JYOTI S PHAM (NPI# 1093704181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093704181 |
| Entity Type | Individual |
| Full Name | JYOTI S PHAM |
| Credential | MD |
| Practice Address |
10101 Park Rowe Ave Suite 200 Baton Rouge LA 70810-1686 |
| Mailing Address |
Po Box 98509 Baton Rouge LA 70884-9509 |
| Practice Telephone | 2257692200 |
| Practice Fax Number | 2257682185 |
| Mailing Telephone | 2257692200 |
| Mailing Fax Number | 2257682185 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
200029 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1621803 | 05 |
| Street Address |
10101 PARK ROWE AVE SUITE 200 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013902766 | Thomas B Flynn | Neurological Surgery | 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810-1686 | 2005-09-19 |
| 1316560436 | Omega Neuromonitoring | Clinic/Center | 10101 Park Rowe Ave, Baton Rouge, LA 70810-1686 | 2020-05-22 |
| 1295288942 | Alexandra K. Rau | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810 | 2016-07-29 |
| 1386099224 | Daniel Long | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2016-04-28 |
| 1992150817 | Amanda L Bucher | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2016-04-28 |
| 1871950659 | Laura D. Ostermiller | Nurse Practitioner | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2016-01-25 |
| 1366818478 | Tiffany Vincent | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2015-08-12 |
| 1528462215 | Amanda Hedges | Physical Therapist | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2014-10-09 |
| 1568864015 | Emily Lanier | Physician Assistant | 10101 Park Rowe Ave, Ste, 200, Baton Rouge, LA 70810 | 2014-09-16 |
| 1215354642 | Brooke Cole | Psychologist | 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810-1686 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962636597 | Bayou Physical Medicine, Inc. | Physical Medicine & Rehabilitation | 12038 Lake Sherwood Ave N, Baton Rouge, LA 70816-4341 | 2009-05-11 |
| 1417167750 | Markus Vattakattil John | Physical Medicine & Rehabilitation | 4021 We Heck Ct, Building M-1, Baton Rouge, LA 70816-0416 | 2007-05-23 |
| 1831431626 | Matthew Neumann | Physical Medicine & Rehabilitation | 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808 | 2013-03-20 |
| 1952676785 | Hamed, LLC | Physical Medicine & Rehabilitation | 8108 Picardy Ave, Suite C, Baton Rouge, LA 70809-3514 | 2012-03-12 |
| 1821044025 | Gregory Ward | Physical Medicine & Rehabilitation | 8338 Summa Ave, Suite 500, Baton Rouge, LA 70809-3669 | 2006-05-26 |
| 1780637223 | Louisiana Institute of Physical Medicine & Family Practice | Physical Medicine & Rehabilitation | 8338 Summa Ave, Ste 500, Baton Rouge, LA 70809-3669 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736343 | David S Vaughan | Physical Medicine & Rehabilitation | 3926 Barron St Ste C210, Metairie, LA 70002-5798 | 2020-07-02 |
| 1184196784 | Evan Phillips | Physical Medicine & Rehabilitation | 1103 Kaliste Saloom Rd Ste 100&102, Lafayette, LA 70508-5783 | 2018-12-19 |
| 1093236283 | Spine Management Group, LLC | Physical Medicine & Rehabilitation | 4600 S Claiborne Ave Ste 100, New Orleans, LA 70125-5010 | 2017-06-28 |
| 1467808519 | Healthspere Management Group | Physical Medicine & Rehabilitation | 872 Behrman Hwy, Gretna, LA 70056-4546 | 2016-05-09 |
| 1144568320 | Rees Medical Services, LLC | Physical Medicine & Rehabilitation | 1211 Coolidge Blvd Ste 401, Lafayette, LA 70503-2638 | 2013-01-23 |
| 1386807444 | Axcess Medical Clinic, Inc | Physical Medicine & Rehabilitation | 524 Elmwood Park Blvd, Suite 100, Harahan, LA 70123-3339 | 2008-07-08 |
| 1124298344 | Satvik Bhargav Munshi | Physical Medicine & Rehabilitation | 3820 Lapalco Blvd, Harvey, LA 70058 | 2008-03-04 |
| 1437263522 | Omni Pain Management, LLC | Physical Medicine & Rehabilitation | 2701 David Dr, Suite A, Metairie, LA 70003-4511 | 2006-08-18 |
| 1558475806 | Stat Care Pain Management, LLC | Physical Medicine & Rehabilitation | 807 Stubb St., Suite 1, Monroe, LA 71201 | 2006-08-17 |
| 1811900459 | Omni Paim Management Plus, LLC | Physical Medicine & Rehabilitation | 700 Gause Blvd Ste 101, Slidell, LA 70458-2852 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
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| 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.