George Carson Anthon Jr., DC
Individual provider Active NPI Chiropractor · Hammond, LA
NPI 1366434755 · NPPES record last updated Jul 11, 2008
Key facts
- NPI
- 1366434755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 809 (LA)
- Practice address
- 105 S Cherry St
Hammond, LA 70403-4225 - Phone
- (985) 542-1640
- Fax
- (985) 542-3171
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
105 S Cherry St
Hammond, LA 70403-4225
Phone (985) 542-1640
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080701000373 | LA | Practitioner - Chiropractic | 4981776259 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 809 | LA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthon Chiropractic Care | Chiropractor | Current |
Accepting new patients |
Locations
105 S Cherry St
Hammond, LA 70403
Phone (985) 277-1733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 809 | LA | Yes |
Addresses
Primary practice location
105 S Cherry St
Hammond, LA 70403-4225
Mailing address
105 S Cherry St
Hammond, LA 70403-4225
Phone (985) 542-1640
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.