Blue Bayou Services Group Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

06583R Issued in LA

Legal business name

BLUE BAYOU SERVICES GROUP INC

Practice address

6221 S Claiborne Ave
Ste B614
New Orleans, LA 70125-4142

Phone

(504) 339-2302

NPI assigned

Feb 16, 2010

Last updated

Feb 16, 2010By 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

Kenneth J Manas

Title

Ceo

Phone

(504) 339-2302

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1821310020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 S CLAIBORNE AVE",
            "address_2": "STE B614",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701254142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 S CLAIBORNE AVE",
            "address_2": "STE B614",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701254142",
            "telephone_number": "504-339-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE BAYOU SERVICES GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "MANAS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-339-2302"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "06583R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Bloomfield
• Alia Blossomgame
• Catherine Blouin, CRNA
• Kulicia Hubbard Blount, RN,BSN
• Leah Michelle Blowes, MD
• Blue Link Transportation LLC
• Aalliyah Natalia Lanae Blue
• Sydney A Blue
• Tyrie Damon Blue Sr.
• Gabriella Bluett-Mills, MD

• Gastroenterology Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Gastroenterology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.