Organization Active NPI

Russell J Saloom Prof Med Corp

Doing business as Russell J Saloom MD

  • Ophthalmology Physician
  • Baton Rouge, LA
National Provider Identifier
1538169149
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
018298 Issued in LA
Legal business name
RUSSELL J SALOOM PROF MED CORP
Doing business as
Russell J Saloom MD
Practice address
9237 Bluebonnet Blvd
Baton Rouge, LA 70810-2808
Phone
(225) 766-1110
Fax
(225) 766-1112
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Russell James Saloom, MDNPI 1760671770
Title
Owner/President
Phone
(225) 766-1110

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 018298 LA Primary

Addresses

Primary practice location

9237 Bluebonnet Blvd
Baton Rouge, LA 70810-2808

Mailing address

PO Box 82930
Baton Rouge, LA 70884-2930
Phone (225) 766-1110

Other names 1

  • Russell J Saloom MD Doing business as

National Provider Directory

National Provider Directory

Locations

9237 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 766-1110

10101 Park Rowe Ave
Ste 2000
Baton Rouge, LA 70810

7145 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 765-3111

Practitioners & affiliated clinicians

Practitioners 1

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": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1538169149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82930",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708842930",
            "telephone_number": "225-766-1110",
            "fax_number": "225-766-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9237 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102808",
            "telephone_number": "225-766-1110",
            "fax_number": "225-766-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL J SALOOM PROF MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "SALOOM",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "225-766-1110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "018298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell J Saloom MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 19, 2007; 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.