Organization Active NPI

Taaj, LLC

  • Hospitalist Physician
  • Bossier City, LA
National Provider Identifier
1730068073
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
TAAJ, LLC
Practice address
2525 Viking Dr
Bossier City, LA 71111-2103
Phone
(318) 841-2525
NPI assigned
Aug 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Authorized official

Name
Mary Glasgow
Title
Credentialing
Phone
(469) 640-4264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

2525 Viking Dr
Bossier City, LA 71111-2103

Mailing address

PO Box 19022
Shreveport, LA 71149-0022
Phone (469) 640-4264

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250913000776 LA Part B Supplier - Clinic/Group Practice 7618470725 Receives reassigned benefits from 1 practitioner
Practice locations: Bossier City, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1730068073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19022",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711490022",
            "telephone_number": "469-640-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 VIKING DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112103",
            "telephone_number": "318-841-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAAJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-30",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "GLASGOW",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "469-640-4264"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.