Organization Active NPI

Neurosurgery Associates of Louisiana, LLC

  • Neurological Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1609102045
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
200648 Issued in LA
Legal business name
NEUROSURGERY ASSOCIATES OF LOUISIANA, LLC
Practice address
7855 Howell Blvd
Suite 130-B
Baton Rouge, LA 70807-2016
Phone
(225) 276-0536
NPI assigned
Oct 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Gary C Dennis, MD
Title
Owner/Administrator
Phone
(225) 276-0536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 200648 LA Primary

Addresses

Primary practice location

7855 Howell Blvd
Suite 130-B
Baton Rouge, LA 70807-2016

Mailing address

7855 Howell Blvd
Suite 130-B
Baton Rouge, LA 70807-2016
Phone (225) 276-0536

Other identifiers 1

IdentifierTypeStateIssuer
1019119MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1609102045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BLVD",
            "address_2": "SUITE 130-B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708072016",
            "telephone_number": "225-276-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 HOWELL BLVD",
            "address_2": "SUITE 130-B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708072016",
            "telephone_number": "225-276-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY ASSOCIATES OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "225-276-0536",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "LA",
            "license": "200648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019119",
            "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 Oct 20, 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.