Active NPI
George Evans Burgess III, M.D.
- Anesthesiology Physician
- Baton Rouge, LA
National Provider Identifier
1417198557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 12566
- Practice address
- 1156 Steele Blvd
Baton Rouge, LA 70806-6933 - Phone
- (225) 346-1922
- Fax
- (225) 346-1923
- NPI assigned
- Mar 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 12566 | LA | Primary |
Addresses
Primary practice location
1156 Steele Blvd
Baton Rouge, LA 70806-6933
Mailing address
1156 Steele Blvd
Baton Rouge, LA 70806-6933
Phone (225) 346-1922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12566 | LA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237420800000",
"number": "1417198557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1156 STEELE BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066933",
"telephone_number": "225-346-1922",
"fax_number": "225-346-1923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1156 STEELE BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066933",
"telephone_number": "225-346-1922",
"fax_number": "225-346-1923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "GEORGE",
"middle_name": "EVANS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-19",
"last_updated": "2009-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "12566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.