Organization Active NPI

The Pediatric Place, LLC

  • Pediatrics Physician
  • Baton Rouge, LA
National Provider Identifier
1497009013
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
THE PEDIATRIC PLACE, LLC
Practice address
18135 E Petroleum Dr
Suite a
Baton Rouge, LA 70809-6131
Phone
(225) 636-5437
Fax
(225) 636-5547
NPI assigned
Nov 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Kelly B BusenlenerNPI 1720078611
Title
MD
Phone
(225) 636-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

18135 E Petroleum Dr
Suite a
Baton Rouge, LA 70809-6131

Mailing address

18135 E Petroleum Dr
Suite a
Baton Rouge, LA 70809-6131
Phone (225) 636-5437

National Provider Directory

National Provider Directory

Locations

18367 Perkins Rd E
Baton Rouge, LA 70810
Phone (225) 636-5437

Practitioners & affiliated clinicians

Practitioners 3

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": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1497009013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18135 E PETROLEUM DR",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708096131",
            "telephone_number": "225-636-5437",
            "fax_number": "225-636-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18135 E PETROLEUM DR",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708096131",
            "telephone_number": "225-636-5437",
            "fax_number": "225-636-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEDIATRIC PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "BUSENLENER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "225-636-5437"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 9, 2013; 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.