Baton Rouge Orthopaedic Clinic LLC
Organization Active NPI Orthopaedic Surgery Physician · Hammond, LA
NPI 1295535144 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1295535144
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- BATON ROUGE ORTHOPAEDIC CLINIC LLC
- Practice address
- 42078 Veterans Ave Ste B
Hammond, LA 70403-1490 - Phone
- (225) 490-3070
- NPI assigned
- Mar 18, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- BATON ROUGE ORTHOPAEDIC CLINIC LLC
Authorized official
- Name
- Samuel Williamson
- Title
- Ceo
- Phone
- (225) 924-2424
Corporate family (same tax ID) 6
Practitioners 5
-
Sy Quoc Dupre, PAC
-
Christina Cordaro Landry, PA-C
-
Marcus Damon Wimberley, PA-C
-
Morris Scott Benson, P.A.C.
National Provider Directory
- Tax ID family
- Baton Rouge Orthopaedic
- Part of
- Baton Rouge Orthopaedic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician |
207QS0010X | |||
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
42078 Veterans Ave Ste B
Hammond, LA 70403-1490
Mailing address
8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827
Phone (225) 924-2424
Other names
- Baton Rouge Orthopaedic Clinic
Other providers in Hammond, LA
- Brenna M Barzenick
- Hannah Bergeron Bass
- Judith Robinson Bass
- Sarah Elise Bass
- Rainier Batiste
- Alexandra Battalora
- Mia Fay Baudoin
- Sarah Baudouin
- Lauren Baumgarten
- Daniel A Bayhi
All providers in Hammond, LA · Orthopaedic Surgery Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.