Fertile Crescent Pediatrics, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

023350 Issued in LA

Legal business name

FERTILE CRESCENT PEDIATRICS, LLC

Practice address

730 Colonial Dr
Suite B
Baton Rouge, LA 70806-6536

Phone

(225) 924-7343

Fax

(225) 924-7347

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brian Despinasse II, M.D.

Title

Ceo

Phone

(225) 924-7343

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1902131667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 COLONIAL DR",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066536",
            "telephone_number": "225-924-7343",
            "fax_number": "225-924-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 COLONIAL DR",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066536",
            "telephone_number": "225-924-7343",
            "fax_number": "225-924-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILE CRESCENT PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "DESPINASSE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-924-7343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "023350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490903",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory F Ferrara, M.D.
• Aimee Bergeron Ferrell, MD
• James Robert Ferrer, MD
• Colby Ferrington, PA-C
• Rebecca A Ferron
• Fertility Answers Lab, LLC
• Katie Fetzer, PHD, LPC-S
• Emilie Fiandt
• Fidelity First Health Care Services, LLC
• Caitlin Craddock Field, PA-C

• Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.