NPIMap

Organization Active NPI

Mid-City Primary Care Center

  • Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1962879908
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MID-CITY PRIMARY CARE CENTER
Practice address
3844 Convention St
Baton Rouge, LA 70806-3803
Phone
(225) 289-6803
Fax
(225) 289-6483
NPI assigned
Aug 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Authorized official

Name
Dr. Gertrude Chimeka-Anyanwoke, MD
Title
Medial Director
Phone
(225) 289-6803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3844 Convention St
Baton Rouge, LA 70806-3803

Mailing address

3844 Convention St
Baton Rouge, LA 70806-3803
Phone (225) 289-6803

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440460800000",
    "number": "1962879908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 CONVENTION ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063803",
            "telephone_number": "225-289-6803",
            "fax_number": "225-289-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 CONVENTION ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063803",
            "telephone_number": "225-289-6803",
            "fax_number": "225-289-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-CITY PRIMARY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A",
        "authorized_official_last_name": "CHIMEKA-ANYANWOKE",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_title_or_position": "MEDIAL DIRECTOR",
        "authorized_official_telephone_number": "225-289-6803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 25, 2015; 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.