BREAST SPECIALTY OF BATON ROUGE, LLC (NPI# 1225161540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225161540 |
| Entity Type | Organization |
| Organization Name | BREAST SPECIALTY OF BATON ROUGE, LLC |
| Practice Address |
9000 Airline Hwy Suite 250 Baton Rouge LA 70815-4114 |
| Practice Telephone | 2252161118 |
| Practice Fax Number | 2252161119 |
| Mailing Telephone | 2252161118 |
| Mailing Fax Number | 2252161119 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-05-24 |
| Authorized Official Name | DR. MICHAEL W HAILEY (CEO) |
| Authorized Official Telephone | 2252161118 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 14794R | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1122866 | 05 |
| Street Address |
9000 AIRLINE HWY SUITE 250 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70815-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386643609 | Mark G Newman | Obstetrics & Gynecology | 9000 Airline Hwy, Ste. 370, Baton Rouge, LA 70815-4114 | 2005-07-19 |
| 1770872418 | Phillip A Barksdale Apmc | Obstetrics & Gynecology | 9000 Airline Hwy, Suite 650, Baton Rouge, LA 70815-4114 | 2011-04-04 |
| 1356656656 | M. Giles Fort, M.d. ( A.p.m.c.) | Obstetrics & Gynecology | 9000 Airline Hwy, Suite 210, Baton Rouge, LA 70815-4114 | 2010-08-11 |
| 1124343447 | Louisiana Breast Specialists, LLC | Specialist | 9000 Airline Hwy, Suite 250, Baton Rouge, LA 70815-4114 | 2010-03-30 |
| 1639301633 | M. Giles Fort, M.d. A P M C | Obstetrics & Gynecology | 9000 Airline Hwy, Suite 210, Baton Rouge, LA 70815-4114 | 2009-08-10 |
| 1619137924 | Jacob M. Estes, M.d., LLC | Obstetrics & Gynecology | 9000 Airline Hwy, Ste 210, Baton Rouge, LA 70815-4114 | 2008-06-10 |
| 1699940148 | Louisiana Women's Healthcare Associates | Clinic/Center | 9000 Airline Hwy, Suite 500, Baton Rouge, LA 70815-4114 | 2008-04-25 |
| 1326252321 | Amanda Lewis Searle | Nurse Practitioner | 9000 Airline Hwy, Suite 340, Baton Rouge, LA 70815-4114 | 2007-05-09 |
| 1760543185 | Susan Futayyeh | Obstetrics & Gynecology | 9000 Airline Hwy, Suite 270, Baton Rouge, LA 70815-4114 | 2006-12-12 |
| 1053492322 | A Woman's Center for Reproductive Medicine, L.L.C. | Obstetrics & Gynecology | 9000 Airline Hwy, Suite 670, Baton Rouge, LA 70815-4114 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338343 | Gods Gift Transportation Service | Non-emergency Medical Transport (VAN) | 12333 Flordia Blvd, Suite A, Baton Rouge, LA 70815 | 2020-08-27 |
| 1033733746 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 | 2020-05-29 |
| 1740769264 | Angela Johnson | Driver | 10545 Darryl Dr, Baton Rouge, LA 70815 | 2018-08-07 |
| 1821592924 | Best Choice Transportation LLC | Non-emergency Medical Transport (VAN) | 2035 Wooddale Ave., Baton Rouge, LA 70815 | 2018-03-22 |
| 1679085609 | Kevia Neshell Green | Case Manager/Care Coordinator | 211 Antrim Dr Apt C, Baton Rouge, LA 70815 | 2017-10-31 |
| 1104349828 | Priscilla Carter | Case Manager/Care Coordinator | 9726 West Coronado Drive, Baton Rouge, LA 70815 | 2017-07-25 |
| 1023545902 | Krystal Ross | Counselor | 9420 Lindale Ave Ste A&b, Baton Rouge, LA 70815 | 2017-05-22 |
| 1679014351 | Daniel Joseph Woods | Counselor | 12459 Goodwood Blvd, Baton Rouge, LA 70815 | 2017-03-15 |
| 1073058319 | April Coleman | Case Manager/Care Coordinator | 11534 E Black Oak Dr, Baton Rouge, LA 70815 | 2016-12-22 |
| 1407213499 | Earnestine Payne | Counselor | 1314 S Mike Dr, Baton Rouge, LA 70815 | 2016-01-21 |
| Find all providers in zip 70815 | ||||
| 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 | 70815 |
Please comment or provide details below to improve the information on BREAST SPECIALTY OF BATON ROUGE, 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.