Organization Active NPI

Mastology Center, Inc

  • Surgical Oncology Physician
  • Baton Rouge, LA
National Provider Identifier
1730264201
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
3326R Issued in LA
Legal business name
MASTOLOGY CENTER, INC
Practice address
541 Shadows LN Ste C
Baton Rouge, LA 70806-6559
Phone
(225) 755-3070
Fax
(225) 755-3085
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Dr. Robert Lange Elliott, M.D.
Title
Doctor
Phone
(225) 755-3070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X 3326R LA Primary

Addresses

Primary practice location

541 Shadows LN Ste C
Baton Rouge, LA 70806-6559

Mailing address

541 Shadows LN Ste C
Baton Rouge, LA 70806-6559
Phone (225) 755-3070

National Provider Directory

National Provider Directory

Locations

17050 Medical Center Dr
Fl 4
Baton Rouge, LA 70816
Phone (225) 755-3070

Practitioners & affiliated clinicians

Practitioners 2

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1730264201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SHADOWS LN STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066559",
            "telephone_number": "225-755-3070",
            "fax_number": "225-755-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SHADOWS LN STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066559",
            "telephone_number": "225-755-3070",
            "fax_number": "225-755-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTOLOGY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LANGE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "225-755-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "LA",
            "license": "3326R",
            "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 24, 2020; 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.