DIAGNOSTIC AND INTERVENTIONAL MEDICINE, LLC (NPI# 1164811881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164811881 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC AND INTERVENTIONAL MEDICINE, LLC |
| Practice Address |
15475 Airline Hwy Bldg C Baton Rouge LA 70817-7314 |
| Practice Telephone | 2254082820 |
| Practice Fax Number | 2254082829 |
| Mailing Telephone | 2254082820 |
| Mailing Fax Number | 2254082829 |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2019-11-06 |
| Authorized Official Name | DR. JEREMY ALLEN COMEAUX SR. (DOCTOR/ OWNER) |
| Authorized Official Telephone | 2254082820 |
| Authorized Official Credential | M.D., LLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD204025 | LA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9828 Barrow St, Saint Francisville, LA 707754501 | 2254082820 | 2254082829 |
| Street Address |
15475 AIRLINE HWY BLDG C |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817-7314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588834410 | Jeremy Allen Comeaux Sr. | Physical Medicine & Rehabilitation | 15475 Airline Hwy, Bldg C, Baton Rouge, LA 70817-7314 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801369855 | Juequita Lashawn Wicker | Specialist | 3180 Convention St Ste B, Baton Rouge, LA 70806-3711 | 2019-01-02 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1760905814 | Ashley Danielle Taylor | Specialist | 1555 Cottondale Dr, Baton Rouge, LA 70815-4162 | 2017-07-20 |
| 1982054722 | Baton Rouge Community College | Specialist | 201 Community College Dr, Veterinary Technology Program, Baton Rouge, LA 70806-4156 | 2016-06-13 |
| 1275919458 | Patricia Stevens | Specialist | 6009 Wright Dr, Baton Rouge, LA 70812-2358 | 2015-08-10 |
| 1326420803 | Monica Cooney | Specialist | 1500 Lobdell Ave Ste A, Baton Rouge, LA 70806 | 2015-06-22 |
| 1124417373 | Robert J Nicholson Jr. | Specialist | 7749 Sevenoaks Ave, Baton Rouge, LA 70806-7652 | 2015-01-12 |
| 1962830489 | Tracey Ransome | Specialist | 4328 Government St, Baton Rouge, LA 70806-5813 | 2013-10-18 |
| 1427493253 | Premium United Care | Specialist | 2925 Tradition Ave, Baton Rouge, LA 70810-0336 | 2013-05-07 |
| 1710225016 | Michelle Fraternali | Specialist | 2355 Oleander St, Baton Rouge, LA 70806-5328 | 2013-01-21 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
Please comment or provide details below to improve the information on DIAGNOSTIC AND INTERVENTIONAL MEDICINE, LLC.
| 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.