Louisiana Institute of Physical Medicine & Family Practice

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

08510R Issued in LA

Legal business name

LOUISIANA INSTITUTE OF PHYSICAL MEDICINE & FAMILY PRACTICE

Practice address

8338 Summa Ave
Ste 500
Baton Rouge, LA 70809-3669

Phone

(225) 766-1616

Fax

(225) 766-2645

NPI assigned

May 18, 2006

Last updated

May 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Ward, M.D.NPI 1821044025

Title

Provider

Phone

(225) 766-1616

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

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.

• Gregory Ward, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Baton Rouge, LA
  • NPI 1821044025
  Medicare reassignment Care Compare group NPD Authorized official
• Walter Wright Ellis, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Metairie, LA
  • NPI 1174688857
  Medicare reassignment Care Compare group NPD
• Lilia Henriquez, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Metairie, LA
  • NPI 1184276735
  Medicare reassignment Care Compare group NPD
• Kissley Booker, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1467813931
  Medicare reassignment NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1780637223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84330",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70884",
            "telephone_number": "225-766-1616",
            "fax_number": "225-766-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 SUMMA AVE",
            "address_2": "STE 500",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093669",
            "telephone_number": "225-766-1616",
            "fax_number": "225-766-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA INSTITUTE OF PHYSICAL MEDICINE & FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "225-766-1616",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "08510R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS-DEPT OF LABOR",
            "identifier": "174480700",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "G1573",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisiana Home Health of Feliciana, LLC (Ochsner Home Health of Baton Rouge)
• Louisiana Hospice & Palliative Care LLC (Feliciana Hospice and Palliative Care)
• Louisiana Implants and Dentures
• Louisiana Independent Physician Association LLC
• Louisiana Industries for the Disabled, Inc.
• Louisiana Internal Medicine and Pediatric Associates, LLC
• Louisiana Internal Medicine Associates, LLC
• Louisiana Ivf Lab, LLC
• Louisiana Key Academy
• Louisiana Medical Clinic

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.