BENJAMIN GLENN KIDDER JR.


Address: 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685
Phone: 2257692200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
203585 LA Allopathic & Osteopathic Physicians

Office Location

Street Address 10101 PARK ROWE AVE STE 200
City BATON ROUGE
State LA
Zip Code 70810-1685

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City BATON ROUGE
Zip Code 70810

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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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