Baton Rouge Sports Medicine Clinic, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

17260 Issued in LA

Legal business name

BATON ROUGE SPORTS MEDICINE CLINIC, LLC

Practice address

720 Connells Park LN
Baton Rouge, LA 70806-6522

Phone

(225) 216-3047

Fax

(225) 928-7054

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By 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

Robert W Dugas, M.D.

Title

Sole Member

Phone

(225) 216-3047

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1609002849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 CONNELLS PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066522",
            "telephone_number": "225-216-3047",
            "fax_number": "225-928-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 CONNELLS PARK LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066522",
            "telephone_number": "225-216-3047",
            "fax_number": "225-928-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE SPORTS MEDICINE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "DUGAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "225-216-3047",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "17260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457281",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Baton Rouge Treatment Center, LLC
• Baton Rouge University Preparatory School Inc (Baton Rouge University Preparatory Elementary)
• Baton Rouge Urology Group Apmc (Baton Rouge Urology Group)

• Orthopaedic Surgery Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.