Organization Active NPI

Tamiko Mayo MD

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1851348577
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TAMIKO MAYO MD
Practice address
3401 North Blvd
Suite 360
Baton Rouge, LA 70806-3743
Phone
(225) 381-2712
Fax
(225) 381-2715
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Christopher Mayo
Title
Manager
Phone
(225) 381-2712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3401 North Blvd
Suite 360
Baton Rouge, LA 70806-3743

Mailing address

PO Box 82109
Baton Rouge, LA 70884-2109
Phone (225) 381-2712

Other identifiers 1

IdentifierTypeStateIssuer
1576565MedicaidLA

National Provider Directory

National Provider Directory

Locations

3401 North Blvd
Ste 360
Baton Rouge, LA 70806
Phone (225) 381-2712

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1851348577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82109",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708842109",
            "telephone_number": "225-381-2712",
            "fax_number": "225-381-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 NORTH BLVD",
            "address_2": "SUITE 360",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063743",
            "telephone_number": "225-381-2712",
            "fax_number": "225-381-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMIKO MAYO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-381-2712"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1576565",
            "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 Oct 16, 2007; 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.