PEDAEGIS, LLC (NPI# 1265752430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265752430 |
| Entity Type | Organization |
| Organization Name | PEDAEGIS, LLC |
| Practice Address |
541 Shadows Ln Ste C Baton Rouge LA 70806-6531 |
| Practice Telephone | 2259252000 |
| Practice Fax Number | 2259252095 |
| Mailing Telephone | 2259252000 |
| Mailing Fax Number | 2259252095 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2011-04-26 |
| Authorized Official Name | DR. MICHAEL JAMES COOGAN (OWNER) |
| Authorized Official Telephone | 2259759045 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD.012264 | LA | Ambulatory Health Care Facilities |
| Street Address |
541 SHADOWS LN STE C |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730264201 | Mastology Center, Inc | Surgery | 541 Shadows Ln Ste C, Baton Rouge, LA 70806-6559 | 2006-10-25 |
| 1588845184 | Catherine Clayton Baucom | Surgery | 541 Shadows Ln Ste C, Baton Rouge, LA 70806-6559 | 2007-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| 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 |
| 1508342239 | Audubon Palliative Care Services Inc | Clinic/Center | 9181 Interline Ave Ste 220, Baton Rouge, LA 70809-1900 | 2018-07-16 |
| 1295264729 | Advanced Care Team LLC | Clinic/Center | 7122 Government St, Baton Rouge, LA 70806-6336 | 2017-06-08 |
| 1619409141 | Communitas Primary Care St James | Clinic/Center | 998 Stanford Ave Apt 305, Baton Rouge, LA 70808-3665 | 2017-04-03 |
| 1902287634 | Chili Medical Corporation | Clinic/Center | 4655 Bluebonnet Rd, Baton Rouge, LA 70809-2648 | 2015-06-18 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1063841898 | Infinity Primary Care Clinic | Clinic/Center | 2142 Oneal Ln # 128, Baton Rouge, LA 70816-3205 | 2013-11-02 |
| 1366878076 | The Healthcare Gallery | Clinic/Center | 3488 Brentwood Dr, Suite 103, Baton Rouge, LA 70809-1639 | 2013-09-25 |
| 1023326279 | Deekay Medical | Clinic/Center | 3923 Convention St, Baton Rouge, LA 70806-3806 | 2010-09-22 |
| 1497919435 | Michael Todd Howard Md LLC | Clinic/Center | 3525 Riley St, Baton Rouge, LA 70805-2746 | 2008-07-17 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on PEDAEGIS, 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.