BATON ROUGE ORTHOTICS & PROSTHETICS (NPI# 1174615314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174615314 |
Entity Type | Organization |
Organization Name | BATON ROUGE ORTHOTICS & PROSTHETICS |
Practice Address |
5745 Essen Ln Suite 102 Baton Rouge LA 70810-1115 |
Mailing Address |
5745 Essen Ln Suite 105 Baton Rouge LA 70810-1115 |
Practice Telephone | 2257676264 |
Practice Fax Number | 2257670311 |
Mailing Telephone | 2257676264 |
Mailing Fax Number | 2257670311 |
Enumeration Date | 2006-09-28 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DAVID W ROBERTSON (PRESIDENT/ OWNER) |
Authorized Official Telephone | 2257676264 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | 400246 | LA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1361143 | 05 |
Street Address |
5745 ESSEN LN SUITE 102 |
City | BATON ROUGE |
State | LA |
Zip Code | 70810-1115 |
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 | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
1831710060 | The Monte' Garcia Salon | Prosthetic/Orthotic Supplier | 10732 S Mall Dr Apt 423, Baton Rouge, LA 70809-4814 | 2020-04-28 |
1033746961 | Orthotic & Prosthetic Solutions LLC | Prosthetic/Orthotic Supplier | 11616 Southfork Ave Ste 202, Baton Rouge, LA 70816-5241 | 2020-03-23 |
1255975421 | Orthotic & Prosthetic Specialists, Inc. | Prosthetic/Orthotic Supplier | 10241 Coursey Blvd Ste C, Baton Rouge, LA 70816-0409 | 2019-10-31 |
1356908180 | Louisiana Prosthetics, LLC | Prosthetic/Orthotic Supplier | 4451 Bluebonnet Blvd Ste C, Baton Rouge, LA 70809-9647 | 2019-05-28 |
1578800157 | Duramed, Inc | Prosthetic/Orthotic Supplier | 11135 Industriplex Blvd, Suite 800, Baton Rouge, LA 70809-4114 | 2013-01-15 |
1225309263 | Still Me Inc. | Prosthetic/Orthotic Supplier | 930 Oneal Ln, Suite B5, Baton Rouge, LA 70816-1807 | 2012-01-23 |
1356626287 | Simply Savonte, LLC | Prosthetic/Orthotic Supplier | 6103 Florida Blvd, Suite E, Baton Rouge, LA 70806-0600 | 2011-10-11 |
1306133186 | Ultimate Athletic Equipment | Prosthetic/Orthotic Supplier | 286 Kenwood Ave, Baton Rouge, LA 70806-4519 | 2011-06-30 |
1811930019 | Ortho - Direct Inc. | Prosthetic/Orthotic Supplier | 5039 Parkoaks Dr, Baton Rouge, LA 70816-6717 | 2006-06-14 |
Find all providers in BATON ROUGE |
City | BATON ROUGE |
Zip Code | 70810 |
Please comment or provide details below to improve the information on BATON ROUGE ORTHOTICS & PROSTHETICS.
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.