Organization Active NPI

Ghere Plastic and Reconstructive Surgery

  • Plastic Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1417441650
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
GHERE PLASTIC AND RECONSTRUCTIVE SURGERY
Practice address
6717 Perkins Rd
Baton Rouge, LA 70808-4263
Phone
(225) 953-7813
Fax
(225) 953-8432
NPI assigned
Jun 20, 2018
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Charles Mock
Title
Billing Manager
Phone
(225) 532-4059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

6717 Perkins Rd
Baton Rouge, LA 70808-4263

Mailing address

6717 Perkins Rd
Baton Rouge, LA 70808-4263
Phone (225) 953-7813

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1417441650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084263",
            "telephone_number": "225-953-7813",
            "fax_number": "225-953-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084263",
            "telephone_number": "225-953-7813",
            "fax_number": "225-953-8432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHERE PLASTIC AND RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "225-532-4059"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "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 Jun 20, 2018; 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.