Organization Active NPI

Robert V. Blanche M.D. LLC

  • Psychiatry Physician
  • Baton Rouge, LA
National Provider Identifier
1295082162
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ROBERT V. BLANCHE M.D. LLC
Practice address
7865 Jefferson Hwy
Suite D
Baton Rouge, LA 70809-1384
Phone
(225) 928-2468
Fax
(225) 928-2498
NPI assigned
Aug 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Authorized official

Name
Dr. Robert V Blanche, M.D.
Title
Owner
Phone
(225) 928-2468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

7865 Jefferson Hwy
Suite D
Baton Rouge, LA 70809-1384

Mailing address

9655 Perkins Rd
C-104
Baton Rouge, LA 70810-1533
Phone (225) 928-2468

Other identifiers 2

IdentifierTypeStateIssuer
1353086MedicaidLA
50802OtherLAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

9655 Perkins Rd
#C104
Baton Rouge, LA 70810

9655 Perkins Rd
Ste C184
Baton Rouge, LA 70810
Phone (225) 928-2468

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1295082162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 PERKINS RD",
            "address_2": "C-104",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101533",
            "telephone_number": "225-928-2468",
            "fax_number": "225-928-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 JEFFERSON HWY",
            "address_2": "SUITE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091384",
            "telephone_number": "225-928-2468",
            "fax_number": "225-928-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT V. BLANCHE M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "BLANCHE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-928-2468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1353086",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "50802",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 10, 2012; 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.