Active NPI
Phillip Anthony Barksdale, M.D.
- Gynecology Physician
- Baton Rouge, LA
National Provider Identifier
1487746509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 09178R
- Practice address
- 500 Rue de la Vie St
Suite 511
Baton Rouge, LA 70817-5127 - Phone
- (225) 752-3000
- Fax
- (225) 752-8900
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 09178R | LA | Primary |
Addresses
Primary practice location
500 Rue de la Vie St
Suite 511
Baton Rouge, LA 70817-5127
Mailing address
500 Rue de la Vie St
Suite 511
Baton Rouge, LA 70817-5127
Phone (225) 752-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198110 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09178R | LA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Lsuhn Billing LLC | Current | Accepting new patients |
Locations
500 Rue de la Vie St
Ste 511
Baton Rouge, LA 70817
Phone (225) 752-3000
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
- NPI 1306247556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1487746509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 RUE DE LA VIE ST",
"address_2": "SUITE 511",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175127",
"telephone_number": "225-752-3000",
"fax_number": "225-752-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RUE DE LA VIE ST",
"address_2": "SUITE 511",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175127",
"telephone_number": "225-752-3000",
"fax_number": "225-752-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKSDALE",
"first_name": "PHILLIP",
"middle_name": "ANTHONY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "LA",
"license": "09178R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198110",
"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 May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.