MADISON BRYANT CORLEY


Address: 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794
Phone: 2257660050

MADISON BRYANT CORLEY (NPI# 1083067235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083067235
Entity Type Individual
Full Name MADISON BRYANT CORLEY
Credential PA
Practice Address 7301 Hennessy Blvd Ste 200
Baton Rouge
LA 70808-4794
Mailing Address Po Box 98035
Baton Rouge
LA 70898-9035
Practice Telephone 2257660050
Enumeration Date 2016-07-22
Last Update Date 2019-12-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 302201 LA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
180 W Esplanade Ave, Kenner, LA 700652467 5044688600 5044648538

Office Location

Street Address 7301 HENNESSY BLVD STE 200
City BATON ROUGE
State LA
Zip Code 70808-4794

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376860148 Mark Tyson Garon Orthopaedic Surgery 7301 Hennessy Blvd Ste 200, Department of Orthopedics, Baton Rouge, LA 70808-4794 2010-05-03
1770191405 Claire Roethele Physician Assistant 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2020-07-20
1780240747 Trevor Moll Physical Therapist 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2019-05-15
1588129324 Matthew Choice Specialist/Technologist 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2019-02-06
1912487000 Jerrica Elizabeth Watson Physician Assistant 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2018-08-17
1447705835 Patrick Arcement Physician Assistant 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2016-08-16
1912316613 Deborah Smith Nurse Practitioner 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2014-08-06
1831431626 Matthew Neumann Physical Medicine & Rehabilitation 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808 2013-03-20
1598055055 Mathew Mazoch Orthopaedic Surgery 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2011-04-18
1295025138 Julie Ann Neumann Orthopaedic Surgery 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808-4794 2011-04-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790313161 Leah Michelle Dlugolecki Student in an Organized Health Care Education/Training Program Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 2020-03-31
1003376302 Kristina Pham Student in an Organized Health Care Education/Training Program 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 2019-03-22
1083174486 John Jay Hogan Student in an Organized Health Care Education/Training Program Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 2019-03-21
1033682075 Joseph Bertell Davis Jr. Case Manager/Care Coordinator 2460 College Drive, Baton Rouge, LA 70808 2019-01-02
1508340886 Jennifer Miatech Student in an Organized Health Care Education/Training Program 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 2018-09-21
1700389137 Jenee Robins Case Manager/Care Coordinator 2100 College Dr Apt 159, Baton Rouge, LA 70808 2018-03-12
1952812893 Da Vonna Dents Behavioral Analyst 418 Stoney Creek Ave, Baton Rouge, LA 70808 2017-10-18
1962925669 Katharine Elizabeth Blum Counselor 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 2017-07-25
1801316120 Amie Jackson Social Worker 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 2017-06-27
1235660713 Melissa A Eddy-shelby Student in an Organized Health Care Education/Training Program 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 2017-03-25
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508474958 Katherine Whittington Physician Assistant 778 Albert Hart Dr, Baton Rouge, LA 70808-5805 2020-07-21
1881213254 Sana Badat Physician Assistant 18406 Cedar Line Dr, Baton Rouge, LA 70817-4263 2020-04-15
1770116022 Auxilio Surgical Solutions Ras, LLC Physician Assistant 140 Valhalla Blvd, Baton Rouge, LA 70810-3649 2020-02-14
1861025116 Auxilio Surgical Solutions Crb, LLC Physician Assistant 2621 Cedar Lodge Dr, Baton Rouge, LA 70809-1058 2020-02-14
1154988186 Michael Chafin Dugas Physician Assistant 17000 Medical Center Dr # 70816, Baton Rouge, LA 70816-3246 2019-05-24
1700399037 Louisana Em-i Medical Services A Medical Corporation Physician Assistant 501 Louisiana Ave, Baton Rouge, LA 70802-5921 2017-11-08
1376052514 Shanna Evans Physician Assistant 18303 Perkins Rd E Ste 304, Baton Rouge, LA 70810-3939 2017-09-20
1336668425 Gregory Scott Miller Physician Assistant 8751 Sullivan Rd, Baton Rouge, LA 70818-6014 2017-09-11
1982121141 Matthew Stephen Chappellie Physician Assistant 8585 Picardy Ave Ste 518, Baton Rouge, LA 70809-3748 2017-08-28
1245751569 Megan Stabiler Schmitt Physician Assistant 12525 Perkins Rd Ste B, Baton Rouge, LA 70810-1907 2017-06-28
Find all providers in BATON ROUGE

Competitor

Search similar providers

City BATON ROUGE
Zip Code 70808

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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