ENT Medical Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ENT MEDICAL CENTER

Practice address

5258 Dijon Dr
Baton Rouge, LA 70808-4311

Phone

(225) 769-1090

Fax

(225) 769-4812

NPI assigned

Oct 24, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Charles F Mitchell, M.D.

Title

Senior Partner

Phone

(225) 769-1090

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225028038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084311",
            "telephone_number": "225-769-1090",
            "fax_number": "225-769-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084311",
            "telephone_number": "225-769-1090",
            "fax_number": "225-769-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "225-769-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797693",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalton Lee Enloe, CIT
• Ginger Kathrine Enloe
• Thomas C Enlow, M.D.
• Laquita Ennis
• Carmel Brown Ensminger, LOTR
• Enterprise Health Systems
• Entramed, Inc.
• Callie Entwisle
• Regina L Enwefa, PH.D.
• Stephen C Enwefa, PH.D.

• Specialist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.