Organization Active NPI

Diversified Professionals, Inc.

  • Anesthesiology Physician
  • Baton Rouge, LA
National Provider Identifier
1700923992
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DIVERSIFIED PROFESSIONALS, INC.
Practice address
8946 Interline Ave
Suite C
Baton Rouge, LA 70809-1913
Phone
(225) 923-0030
Fax
(225) 923-0060
NPI assigned
Jan 30, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
John Michael Sikes, CRNANPI 1487767000
Title
Ceo
Phone
(225) 923-0030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 149

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

View all 149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070507000647 LA Part B Supplier - Clinic/Group Practice 0446356463 Receives reassigned benefits from 141 practitioners
Practice locations: Zachary, LA; Metairie, LA; Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

3600 Florida St
Ste 2000
Baton Rouge, LA 70806

7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443

8946 Interline Ave
Ste A1
Baton Rouge, LA 70809

2520 Harvard Ave
#A
Metairie, LA 70001
Phone (504) 378-3668

4845 Main St
#A
Zachary, LA 70791
Phone (225) 306-0100

6550 Main St
Ste 2600
Zachary, LA 70791
Phone (225) 570-6357

6550 Main St
#200
Zachary, LA 70791
Phone (225) 658-1303

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

8946 Interline Ave
Suite C
Baton Rouge, LA 70809-1913

Mailing address

8946 Interline Ave
Suite C
Baton Rouge, LA 70809-1913
Phone (225) 923-0030

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 2, 2023.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1700923992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8946 INTERLINE AVE",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091913",
            "telephone_number": "225-923-0030",
            "fax_number": "225-923-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8946 INTERLINE AVE",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091913",
            "telephone_number": "225-923-0030",
            "fax_number": "225-923-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED PROFESSIONALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "SIKES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-923-0030",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.