Organization Active NPI

Michael W Dupre, M.D., LLC

  • Specialist
  • Baton Rouge, LA
National Provider Identifier
1750691341
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD.022121 Issued in LA
Legal business name
MICHAEL W DUPRE, M.D., LLC
Practice address
8595 Picardy Avenue
Baton Rouge, LA 70809-3670
Phone
(225) 819-1186
Fax
(225) 819-1139
NPI assigned
Oct 15, 2010
Last updated
Mar 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Dr. Michael W Dupre, M.D.NPI 1902961071
Title
Doctor
Phone
(225) 755-3070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MD.022121 LA Primary
Preferred Provider Organization 305R00000X 022121 LA

Addresses

Primary practice location

8595 Picardy Avenue
Baton Rouge, LA 70809-3670

Mailing address

P.O. Box 85168
Baton Rouge, LA 70816-0000
Phone (225) 819-1186

National Provider Directory

National Provider Directory

Locations

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17610/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1750691341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 85168",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160000",
            "telephone_number": "225-819-1186",
            "fax_number": "225-819-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 PICARDY AVENUE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093670",
            "telephone_number": "225-819-1186",
            "fax_number": "225-819-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W DUPRE, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "DUPRE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "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": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD.022121",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "022121",
            "primary": false
        }
    ],
    "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 Mar 16, 2012; 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.