Jon G Traxler, MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

09944R Issued in LA

Legal business name

JON G TRAXLER, MD LLC

Doing business as

Job G Traxler, MD

Practice address

8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827

Phone

(225) 767-7200

Fax

(225) 767-7386

NPI assigned

Feb 14, 2012

Organization subpart

No

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

Authorized official

Name

Jon G Traxler, MD

Title

Owner

Phone

(225) 767-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Job G Traxler, MD Doing business as

Locations

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1861765364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-767-7200",
            "fax_number": "225-767-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-767-7200",
            "fax_number": "225-767-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON G TRAXLER, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "TRAXLER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-767-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "09944R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1971138",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Job G Traxler, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Dawson Jolibois, FNP
• Lionel Jolla, LMSW
• Tiffany Wendling Jolliff, R.T.(R)
• Angelle Leger Jolly, MD
• Larue H Jolly, LCSW
• Jon V. Schellack, M.D. (a Professional Medical Corporation)
• Larry A Jonas, PT
• Cheryl Lytra Jones Conner, LPN
• Jones-Antoine Enterprises Company,LLC
• Lisa Darnell Jones-Johnson, LPN

• 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 Feb 14, 2012; 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.