East Baton Rouge Medical Center, LLC

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

EAST BATON ROUGE MEDICAL CENTER, LLC

Practice address

17000 Medical Center Dr
Baton Rouge, LA 70816-3246

Phone

(225) 752-2470

Fax

(225) 755-4915

NPI assigned

Oct 11, 2006

Organization subpart

Yes

Parent organization

EAST BATON ROUGE MEDICAL CENTER, LLCAs reported in NPPES

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

Authorized official

Name

John S Ball

Title

PFS Director

Phone

(225) 752-2470

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ochsner Medical Center Baton Rouge Psy Doing business as

Part of

East Baton Rouge Medical Center LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Ochsner Pharmacy and Wellness, LLC

  • Clinic Pharmacy
  • New Orleans, LA
  • NPI 1518073824

  Member Of

  NPD member

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• East Baton Rouge Medical Center LLC

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1053360651
  NPPES parent name

Practitioners 21

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

• Jessica Amber Anderson, MD

  • Family Medicine Physician
  • Zachary, LA
  • NPI 1518589522
  NPD (past)
• Forrest-Anne Bowman, DPT

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1245610930
  NPD (past)
• Burke Joseph Brooks Jr., M.D.

  • Hematology & Oncology Physician
  • Baton Rouge, LA
  • NPI 1518991975
  NPD (past)
• Sy Quoc Dupre, PAC

  • Medical Physician Assistant
  • Zachary, LA
  • NPI 1518039163
  NPD (past)
• Margaret Finley, FNP-BC

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1699954560
  NPD (past)
• Richard Henry Goodell, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1376597153
  NPD (past)
• Traci Guilbeau, PT

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1821977687
  NPD (past)
• Jack Higdon

  • Orthopedic Physical Therapist
  • Baton Rouge, LA
  • NPI 1992531255
  NPD (past)
• Brian Ernest Kozar, MD

  • Orthopaedic Surgery Physician
  • Baton Rouge, LA
  • NPI 1659379386
  NPD (past)
• Delicia Jovan Landry, FNP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1164275624
  NPD (past)
• Andrew D Lauve, MD.

  • Radiation Oncology Physician
  • Baton Rouge, LA
  • NPI 1356308209
  NPD (past)
• Lydia Dee Lewis, MD

  • Obstetrics & Gynecology Physician
  • Zachary, LA
  • NPI 1144328535
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1710076641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 MEDICAL CENTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163246",
            "telephone_number": "225-752-2470",
            "fax_number": "225-755-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 MEDICAL CENTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163246",
            "telephone_number": "225-752-2470",
            "fax_number": "225-755-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BATON ROUGE MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST BATON ROUGE MEDICAL CENTER, LLC",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PFS DIRECTOR",
        "authorized_official_telephone_number": "225-752-2470"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GEROPSY",
            "identifier": "60909",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner Medical Center Baton Rouge Psy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darrenisha Earlycutt
• Amanda Easley, FNP
• Vickie Shaw Easley, CRNA
• East Baton Rouge Medical Center LLC
• East Baton Rouge Medical Center Rehab
• East Baton Rouge Parish School System
• East Baton Rouge Parish School System
• East Baton Rouge Parish School System
• East BR Medical Transportation LLC
• Victoria J East

• Psychiatric Hospital Unit in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Psychiatric Hospital Unit in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.