Organization Active NPI

Critical Care Medicine Services

  • Critical Care Medicine (Internal Medicine) Physician
  • Baton Rouge, LA
National Provider Identifier
1780872804
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
CRITICAL CARE MEDICINE SERVICES
Practice address
7777 Hennessy Blvd
Suite 701
Baton Rouge, LA 70808-4300
Phone
(225) 769-5864
NPI assigned
Oct 15, 2007
Last updated
May 19, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
OUR LADY OF THE LAKE HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Tamara White
Title
Director of Business Services
Phone
(225) 765-4251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Suite 701
Baton Rouge, LA 70808-4300

Mailing address

7777 Hennessy Blvd
Suite 701
Baton Rouge, LA 70808-4300
Phone (225) 769-5864

Other identifiers 1

IdentifierTypeStateIssuer
1023604MedicaidLA

National Provider Directory

National Provider Directory
Part of
Michael P McCarthy MD

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7777 Hennessy Blvd
Ste 101
Baton Rouge, LA 70808
Phone (225) 765-4353

Practitioners & affiliated clinicians

Practitioners 8

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": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1780872804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 701",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-769-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 701",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-769-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITICAL CARE MEDICINE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF THE LAKE HOSPITAL, INC.",
        "enumeration_date": "2007-10-15",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "DIRECTOR OF  BUSINESS SERVICES",
        "authorized_official_telephone_number": "225-765-4251"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023604",
            "state": "LA"
        }
    ],
    "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 May 19, 2011; 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.