Organization Active NPI

Clinic of Ear Nose Throat & Neck

  • Otolaryngology Physician
  • Baton Rouge, LA
National Provider Identifier
1346376076
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
CLINIC OF EAR NOSE THROAT & NECK
Practice address
710 Colonial Dr
Baton Rouge, LA 70806-6511
Phone
(225) 927-5325
Fax
(225) 927-4150
NPI assigned
Feb 26, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Iris Foster
Title
Insurance
Phone
(225) 927-5325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X LA Primary

Addresses

Primary practice location

710 Colonial Dr
Baton Rouge, LA 70806-6511

Mailing address

710 Colonial Dr
Baton Rouge, LA 70806-6511
Phone (225) 927-5325

Other identifiers 1

IdentifierTypeStateIssuer
1793493MedicaidLA

National Provider Directory

National Provider Directory

Locations

710 Colonial Dr
Baton Rouge, LA 70806
Phone (225) 927-5325

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346376076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 COLONIAL DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066511",
            "telephone_number": "225-927-5325",
            "fax_number": "225-927-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 COLONIAL DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066511",
            "telephone_number": "225-927-5325",
            "fax_number": "225-927-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC OF EAR NOSE THROAT & NECK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "225-927-5325",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1793493",
            "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 Jul 21, 2022; 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.