ANTHONY LESLIE VANDUZEE (NPI# 1184701930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184701930 |
| Entity Type | Individual |
| Full Name | ANTHONY LESLIE VANDUZEE |
| Credential | PAC |
| Practice Address |
5439 Airline Hwy Baton Rouge LA 70805-1712 |
| Practice Telephone | 2253582280 |
| Mailing Telephone | 2253582280 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | A10412 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
A10412 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1453188 | 05 |
| Street Address |
5439 AIRLINE HWY |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70805-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194782839 | Laura Catherine Richey | Emergency Medicine | 5439 Airline Hwy, Baton Rouge, LA 70805-1712 | 2006-04-27 |
| 1245714955 | Lounida Johnson | Nurse Practitioner | 5439 Airline Hwy, Baton Rouge, LA 70805 | 2018-09-18 |
| 1245725837 | Nicholas Ryan Boone | Nurse Practitioner | 5439 Airline Hwy, Baton Rouge, LA 70805-1712 | 2018-06-26 |
| 1760868624 | Julie D Guillet | Physician Assistant | 5439 Airline Hwy, Baton Rouge, LA 70805-1712 | 2015-08-03 |
| 1588062079 | Our Lady of The Lake Physician Group, LLC | Clinic/Center | 5439 Airline Hwy, Baton Rouge, LA 70805-1712 | 2014-12-15 |
| 1134540115 | Convenient Care LLC | Clinic/Center | 5439 Airline Hwy, Baton Rouge, LA 70805-1712 | 2013-12-18 |
| 1730519356 | Angelia Diane Honora | Nurse Practitioner | 5439 Airline Hwy, Baton Rouge, LA 70805-1712 | 2013-11-18 |
| 1326474990 | Elizabeth Ann Loretta Valure | Physician Assistant | 5439 Airline Hwy, Baton Rouge, LA 70805-1712 | 2013-09-16 |
| 1538593538 | Keytha Lubirta Thompson | Nurse Practitioner | 5439 Airline Hwy, Baton Rouge, LA 70805-1712 | 2013-08-26 |
| 1740526011 | Simone Olivier Stewart | Nurse Practitioner | 5439 Airline Hwy, Baton Rouge, LA 70805-1712 | 2012-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481445 | Upgrade Group Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3719 Katherine Ave, 3719 Katherine Ave, Baton Rouge, LA 70805 | 2019-11-13 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1093234783 | Omar Feme Braggs I | Counselor | 3973 Choctaw Drive, Baton Rouge, LA 70805 | 2017-09-13 |
| 1558883116 | Jeffrey Williams | Counselor | 3456 Eaton Street, Baton Rouge, LA 70805 | 2017-07-14 |
| 1215466628 | Angel Danielle Morgan | Counselor | 3540 Ontario St., Baton Rouge, LA 70805 | 2017-06-08 |
| 1376904151 | Mama's Medical Transportation | Non-emergency Medical Transport (VAN) | 2727 North Ardenwood Dr., Baton Rouge, LA 70805 | 2016-03-08 |
| 1013389105 | Tiffany Thomas | Counselor | 8325 Kelwood Avenue, Baton Rouge, LA 70805 | 2015-10-28 |
| 1366823395 | Travia Linette Washington | Community Health Worker | 2959 Sherwood St, Baton Rouge, LA 70805 | 2015-06-16 |
| 1295000164 | Capital Area Human Services District | Substance Abuse Rehabilitation Facility | 2455 Wooddale Blvd., Baton Rouge, LA 70805 | 2012-03-12 |
| 1427332238 | Carl P Thibodeaux | Pharmacist | 5889 Airline Highway, Baton Rouge, LA 70805 | 2011-09-29 |
| Find all providers in zip 70805 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841841855 | Kasie Danielle Nelson | Physician Assistant | 8585 Picardy Ave Ste 514, Baton Rouge, LA 70809-3748 | 2019-09-23 |
| 1013575018 | Louisiana Surgical Assist, L.L.C. | Physician Assistant | 1374 Knollwood Dr, Baton Rouge, LA 70808-8647 | 2019-06-04 |
| 1144793175 | Picardy Surgical Assist II, L.L.C. | Physician Assistant | 7425 Bocage Blvd, Baton Rouge, LA 70809-1141 | 2019-01-02 |
| 1578033825 | Picardy Surgical Assist, L.L.C. | Physician Assistant | 7301 Hennessy Blvd Ste 300, Baton Rouge, LA 70808-4794 | 2018-11-29 |
| 1578837266 | Gretchen Donnes | Physician Assistant | 7414 Picardy Ave Ste C, Baton Rouge, LA 70808-4697 | 2012-02-28 |
| 1477792844 | Edmonds Medical, LLC | Physician Assistant | 3111 Longleaf Ct, Baton Rouge, LA 70810-0308 | 2009-02-09 |
| 1831207398 | Kristie L Firmin | Physician Assistant | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2006-08-26 |
| 1992770333 | John Kyle Roppolo | Physician Assistant | 7777 Hennessy Blvd., Suite 208, Baton Rouge, LA 70808-4300 | 2006-02-21 |
| 1417564337 | Camille Elizabeth Comeaux | Physician Assistant | 8585 Picardy Ave Ste 514, Baton Rouge, LA 70809-3748 | 2020-09-24 |
| 1740821875 | Eleanor Catherine Brandon | Physician Assistant | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2019-09-30 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70805 |
Please comment or provide details below to improve the information on ANTHONY LESLIE VANDUZEE.
| 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.