Active NPI
Weiler Plastic Surgery
- Plastic Surgery Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD.025994
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007595 | Medicaid | LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2102914 | Weiler Plastic Surgery | Certificate of waiver | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery Physician
- Baton Rouge, LA
- NPI 1396915047
-
- Physician Assistant
- Hammond, LA
- NPI 1891178935
-
- Physician Assistant
- Hammond, LA
- NPI 1861762130
-
- Plastic Surgery Physician
- Covington, LA
- NPI 1255529806
-
- Family Nurse Practitioner
- Baton Rouge, LA
- NPI 1821586272
-
- Nurse Practitioner
- Baton Rouge, LA
- NPI 1356035364
-
- Plastic Surgery Physician
- Frisco, TX
- NPI 1255774147
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.