NPIMap

Organization Active NPI

Woman's Surgical Specialty Group

  • Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1215236229
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.017436 Issued in LA
Legal business name
WOMAN'S SURGICAL SPECIALTY GROUP
Practice address
7777 Hennessy Blvd
Suite 702
Baton Rouge, LA 70808-4300
Phone
(225) 924-8338
Fax
(225) 922-3745
NPI assigned
Mar 17, 2011
Organization subpart
Yes
Parent organization
WOMAN'S HOSPITAL FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Mrs. Teri G. Fontenot
Title
President and Ceo
Phone
(225) 927-1300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X MD.019326 LA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X MD.017436 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Suite 702
Baton Rouge, LA 70808-4300

Mailing address

9050 Airline Hwy
Baton Rouge, LA 70815-4103
Phone (225) 927-1300

Other names 1

  • Woman's SS Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110606000230 LA Part B Supplier - Clinic/Group Practice 9537346382 Receives reassigned benefits from 20 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory
Part of
Alfred G Robichaux III

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7777 Hennessy Blvd
Ste 702
Baton Rouge, LA 70808
Phone (225) 769-6400

500 Rue de la Vie St
Ste 402
Baton Rouge, LA 70817
Phone (225) 215-7588

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1215236229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708154103",
            "telephone_number": "225-927-1300",
            "fax_number": "225-922-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 702",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-924-8338",
            "fax_number": "225-922-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMAN'S SURGICAL SPECIALTY GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOMAN'S HOSPITAL FOUNDATION",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "225-927-1300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.019326",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.017436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woman's SS Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.