Organization Active NPI

Digestive and Liver Disease Clinic

  • Gastroenterology Physician
  • Baton Rouge, LA
National Provider Identifier
1326197443
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
04543R Issued in LA
Legal business name
DIGESTIVE AND LIVER DISEASE CLINIC
Practice address
6615 Perkins Rd
Baton Rouge, LA 70808-4261
Phone
(225) 906-2570
Fax
(225) 906-2578
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ruby Dorroh
Title
Billing and Coding Manager
Phone
(225) 906-2570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 04543R LA Primary

Addresses

Primary practice location

6615 Perkins Rd
Baton Rouge, LA 70808-4261

Mailing address

6615 Perkins Rd
Baton Rouge, LA 70808-4261
Phone (225) 906-2570

Other identifiers 1

IdentifierTypeStateIssuer
1302767MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326197443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084261",
            "telephone_number": "225-906-2570",
            "fax_number": "225-906-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084261",
            "telephone_number": "225-906-2570",
            "fax_number": "225-906-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE AND LIVER DISEASE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORROH",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "BILLING AND CODING MANAGER",
        "authorized_official_telephone_number": "225-906-2570"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "04543R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1302767",
            "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 22, 2020; 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.