KYLE PATRICK PFEFFERLE (NPI# 1215356340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215356340 |
| Entity Type | Individual |
| Full Name | KYLE PATRICK PFEFFERLE |
| Practice Address |
3113 Grand Way Ave Baton Rouge LA 70810-0422 |
| Practice Telephone | 2253280697 |
| Mailing Telephone | 2253280697 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2016-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 300658 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
3113 GRAND WAY AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-0422 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639533755 | Elizabeth Hays Boyle Cassels | Emergency Medicine | 4256 Brittany Drive, Baton Rouge, LA 70808 | 2016-04-06 |
| 1396163713 | Louis Gordon Pruitt | Emergency Medicine | 2122 Perkins Palm Ave Apt 309, Baton Rouge, LA 70808-7602 | 2014-04-02 |
| 1942627203 | Tara Doran | Emergency Medicine | 9099 Lake Mist Dr, Baton Rouge, LA 70810 | 2014-03-25 |
| 1366880015 | Daron Dale Davis | Emergency Medicine | 5246 Brittany Drive, Lsu Health Emergency Medicine Residency Program, Baton Rouge, LA 70808 | 2013-06-04 |
| 1558704098 | Landon Mark Hatfield | Emergency Medicine | 8929 Worthington Estates Avenue, Baton Rouge, LA 70810 | 2013-04-15 |
| 1326481268 | John Christopher Michael | Emergency Medicine | 5246 Brittany Dr Fl 3, Baton Rouge, LA 70808-9136 | 2013-04-10 |
| 1619310828 | Charles John Haase IIi | Emergency Medicine | 8733 Siegen Ln # 101, Baton Rouge, LA 70810-1945 | 2013-04-08 |
| 1972861292 | Karen George | Emergency Medicine | 13465 Parwood Ave, Baton Rouge, LA 70816-1470 | 2012-04-24 |
| 1629335534 | Simon Clark | Emergency Medicine | 6810 Jefferson Hwy, Apt 2107, Baton Rouge, LA 70806-8175 | 2012-04-16 |
| 1932491248 | Jay Francis Leblanc Jr. | Emergency Medicine | 10235 Glen Manor Ave, Baton Rouge, LA 70809-3877 | 2011-05-04 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
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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.