Individual provider Active NPI

George J Schwartzenburg, M.D.

  • Pediatrics Physician
  • Baton Rouge, LA
National Provider Identifier
1710917356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
02425R Issued in LA
Practice address
888 Tara Blvd
Ste. E
Baton Rouge, LA 70806-7818
Phone
(225) 926-4400
Fax
(225) 926-4409
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 02425R LA Primary

Addresses

Primary practice location

888 Tara Blvd
Ste. E
Baton Rouge, LA 70806-7818

Mailing address

888 Tara Blvd
Ste. E
Baton Rouge, LA 70806-7818
Phone (225) 926-4400

Other identifiers 1

IdentifierTypeStateIssuer
1481670MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170511002036 LA Practitioner - Pediatric Medicine 9032496468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12351 Industriplex Blvd
Baton Rouge, LA 70809-5125
Phone (225) 926-4400

7373 Perkins Rd
Baton Rouge, LA 70808-4326
Phone (225) 246-9790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
02425RLAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Apr 22, 2017 Accepting new patients
Baton Rouge Clinic, a Medical Corporation Pediatrics CurrentSince Apr 22, 2017 Accepting new patients

Locations

12351 Industriplex Blvd
Baton Rouge, LA 70809
Phone (225) 926-4400

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710917356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 TARA BLVD",
            "address_2": "STE. E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067818",
            "telephone_number": "225-926-4400",
            "fax_number": "225-926-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 TARA BLVD",
            "address_2": "STE. E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067818",
            "telephone_number": "225-926-4400",
            "fax_number": "225-926-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZENBURG",
        "first_name": "GEORGE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "02425R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1481670",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.