Organization Active NPI

Novamed Surgery Center of Baton Rouge LLC

Doing business as Interventional Pain Management Center

  • Ambulatory Surgical Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1891772547
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
140 Issued in LA
Legal business name
NOVAMED SURGERY CENTER OF BATON ROUGE LLC
Doing business as
Interventional Pain Management Center
Practice address
8748 Bluebonnet Blvd
Baton Rouge, LA 70810-2817
Phone
(225) 329-2900
Fax
(225) 329-2901
NPI assigned
Dec 23, 2005
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 140 LA Primary

Addresses

Primary practice location

8748 Bluebonnet Blvd
Baton Rouge, LA 70810-2817

Mailing address

8748 Bluebonnet Blvd
Baton Rouge, LA 70810-2817
Phone (225) 329-2900

Other names 1

  • Interventional Pain Management Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080827000357 LA Part B Supplier - Ambulatory Surgical Center 3678649688 Practice locations: Baton Rouge, LA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Novamed Surgery Center of Baton Rouge LLCCCN 19C0001098
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1030911Interventional Pain Management Center8748 Bluebonnet Blvd, Baton Rouge, LA 70810Certificate of waiverSep 20, 2026

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5352 Reliable Pkwy
Chicago, IL 60686

865352 Reliable Pkwy
Chicago, IL 60686

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1891772547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8748 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102817",
            "telephone_number": "225-329-2900",
            "fax_number": "225-329-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8748 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102817",
            "telephone_number": "225-329-2900",
            "fax_number": "225-329-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAMED SURGERY CENTER OF BATON ROUGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5900"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "LA",
            "license": "140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Pain Management Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interventional Pain Management Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 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.