NPIMap

Organization Active NPI

Iberia Bone Joint & Foot Clinic AMC

  • Specialist
  • Baton Rouge, LA
National Provider Identifier
1477700656
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
021167 Issued in LA
Legal business name
IBERIA BONE JOINT & FOOT CLINIC AMC
Practice address
7855 Howell Blvd
Ste 200
Baton Rouge, LA 70807-5257
Phone
(225) 454-6000
Fax
(225) 302-7255
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Theodore Knatt, M.D.
Title
MD
Phone
(225) 454-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 021167 LA Primary

Addresses

Primary practice location

7855 Howell Blvd
Ste 200
Baton Rouge, LA 70807-5257

Mailing address

7855 Howell Blvd
Ste 200
Baton Rouge, LA 70807-5257
Phone (225) 454-6000

Other identifiers 1

IdentifierTypeStateIssuer
1907600MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1477700656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BLVD",
            "address_2": "STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075257",
            "telephone_number": "225-454-6000",
            "fax_number": "225-302-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BLVD",
            "address_2": "STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075257",
            "telephone_number": "225-454-6000",
            "fax_number": "225-302-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERIA BONE JOINT & FOOT CLINIC AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "KNATT",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "225-454-6000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "021167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1907600",
            "state": "LA"
        }
    ],
    "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 Aug 19, 2008; 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.