Active NPI
Novamed Surgery Center of Baton Rouge LLC
Doing business as Interventional Pain Management Center
- Ambulatory Surgical Clinic/Center
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 140
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1030911 | Interventional Pain Management Center | Certificate of waiver | Sep 20, 2026 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba The Spine Hospital of Louisiana
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1932204427
Member Of
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1902856891
Member Of
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.
-
- Interventional Pain Medicine Physician
- Baton Rouge, LA
- NPI 1225000649
-
- Interventional Pain Medicine Physician
- Baton Rouge, LA
- NPI 1922079201
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.