Organization Active NPI

Baton Rouge Multi-Specialty Care Center, LLC

  • Infectious Disease Physician
  • Baton Rouge, LA
National Provider Identifier
1619114378
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
BATON ROUGE MULTI-SPECIALTY CARE CENTER, LLC
Practice address
3850 Convention St
Baton Rouge, LA 70806-3803
Phone
(225) 289-6803
Fax
(225) 289-6483
NPI assigned
Jan 15, 2009
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Dr. Gertrude Chimeka-AnyanwokeNPI 1760465421
Title
President
Phone
(225) 202-8850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

3850 Convention St
Baton Rouge, LA 70806-3803

Mailing address

PO Box 583
Baton Rouge, LA 70821-0583
Phone (225) 289-6803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090306000264 LA Part B Supplier - Clinic/Group Practice 9032275664 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

3850 Convention St
Baton Rouge, LA 70806
Phone (225) 289-6803

4560 North Blvd
Ste 112
Baton Rouge, LA 70806
Phone (225) 289-6803

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1619114378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 583",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708210583",
            "telephone_number": "225-289-6803",
            "fax_number": "225-289-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 CONVENTION ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063803",
            "telephone_number": "225-289-6803",
            "fax_number": "225-289-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE MULTI-SPECIALTY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "CHIMEKA-ANYANWOKE",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-202-8850",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 1, 2016; 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.

Verify at the official NPI Registry.