Imac Medical of Louisiana a Medical Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

IMAC MEDICAL OF LOUISIANA A MEDICAL CORPORATION

Practice address

1940 Oneal LN
Baton Rouge, LA 70816-3201

Phone

(888) 553-3689

Fax

(225) 751-6680

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Bailee Boyett

Title

Credentialing Specialist

Phone

(615) 637-7333

Specialties & licenses 2

Addresses

Other names 1

• Louisiana Orthopedic & Spine Institute Doing business as

Practitioners 2

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

• Francis Allen Johnston, MD

  • Orthopaedic Trauma Physician
  • Baton Rouge, LA
  • NPI 1699840124
  NPD
• Joseph Robert Verna, DC

  • Chiropractor
  • Exton, PA
  • NPI 1851401954
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1366196461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WESTGATE CIR STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278396",
            "telephone_number": "844-266-4622",
            "fax_number": "615-637-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ONEAL LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163201",
            "telephone_number": "888-553-3689",
            "fax_number": "225-751-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAC MEDICAL OF LOUISIANA A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "BOYETT",
        "authorized_official_first_name": "BAILEE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "615-637-7333"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Orthopedic & Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darius Ike, PTA
• Joshua Ikegulu, CASE MANGER
• Victor Ilarraza
• Olajunmoke Joyce Iledare, PT
• Ilivelife.Org
• Imaging Affiliates of Baton Rouge, LTD.
• Imaging Center of Louisiana LLC
• Imaging Counseling Services, LLC
• Immediacare LLC
• Immi, LLC

• Multi-Specialty Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.