Elliott Breast Clinic

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

ELLIOTT BREAST CLINIC

Practice address

541 Shadows LN Ste C
Baton Rouge, LA 70806-6559

Phone

(225) 755-3070

Fax

(225) 755-3085

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Catherine C Baucom, MD, PH.DNPI 1588845184

Title

Owner

Phone

(225) 755-3070

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

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

• Catherine Clayton Baucom, M.D./PH.D

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1588845184
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1427633197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SHADOWS LN STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066559",
            "telephone_number": "225-906-2621",
            "fax_number": "225-755-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SHADOWS LN STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066559",
            "telephone_number": "225-755-3070",
            "fax_number": "225-755-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOTT BREAST CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "BAUCOM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-755-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PH.D"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "breastoncology.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "541 Shadows Ln Ste C",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708066559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeff D. Ellard, D.D.S.
• Carolyn P Ellender, LCSW
• Ryan Ellender, LMSW
• Meredith Loyd Ellerbee
• Pamela M Elliot, RPH
• Ian C Elliott, DDS
• Leone Elliott, MD
• Sophie Claire Elliott, PA-S
• Pavani Ellipeddi, M.D.
• Alencia C Ellis, P.A.

• Surgical Oncology Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Surgical Oncology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.