BENJAMIN GLENN KIDDER JR. (NPI# 1114259975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114259975 |
| Entity Type | Individual |
| Full Name | BENJAMIN GLENN KIDDER JR. |
| Credential | MD |
| Practice Address |
10101 Park Rowe Ave Ste 200 Baton Rouge LA 70810-1685 |
| 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 | 2010-02-04 |
| Last Update Date | 2010-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
203585 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
10101 PARK ROWE AVE STE 200 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-1685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113980 | Vickie Sue Rice | Physician Assistant | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2005-06-09 |
| 1629675228 | Sara Hope Hutchinson | Physician Assistant | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2020-10-06 |
| 1821630567 | Jennifer D. Little | Nurse Practitioner | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2019-10-15 |
| 1861041667 | Therese M. Curley | Physician Assistant | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2019-09-05 |
| 1265089221 | Kelsey R. Rutherford | Nurse Practitioner | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2019-08-23 |
| 1659867380 | Sarah Elizabeth O'neil | Physician Assistant | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2018-07-05 |
| 1912490020 | Sarah E. Hammonds | Physician Assistant | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2018-06-13 |
| 1265921589 | Erin Sharpe Spangler | Nurse Practitioner | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2018-05-02 |
| 1508353467 | Pamela W. Thrower | Physical Therapist | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2018-04-17 |
| 1144748666 | Valarie A. Comeau | Physician Assistant | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2017-09-05 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114973948 | New Orleans Physicians On-call, Inc. | Psychiatry & Neurology | 11550 Southfork Ave, Suite 113, Baton Rouge, LA 70816-2258 | 2006-05-25 |
| 1245229459 | Kevin J Callerame | Psychiatry & Neurology | 5427 Didesse Drive, Baton Rouge, LA 70808 | 2005-10-19 |
| 1073501219 | Christopher D Phillips | Psychiatry & Neurology | 6555 Perkins Rd, Suite 300, Baton Rouge, LA 70808-4237 | 2005-10-12 |
| 1407843915 | Richard Hugh Gold | Psychiatry & Neurology | 17754 Crossing Blvd, Baton Rouge, LA 70810-3839 | 2005-09-29 |
| 1316948151 | Charlotte A Hollman | Psychiatry & Neurology | 7373 Perkins Road, Baton Rouge, LA 70808 | 2005-08-02 |
| 1588076665 | Yuvraj Singh Heir | Psychiatry & Neurology | 5247 Didesse Dr, Baton Rouge, LA 70808 | 2014-05-23 |
| 1205255254 | Gary J. Walker | Psychiatry & Neurology | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2014-04-07 |
| 1093079444 | Kuldeep V. Patel | Psychiatry & Neurology | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2012-06-29 |
| 1982993655 | Pedro Oliveira | Psychiatry & Neurology | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2011-04-04 |
| 1417197989 | Phillips Neurological Institute, LLC | Psychiatry & Neurology | 6555 Perkins Rd, Suite 300, Baton Rouge, LA 70808-4237 | 2009-02-24 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on BENJAMIN GLENN KIDDER JR..
| 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.