Organization Active NPI

Weiler Plastic Surgery

  • Plastic Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1619201530
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD.025994 Issued in LA
Legal business name
WEILER PLASTIC SURGERY
Practice address
4212 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9675
Phone
(225) 399-0001
NPI assigned
Sep 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mr. Bryant Voth
Title
Director of Operations
Phone
(225) 399-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD.025994 LA Primary

Addresses

Primary practice location

4212 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9675

Mailing address

4212 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9675
Phone (225) 399-0001

Other practice location 1

42078 Veterans Ave
Ste H
Hammond, LA 70403-1490
Phone (985) 902-7770

Other identifiers 1

IdentifierTypeStateIssuer
007595MedicaidLA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2102914Weiler Plastic Surgery4212 Bluebonnet Blvd, Suite a, Baton Rouge, LA 70809Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

Locations

4212 Bluebonnet Blvd
Ste A
Baton Rouge, LA 70809
Phone (225) 399-0001

42078 Veterans Ave
Ste H
Hammond, LA 70403
Phone (985) 902-7770

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1619201530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 BLUEBONNET BLVD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099675",
            "telephone_number": "225-399-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 BLUEBONNET BLVD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099675",
            "telephone_number": "225-399-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42078 Veterans Ave",
            "address_2": "Ste H",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031490",
            "country_code": "US",
            "telephone_number": "985-902-7770",
            "fax_number": "985-902-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEILER PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "VOTH",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "225-399-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "MD.025994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007595",
            "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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.