Communitas Primary Care St James

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD.207273 Issued in LA

Legal business name

COMMUNITAS PRIMARY CARE ST JAMES

Practice address

998 Stanford Ave Apt 305
Baton Rouge, LA 70808-3665

Phone

(713) 703-9910

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Landon Roussel, MD

Title

Owner

Phone

(713) 703-9910

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Richard L. Granger, O.D.

  • Optometrist
  • Lutcher, LA
  • NPI 1720058878
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1619409141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 HIGHWAY 3125 STE F",
            "city": "LUTCHER",
            "state": "LA",
            "postal_code": "700715639",
            "telephone_number": "225-283-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 STANFORD AVE APT 305",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083665",
            "telephone_number": "713-703-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITAS PRIMARY CARE ST JAMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "ROUSSEL",
        "authorized_official_first_name": "LANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-703-9910",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "MD.207273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.