Traille Medical Specialties, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

53785 Issued in LA

Legal business name

TRAILLE MEDICAL SPECIALTIES, LLC

Practice address

606 Colonial Dr
Suite a
Baton Rouge, LA 70806-6535

Phone

(225) 330-4956

Fax

(225) 364-2062

NPI assigned

Nov 23, 2015

Last updated

Nov 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James A Roedema

Title

Ceo

Phone

(225) 678-4471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1366816761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 S BURGESS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708155202",
            "telephone_number": "225-678-4471",
            "fax_number": "225-364-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 COLONIAL DR",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066535",
            "telephone_number": "225-330-4956",
            "fax_number": "225-364-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILLE MEDICAL SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "ROEDEMA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-678-4471",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "53785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaysha Castille Trahan
• Laurie L Trahan, MS, CCC-SLP
• Suzanne Glass Trahan, AUD, SLP
• Tonette Trahan
• Zakeyah Angelique- Jabre Trahan
• Sandra V Trammell
• Joseph Tramontana, PH.D.
• Anne Minh-Anh Tran
• Anthony Tran
• Bao Quoc Tran, MD

• Primary Care Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.