Pepa Wound Care Specialists LLC

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

Legal business name

PEPA WOUND CARE SPECIALISTS LLC

Practice address

7301 Hennessy Blvd Ste 103
Baton Rouge, LA 70808-4794

Phone

(225) 765-4286

Fax

(225) 765-5976

NPI assigned

Jul 11, 2016

Last updated

Sep 17, 2019By 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

Keith Hodge, MDNPI 1962515452

Title

Owner

Phone

(504) 906-1641

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Professional Emergency Physician Associates, LLC

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1992758247

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith B. Hodge, MD

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1962515452
  Authorized official Same address or phone

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1417309667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721464",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730708128",
            "telephone_number": "877-485-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 HENNESSY BLVD STE 103",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084794",
            "telephone_number": "225-765-4286",
            "fax_number": "225-765-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPA WOUND CARE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-906-1641",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2435604",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherri E. Penton, PH.D. , M.P.
• People First Direct Care, LLC
• People of Purpose Community Development Corporation
• Amanda Peoples, LCSW
• Jacob Peoples, MD
• Morgan Kaye Pepiton
• Beth S Percle, MS, RD, LDN
• Jordan Douglas Percle
• Christal Percy
• Lakeva Marie Percy, FNP

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.