Individual provider Active NPI

John Christian Lemoine, MD

  • Student in an Organized Health Care Education/Training Program
  • Baton Rouge, LA
National Provider Identifier
1235871526
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2624 Fairway Dr
Baton Rouge, LA 70809-1803
Phone
(225) 276-4258
NPI assigned
Apr 8, 2022
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2624 Fairway Dr
Baton Rouge, LA 70809-1803

Mailing address

2624 Fairway Dr
Baton Rouge, LA 70809-1803
Phone (225) 276-4258

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627000329 LA Order and Referring Only - OtolaryngologyPractitioner - Otolaryngology 5799164422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1235871526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 FAIRWAY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091803",
            "telephone_number": "225-276-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 FAIRWAY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091803",
            "telephone_number": "225-276-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOINE",
        "first_name": "JOHN",
        "middle_name": "CHRISTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.