Active NPI
Susan F Puyau, M.D.
- Obstetrics & Gynecology Physician
- Baton Rouge, LA
National Provider Identifier
1588740112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 018820
- Practice address
- 500 Rue de la Vie St
Suite 310
Baton Rouge, LA 70817-5126 - Phone
- (225) 201-0505
- Fax
- (225) 935-2190
- NPI assigned
- Oct 27, 2006
- Last updated
- Jun 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD.018820 | LA | |
| Obstetrics & Gynecology Physician | 207V00000X | 018820 | LA | Primary |
Addresses
Primary practice location
500 Rue de la Vie St
Suite 310
Baton Rouge, LA 70817-5126
Mailing address
500 Rue de la Vie St
Suite 310
Baton Rouge, LA 70817-5126
Phone (225) 201-0505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1375047 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.018820 | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanocola Employees Medical and Hospital Association, Inc | Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stanocola Medical Center
- Specialist
- Baton Rouge, LA
- NPI 1275694804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1588740112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 RUE DE LA VIE ST",
"address_2": "SUITE 310",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175126",
"telephone_number": "225-201-0505",
"fax_number": "225-935-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RUE DE LA VIE ST",
"address_2": "SUITE 310",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175126",
"telephone_number": "225-201-0505",
"fax_number": "225-935-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUYAU",
"first_name": "SUSAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "MD.018820",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "018820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1375047",
"state": "LA"
}
],
"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 Jun 4, 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.