Charles Maurice Kantrow Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

009101 Issued in LA

Practice address

9422 Scotland Ave
Baton Rouge, LA 70807-3951

Phone

(225) 774-1822

Fax

(225) 774-1836

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Our Lady of the Lake Hospital Inc

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1275577603

  Internal Medicine

  NPD (past)
• Our Lady of the Lake Hospital Inc

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1972556348

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1629028790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9422 SCOTLAND AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708073951",
            "telephone_number": "225-774-1822",
            "fax_number": "225-774-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9422 SCOTLAND AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708073951",
            "telephone_number": "225-774-1822",
            "fax_number": "225-774-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTROW",
        "first_name": "CHARLES",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "009101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117692",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srividya Kakulavarapu, DO
• Shahraam Kamalpour, MD, FAAD
• Keerthi Reddy Kambham
• Amin Kamyar, M.D.
• Ian Konrad Kang, M.D.
• Mari Kantrow, PT, DPT
• Mark Lewis Kantrow, M.D.
• Chad Warren Kaplan, M.D.
• Seth Adam Kaplan, PT, DPT, OCS, MHA
• Kaptivating Transportation Service LLC

• All providers in Baton Rouge, LA
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.