Bayou Imaging & Interventions, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

200722 Issued in LA

Legal business name

BAYOU IMAGING & INTERVENTIONS, LLC

Practice address

708 N Ashley Ridge Loop
Shreveport, LA 71106

Phone

(318) 798-4539

Fax

(318) 798-4601

NPI assigned

Apr 5, 2013

Last updated

Mar 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ginger Auer Black, MD

Title

MD/Owner

Phone

(318) 210-3315

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ginger Auer-Baker, M.D.

  • Diagnostic Radiology Physician
  • Shreveport, LA
  • NPI 1174569412
  Medicare reassignment NPD
• Brian Sterling Dupree, MD

  • Diagnostic Radiology Physician
  • Shreveport, LA
  • NPI 1275780447
  Medicare reassignment NPD

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1992048177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 N ASHLEY RIDGE LOOP",
            "address_2": "#400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71106",
            "telephone_number": "318-798-4539",
            "fax_number": "318-798-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N ASHLEY RIDGE LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71106",
            "telephone_number": "318-798-4539",
            "fax_number": "318-798-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU IMAGING & INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "AUER",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "318-210-3315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "200722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2411187",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lane Baxter, LPC-S, LMFT, NCC
• Sheila Giles Baxter, LPC LMFT
• Robert Baye, PA-C
• Ryan Bayless
• Bayou Care Services LLC
• Bayou Sleep MD LLC
• Bayou State Therapy
• Be You Outreach Center
• Karen Beabout, PA-C, MPAS
• Benjamin Ames Beach, D.D.S.

• Diagnostic Radiology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.