Organization Active NPI

Phillip P Crace MD Facs

  • Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1801263926
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD206664 Issued in LA
Legal business name
PHILLIP P CRACE MD FACS
Practice address
10440 Hooper Rd
Baton Rouge, LA 70818-3203
Phone
(225) 930-0060
Fax
(225) 952-9075
NPI assigned
Aug 24, 2015
Last updated
Aug 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Dr. Phillip P Crace, MD
Title
Owner/MD
Phone
(225) 930-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD206664 LA Primary

Addresses

Primary practice location

10440 Hooper Rd
Baton Rouge, LA 70818-3203

Mailing address

PO Box 14149
Baton Rouge, LA 70898-4149
Phone (225) 930-0060

Other identifiers 1

IdentifierTypeStateIssuer
2351389MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1801263926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14149",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708984149",
            "telephone_number": "225-930-0060",
            "fax_number": "225-952-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 HOOPER RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708183203",
            "telephone_number": "225-930-0060",
            "fax_number": "225-952-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP P CRACE MD FACS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "CRACE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "225-930-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD206664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2351389",
            "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 Aug 26, 2015; 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.