NPIMap

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
Last updated
Feb 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

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.

Specialties & licenses 1

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

Addresses

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

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

10105 Park Rowe Cir
Baton Rouge, LA 70810
Phone (225) 763-9900

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

7301 Hennessy Blvd
Ste 100
Baton Rouge, LA 70808
Phone (225) 763-6011

7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436

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

Practitioners & affiliated clinicians

Practitioners 176

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 176

NPI Registry JSON

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

{
    "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.