Active NPI
Robert McBride, CRNA
- Anesthesiologist Assistant
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 058866
- Practice address
- 5253 Dijon Dr
Suite a
Baton Rouge, LA 70808-4312 - Phone
- (225) 768-1611
- Fax
- (225) 768-1615
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 058866 | LA | Primary |
| Anesthesiologist Assistant | 367H00000X | 01891 | LA |
Addresses
Primary practice location
5253 Dijon Dr
Suite a
Baton Rouge, LA 70808-4312
Mailing address
5253 Dijon Dr
Suite a
Baton Rouge, LA 70808-4312
Phone (225) 768-1611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1977896 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01891 | LA | MD | Anesthesiologist Assistant |
| 058866 | LA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Group Associates Inc | Current | Accepting new patients | |
| Mid-Louisiana Anesthesia Consultants, Apmc | Past | Accepting new patients |
Locations
7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436
11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058
9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853
8080 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 408-8080
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Baton Rouge, LA
- NPI 1255399598
-
- Specialist
- Baton Rouge, LA
- NPI 1770024390
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1205888914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619099306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5253 DIJON DR",
"address_2": "SUITE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084312",
"telephone_number": "225-768-1611",
"fax_number": "225-768-1615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5253 DIJON DR",
"address_2": "SUITE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084312",
"telephone_number": "225-768-1611",
"fax_number": "225-768-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "LA",
"license": "058866",
"primary": true
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "LA",
"license": "01891",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1977896",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.