Elise Scallan MD LLC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

023856 Issued in LA

Legal business name

ELISE SCALLAN MD LLC

Practice address

8080 Bluebonnet Blvd
Suite 2121
Baton Rouge, LA 70810-7827

Phone

(225) 767-7200

Fax

(225) 767-7386

NPI assigned

Mar 4, 2010

Last updated

Jul 19, 2010By 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

Judy Wheat

Title

Administration

Phone

(225) 767-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PATRICIA ELISE SCALLAN, MD Other name

Locations

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1396068318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUITE 2121",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-767-7200",
            "fax_number": "225-767-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUITE 2121",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-767-7200",
            "fax_number": "225-767-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISE SCALLAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "WHEAT",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "225-767-7200"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "LA",
            "license": "023856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1485705",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATRICIA ELISE SCALLAN, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.