Eugene and Oleander LLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

EUGENE AND OLEANDER LLC

Practice address

11715 Bricksome Ave Ste A6
Baton Rouge, LA 70816-2307

Phone

(225) 246-7136

Fax

(225) 302-7015

NPI assigned

Oct 12, 2018

Last updated

Oct 12, 2018By 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

Dr. Joshua Rai Clark, MDNPI 1184913493

Title

Owner

Phone

(985) 226-1606

Specialties & licenses 1

Addresses

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.

• Joshua Rai Clark, MD

  • Family Medicine Physician
  • Plaquemine, LA
  • NPI 1184913493
  NPD Authorized official

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1467927723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 LICHESTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100503",
            "telephone_number": "985-226-1606",
            "fax_number": "225-302-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11715 BRICKSOME AVE STE A6",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162307",
            "telephone_number": "225-246-7136",
            "fax_number": "225-302-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE AND OLEANDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "RAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-226-1606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethos Human Performance & Physical Therapy LLC
• Anishia N Etienne, MMT PRACTIONER
• Pravallika Reddy Etikala
• Ets
• Shelbi Conerly Ettinger, FNP-C
• Evaluative & Development Services
• Maria Teresa Evangelista-Dean, MD
• Sarena M Evans-Hutchins
• Ashanti Evans
• Cicely Evans

• Addiction Medicine (Family Medicine) Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Addiction Medicine (Family Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.