Organization Active NPI

Spinemark Baton Rouge, LLC

Doing business as SpineMark Neurospine Center

  • Ambulatory Surgical Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1578072427
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SPINEMARK BATON ROUGE, LLC
Doing business as
SpineMark Neurospine Center
Practice address
505 E Airport Ave
Baton Rouge, LA 70806-6515
Phone
(858) 658-0044
Fax
(858) 658-0050
NPI assigned
Sep 22, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Marcy T. Rogers
Title
President and Ceo
Phone
(858) 335-8254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

505 E Airport Ave
Baton Rouge, LA 70806-6515

Mailing address

505 E Airport Ave
Baton Rouge, LA 70806-6515
Phone (858) 658-0044

Other names 1

  • SpineMark Neurospine Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578072427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E AIRPORT AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066515",
            "telephone_number": "858-658-0044",
            "fax_number": "858-658-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E AIRPORT AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066515",
            "telephone_number": "858-658-0044",
            "fax_number": "858-658-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINEMARK BATON ROUGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "858-335-8254"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpineMark Neurospine Center",
            "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 Jul 21, 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.