Med-Aid Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

014900 Issued in LA

Legal business name

MED-AID CLINIC

Practice address

5475 Essen LN
Baton Rouge, LA 70809-3547

Phone

(225) 767-2750

Fax

(225) 767-2832

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Charles Tessier III, M.D.

Title

M.D.

Phone

(225) 767-2750

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• dr. charles r. tessier Other name

Locations

Practitioners 2

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

• Venkat R Banda, MD

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1083690804
  NPD (past)
• Christopher Todd Stelly, M.D.

  • Ophthalmology Physician
  • Punta Gorda, FL
  • NPI 1801968490
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386717536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093547",
            "telephone_number": "225-767-2750",
            "fax_number": "225-767-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093547",
            "telephone_number": "225-767-2750",
            "fax_number": "225-767-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-AID CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TESSIER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "225-767-2750",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "014900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316580",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dr. charles r. tessier",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meaux Esculent Meals
• Mechele de Avila, LCSW, LLC
• Mechi LLC
• Amanda Jill Meckes, CRNA
• Dorothy Mecom, CPSS
• Lori Medica
• Mikaela Lynn Medica, MOT
• Medical & Diagnostic Clinic,LLC
• Medical 1 Patient Services
• Medical 1 Patient Services

• All providers in Baton Rouge, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.