Spine Diagnostic Center of Baton Rouge, Inc a Professional Medical Cor

Primary specialty

SpecialistTaxonomy code 174400000X

License

17228 Issued in LA

Legal business name

SPINE DIAGNOSTIC CENTER OF BATON ROUGE, INC A PROFESSIONAL MEDICAL COR

Practice address

5408 Flanders Dr
Baton Rouge, LA 70808-9168

Phone

(225) 769-5554

Fax

(225) 769-3334

NPI assigned

Jun 28, 2006

Organization subpart

No

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

Authorized official

Name

Danette Taylor Cargil

Title

Operations Manager

Phone

(225) 769-1786

Specialties & licenses 1

Addresses

Other names 1

• The Spine Diagnostic and Pain Treatment Center Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Braswell, M.D.

  • Interventional Pain Medicine Physician
  • Baton Rouge, LA
  • NPI 1164493458
  Medicare reassignment Care Compare group NPD
• Garret John Brooks, NP

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1306119029
  Medicare reassignment Care Compare group NPD
• Eric Thomas Fincke, MD

  • Physical Medicine & Rehabilitation Physician
  • New Orleans, LA
  • NPI 1558820753
  Medicare reassignment Care Compare group NPD
• Sean K Graham, M.D.

  • Interventional Pain Medicine Physician
  • Baton Rouge, LA
  • NPI 1982894598
  Medicare reassignment Care Compare group NPD
• Jihad G Jiha, M.D.

  • Interventional Pain Medicine Physician
  • Baton Rouge, LA
  • NPI 1114997723
  Medicare reassignment Care Compare group NPD
• Amy L. Miller, FNP

  • Family Nurse Practitioner
  • Walker, LA
  • NPI 1851900385
  Medicare reassignment Care Compare group NPD
• Joseph W Turnipseed, M.D.

  • Interventional Pain Medicine Physician
  • Baton Rouge, LA
  • NPI 1922079201
  Medicare reassignment Care Compare group NPD
• Paulla Danielle Brouillette, PA

  • Physician Assistant
  • Baton Rouge, LA
  • NPI 1013173343
  Medicare reassignment Care Compare group
• William Lee, MD

  • Physical Medicine & Rehabilitation Physician
  • Metairie, LA
  • NPI 1174082358
  Medicare reassignment Care Compare group
• Kari Trahan Reeves, PA-C

  • Physician Assistant
  • Baton Rouge, LA
  • NPI 1649507757
  Medicare reassignment Care Compare group
• Allison Gray Walker, PA - C

  • Interventional Pain Medicine Physician
  • Baton Rouge, LA
  • NPI 1427028042
  Medicare reassignment Care Compare group
• John Michael Burdine, MD

  • Interventional Pain Medicine Physician
  • Baton Rouge, LA
  • NPI 1225000649
  Medicare reassignment NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1790712214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84128",
            "address_2": "10523 N OAK HILL PKWY STE. B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708844128",
            "telephone_number": "225-769-1786",
            "fax_number": "225-769-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 FLANDERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089168",
            "telephone_number": "225-769-5554",
            "fax_number": "225-769-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE DIAGNOSTIC CENTER OF BATON ROUGE, INC A PROFESSIONAL MEDICAL COR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "CARGIL",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "225-769-1786"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "17228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spine Diagnostic and Pain Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Spine Diagnostic and Pain Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spinal Solutions, LLC
• Spine and Body LLC
• Spine Center, LLC
• Spine Cin of Baton Rouge LLC
• Spine Clinic of Baton Rouge
• Spine Specialists of Louisiana, L.L.C.
• Spinemark Baton Rouge Clinic LLC
• Spinemark Baton Rouge, LLC
• Shaun R Spinks, M.D.
• Madelene Stepter Spinner, MSW, LCSW,C-SSWS

• Specialist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.