NPIMap

Baton Rouge Anesthesia Services LLC

Organization Active NPI Anesthesiology Physician · Baton Rouge, LA

NPI 1487938536 · NPPES record last updated Apr 27, 2021

Key facts

NPI
1487938536
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
BATON ROUGE ANESTHESIA SERVICES LLC
Practice address
8748 Bluebonnet Blvd
Baton Rouge, LA 70810-2817
Phone
(225) 329-2900
Fax
(225) 329-2901
NPI assigned
Oct 7, 2011
Organization subpart
No

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5900

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 23

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20111227000008 LA Part B Supplier - Clinic/Group Practice 0648446526 Receives reassigned benefits from 21 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207L00000X Yes

Addresses

Primary practice location

8748 Bluebonnet Blvd
Baton Rouge, LA 70810-2817

Mailing address

4919 Memorial Hwy Ste 200
Tampa, FL 33634-7500
Phone (866) 631-7890

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 27, 2021.

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1487938536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 MEMORIAL HWY STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347500",
            "telephone_number": "866-631-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8748 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102817",
            "telephone_number": "225-329-2900",
            "fax_number": "225-329-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5900"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Anesthesiology Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.