Baton Rouge General Medical Center
Organization Active NPI Hematology & Oncology Physician · Baton Rouge, LA
NPI 1982155867 · NPPES record last updated Jan 9, 2017
Key facts
- NPI
- 1982155867
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- Legal business name
- BATON ROUGE GENERAL MEDICAL CENTER
- Practice address
- 8595 Picardy Ave
Suite 400
Baton Rouge, LA 70809-3670 - Phone
- (225) 767-0822
- NPI assigned
- Oct 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Kendall Johnson
- Title
- VP Cfo
- Phone
- (225) 237-1645
Other NPIs on the same Medicare enrollment 5
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0462758 | Baton Rouge Family Medical Center | Accreditation | Dec 22, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081121000299 | LA | Part B Supplier - Clinic/Group Practice | 4082600077 |
Receives reassigned benefits from 132 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Baton Rouge, LA |
National Provider Directory
Locations
8595 Picardy Ave
Ste 400
Baton Rouge, LA 70809
Phone (225) 333-3800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician |
207RH0003X | Yes |
Addresses
Primary practice location
8595 Picardy Ave
Suite 400
Baton Rouge, LA 70809-3670
Mailing address
8490 Picardy Ave
Baton Rouge, LA 70809-3731
Other names
- Hematology Oncology Clinic
Other providers in Baton Rouge, LA
- Baton Rouge General Medical Center
- Baton Rouge General Medical Center
- Baton Rouge General Medical Center
- Baton Rouge General Medical Center
- Baton Rouge General Medical Center
- Baton Rouge General Medical Center
- Baton Rouge General Physicians Concierge Medicine, LLC
- Baton Rouge General Physicians Hospital Specialists, Inc
- Baton Rouge General Physicians Inc.
- Baton Rouge General Physicians Medical Group, LLC
All providers in Baton Rouge, LA · Hematology & Oncology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.