Individual provider Active NPI

Justin Cole Sowder, MD

Otolaryngology Physician
Baton Rouge, LA

National Provider Identifier

1639411929

Registry record updated Apr 20, 2021

On this page

Key facts
NPPES NPI Registry
Medicare participation
National Provider Directory
NPI Registry JSON
Other providers in Baton Rouge, LA
Sources for this page

Key facts

NPPES NPI Registry

Primary specialty: Otolaryngology PhysicianTaxonomy code 207Y00000X
License: 312269 Issued in LA
Practice address: 4950 Essen LN Ste 400
Baton Rouge, LA 70809
Phone: (225) 765-1765
Fax: (225) 765-1768
NPI assigned: Mar 25, 2013
Sex: Male
Sole proprietor: No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)	Code	License	State	Primary
Otolaryngology Physician	207Y00000X	MD0000057103	TN
Student in an Organized Health Care Education/Training Program	390200000X
Otolaryngology Physician	207Y00000X	312269	LA	Primary

Addresses

Primary practice location

4950 Essen LN Ste 400
Baton Rouge, LA 70809

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5727

Other practice location 1

Medical Center East, South Tower
1215 21st Avenue South, Suite 7209
Nashville, TN 37232
Phone (615) 322-6180

Other practice location 2

Medical Center East, South Tower
1215 21st Avenue South, Suite 7209
Nashville, TN 37232
Phone (615) 322-6180

Other practice location 3

4950 Essen Ln Ste 402
Baton Rouge, LA 70809-3738
Phone (225) 765-1982

Electronic endpoints 2

Type	Endpoint	Use	Affiliation
Direct Messaging Address	jsowder743828@direct.casso.us.com	Direct
FHIR URL	https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/	Other

Medicare participation

Medicare enrollment files

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Enrolled
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
312269	LA	MD	Otolaryngology Physician
MD0000057103	TN	MD	Otolaryngology Physician

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1639411929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5727",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LN STE 400",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-765-1765",
            "fax_number": "225-765-1768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center East, South Tower",
            "address_2": "1215 21st Avenue South, Suite 7209",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37232",
            "country_code": "US",
            "telephone_number": "615-322-6180",
            "fax_number": "615-343-9556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Medical Center East, South Tower",
            "address_2": "1215 21st Avenue South, Suite 7209",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37232",
            "country_code": "US",
            "telephone_number": "615-322-6180",
            "fax_number": "615-343-9556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4950 Essen Ln Ste 402",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708093738",
            "country_code": "US",
            "telephone_number": "225-765-1982",
            "fax_number": "225-765-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOWDER",
        "first_name": "JUSTIN",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "MD0000057103",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "312269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsowder743828@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jsowder743828@direct.casso.us.com",
            "address_1": "4950 Essen Ln Ste 400",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4950 Essen Ln Ste 400",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 20, 2021; 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.