Active NPI
Mastology Center, Inc
- Surgical Oncology Physician
- Baton Rouge, LA
National Provider Identifier
1730264201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 3326R
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 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 DirectoryLocations
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.
-
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1477601417
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1770517849
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.