Organization Active NPI

Live Oak Aesthetics and Wellness

  • Internal Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1750822540
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LIVE OAK AESTHETICS AND WELLNESS
Practice address
8225 YMCA Plaza Dr
Baton Rouge, LA 70810-0922
Phone
(225) 937-4086
Fax
(225) 791-2167
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Elizabeth M Jones
Title
Office Manager
Phone
(225) 456-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X LA Primary

Addresses

Primary practice location

8225 YMCA Plaza Dr
Baton Rouge, LA 70810-0922

Mailing address

8225 YMCA Plaza Dr
Baton Rouge, LA 70810-0922
Phone (225) 937-4086

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1750822540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 YMCA PLAZA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100922",
            "telephone_number": "225-937-4086",
            "fax_number": "225-791-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 YMCA PLAZA DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100922",
            "telephone_number": "225-937-4086",
            "fax_number": "225-791-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE OAK AESTHETICS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-456-2300"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": null,
            "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 Apr 1, 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.