Greater Baton Rouge Orthotics & Prosthetics

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

GREATER BATON ROUGE ORTHOTICS & PROSTHETICS

Practice address

7855 Howell Place Blvd Ste 210
Baton Rouge, LA 70807-5257

Phone

(225) 355-0642

Fax

(225) 357-3690

NPI assigned

Nov 13, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Marlon B Moore, B SC CO

Title

Owner / President

Phone

(225) 355-0642

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1366696619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 HOWELL PLACE BLVD STE 210",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075257",
            "telephone_number": "225-355-0642",
            "fax_number": "225-357-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 HOWELL PLACE BLVD STE 210",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075257",
            "telephone_number": "225-355-0642",
            "fax_number": "225-357-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BATON ROUGE ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "225-355-0642",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B SC CO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Measures Transportation LLC
• Great Oaks Dental Care
• Great Thinkers, Inc.
• Greater Baton Rouge Anesthesia LLC
• Greater Baton Rouge Dialysis Center LLC (Greater Baton Rouge Dialysis Center)
• Greater Baton Rouge Pharmacy
• Greater Baton Rouge Physical Therapy, LLC
• Greater Baton Rouge Surgical Hospital, LLC
• Greater Fellowship Outreach Center
• Greater Fellowship Outreach Center, Inc

• Customized Equipment (DME) in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Customized Equipment (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.