NPIMap

Organization Active NPI

Louisiana Emergency & Trauma Specialists

  • Emergency Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1912937145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
LOUISIANA EMERGENCY & TRAUMA SPECIALISTS
Practice address
3600 Florida Blvd
Baton Rouge, LA 70803
Phone
(225) 387-7000
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert John Dietz
Title
VP Operations
Phone
(225) 756-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

3600 Florida Blvd
Baton Rouge, LA 70803

Mailing address

14141 Airline Hwy
Suite P
Baton Rouge, LA 70817
Phone (225) 756-6900

Other identifiers 1

IdentifierTypeStateIssuer
1444871MedicaidLA

National Provider Directory

National Provider Directory

Locations

14141 Airline Hwy
Ste P
Baton Rouge, LA 70817
Phone (225) 756-6900

Practitioners & affiliated clinicians

Practitioners 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912937145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14141 AIRLINE HWY",
            "address_2": "SUITE P",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70817",
            "telephone_number": "225-756-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70803",
            "telephone_number": "225-387-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA EMERGENCY & TRAUMA SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "225-756-6900"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1444871",
            "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 Aug 22, 2020; 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.