Louisiana Stat Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LOUISIANA STAT CARE LLC

Doing business as

LOUISIANA STAT CARE PCP

Practice address

11055 Shoe Creek Dr
Baton Rouge, LA 70818-4022

Phone

(225) 261-4493

Fax

(866) 657-2791

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Norman Glen Neal, MDNPI 1821089822

Title

MD

Phone

(504) 909-0193

Specialties & licenses 1

Addresses

Other names 1

• LOUISIANA STAT CARE PCP Doing business as

Practitioners 1

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

• Norman Glen Neal, MD

  • Internal Medicine Physician
  • Harahan, LA
  • NPI 1821089822
  NPD Authorized official

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1922815240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 SHOE CREEK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184022",
            "telephone_number": "225-261-4493",
            "fax_number": "866-657-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 SHOE CREEK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184022",
            "telephone_number": "225-261-4493",
            "fax_number": "866-657-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA STAT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "504-909-0193",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOUISIANA STAT CARE PCP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louisiana School for the Deaf
• Louisiana School for the Deaf
• Louisiana School for the Visually Impaired
• Louisiana Sleep Foundation, LLC
• Louisiana Stat Care LLC
• Louisiana State Psychiatry LLC
• Louisiana State Univ Students Health Ctr
• Louisiana State University
• Louisiana State University
• Louisiana State University and a & M College Student Health Center

• General Practice Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.