Pedaegis, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD.012264 Issued in LA

Legal business name

PEDAEGIS, LLC

Practice address

541 Shadows LN Ste C
Baton Rouge, LA 70806-6531

Phone

(225) 925-2000

Fax

(225) 925-2095

NPI assigned

Jun 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael James Coogan, M.D.

Title

Owner

Phone

(225) 975-9045

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1265752430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SHADOWS LN STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066531",
            "telephone_number": "225-925-2000",
            "fax_number": "225-925-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SHADOWS LN STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066531",
            "telephone_number": "225-925-2000",
            "fax_number": "225-925-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDAEGIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "COOGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-975-9045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "MD.012264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Peck, MD
• Lauren Peck, M.A. CCC-SLP
• Emily Renee Peco, PA
• Jennifer Pecquet, FNP-C
• Scott Michael Pecue, DDS
• Tracy Peden, LPC
• Pediatric Cardiology Associates of Louisiana, Inc.
• Pediatric Cardiology of Louisiana, LLC
• Pediatric Center for Respiratory Medicine
• Pediatric Clinic

• Primary Care Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.