Prestige Worldwide, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD.205436 Issued in LA

Legal business name

PRESTIGE WORLDWIDE, LLC

Practice address

5505 John Eskew Dr
Alexandria, LA 71303-3725

Phone

(318) 704-6008

NPI assigned

Sep 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Jeffrey Charles Rodgman, MD

Title

Owner

Phone

(318) 704-6008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CENLA Behavioral Solutions Doing business as

Locations

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225547342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 JOHN ESKEW DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033725",
            "telephone_number": "318-704-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 JOHN ESKEW DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033725",
            "telephone_number": "318-704-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE WORLDWIDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RODGMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JEFFREY CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-704-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.205436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1927597",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENLA Behavioral Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.