CAPITAL CITY MEDICAL GROUP, L.L.C. (NPI# 1144522855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144522855 |
| Entity Type | Organization |
| Organization Name | CAPITAL CITY MEDICAL GROUP, L.L.C. |
| Other Organization Name | PRIMARY CARE PLUS |
| Practice Address |
2645 Oneal Ln Baton Rouge LA 70816-3179 |
| Mailing Address |
3838 N Causeway Blvd Suite 2200 Metairie LA 70002-8194 |
| Practice Telephone | 2259267200 |
| Practice Fax Number | 2257062182 |
| Mailing Telephone | 5046818259 |
| Mailing Fax Number | 5046818260 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | MR. PETER ALDEN KELLOGG (ASSOCIATE GENERAL COUNSEL) |
| Authorized Official Telephone | 5046818532 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Primary Care Plus | Doing Business As Name - Organization |
| Street Address |
2645 ONEAL LN |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-3179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497793798 | Baton Rouge Homecare, LLC | Home Health | 2645 Oneal Ln, Building B, Ste C, Baton Rouge, LA 70816-3179 | 2006-06-02 |
| 1699139329 | The Grove of La, LLC | Counselor | 2645 Oneal Ln, Building C, Suite C, Baton Rouge, LA 70816-3179 | 2016-04-08 |
| 1013274901 | Denise Amie Thibodeaux | Counselor | 2645 Oneal Ln, Bldg. C, Ste. C, Baton Rouge, LA 70816-3179 | 2012-04-16 |
| 1902936925 | Phillip Henry Ehlers | Family Medicine | 2645 Oneal Ln, Bldg D, Baton Rouge, LA 70816-3179 | 2007-03-07 |
| 1366507766 | Nicholas James Doll | Specialist | 2645 Oneal Ln, Bldg D, Baton Rouge, LA 70816-3179 | 2006-12-26 |
| 1699830539 | Michael Paul Guarisco | Specialist | 2645 Oneal Ln, Bldg D, Baton Rouge, LA 70816-3179 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581305 | Ochsner Clinic LLC | Internal Medicine | 10150 Bluebonnet Blvd, Baton Rouge, LA 70810-7131 | 2020-06-08 |
| 1417583428 | Garbutt Medical LLC | Internal Medicine | 9373 Barringer Foreman Rd Bldg 2, Baton Rouge, LA 70809-5716 | 2020-03-21 |
| 1437784907 | Affinity Health Group, LLC | Internal Medicine | 13348 Coursey Blvd, Baton Rouge, LA 70816-4970 | 2020-03-05 |
| 1881121770 | Manish Mishra | Internal Medicine | 4550 Government St, Baton Rouge, LA 70806-5817 | 2017-05-22 |
| 1750822540 | Live Oak Aesthetics and Wellness | Internal Medicine | 8225 Ymca Plaza Dr, Baton Rouge, LA 70810-0922 | 2017-03-14 |
| 1467814004 | Rajendra Boyilla | Internal Medicine | 7807 N Jefferson Place Cir, Baton Rouge, LA 70809-8632 | 2016-03-23 |
| 1063884047 | Lourdes Rodriguez | Internal Medicine | 5428 O’ Donovan Dr, Ste C, Baton Rouge, LA 70808 | 2015-10-29 |
| 1467846428 | Mary Catherine Gaston | Internal Medicine | 755 Highland Park Dr, Baton Rouge, LA 70808-5644 | 2015-03-26 |
| 1174917652 | Eric Frusha | Internal Medicine | 8585 Picardy Ave Ste 410, Baton Rouge, LA 70809-3749 | 2015-03-24 |
| 1114356979 | Baton Rouge General Primary Care, LLC | Internal Medicine | 5353 Florida Blvd, Baton Rouge, LA 70806-4130 | 2013-11-02 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
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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.