Red Stick Orthopedics & Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

RED STICK ORTHOPEDICS & PROSTHETICS

Practice address

7754 Florida Blvd
Baton Rouge, LA 70806-4706

Phone

(225) 928-9939

Fax

(225) 928-7388

NPI assigned

Mar 9, 2006

Last updated

Sep 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marlon B Moore, B SC CO

Title

Owner/ President

Phone

(225) 928-9939

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1548238249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7754 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064706",
            "telephone_number": "225-928-9939",
            "fax_number": "225-928-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7754 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064706",
            "telephone_number": "225-928-9939",
            "fax_number": "225-928-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED STICK ORTHOPEDICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "225-928-9939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B SC CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1121908",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red Stick Cardiology LLC
• Red Stick Counseling Services, LLC
• Red Stick Emergency Group LLC
• Red Stick Healthcare
• Red Stick Mental Health, LLC
• Red Stick Pediatrics
• Red Stick Pharmacy LLC
• Red Stick Physicians Group LLC
• Red Stick Recovery LLC
• Red Stick Transit LLC

• Prosthetic/Orthotic Supplier in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.