_1": "169 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258905",
"country_code": "US",
"telephone_number": "843-792-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMADON",
"first_name": "JOHN",
"middle_name": "PIERRE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2020-12-31",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "LL 33624",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "LL 33624",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "LA",
"license": "301976",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jamadon23687@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jamadon23687@direct.casso.us.com",
"address_1": "5000 Hennessy Blvd",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708084375",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CPA",
"address_1": "5000 Hennessy Blvd",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708084375",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.