CARDIAC CIN OF BATON ROUGE LLC (NPI# 1275031544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275031544 |
| Entity Type | Organization |
| Organization Name | CARDIAC CIN OF BATON ROUGE LLC |
| Practice Address |
9655 Perkins Rd Ste C-220 Baton Rouge LA 70810-1533 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Practice Fax Number | 6153860067 |
| Mailing Telephone | 6153860064 |
| Mailing Fax Number | 6153860067 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | EDWARD LELAND HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
LA | Allopathic & Osteopathic Physicians | |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
LA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Womans Way, Baton Rouge, LA 708175100 | 6153860064 | 6153860067 |
| Street Address |
9655 PERKINS RD STE C-220 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-1533 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789595 | Cardiovascular Specialty Care Center - Vascular | Internal Medicine | 7777 Hennessy Blvd Ste 215, Baton Rouge, LA 70808-4365 | 2019-09-18 |
| 1083002331 | Twilight Center LLC | Internal Medicine | 3800 Florida Blvd, Baton Rouge, LA 70806 | 2015-01-08 |
| 1457492571 | James Robert Calvin | Internal Medicine | 1831 Old Plantation Ln, Baton Rouge, LA 70806-8429 | 2007-02-09 |
| 1043232804 | Alfredo Suarez | Internal Medicine | 5825 Airline Highway, Earl K Long Hospital Lsu Unit, Baton Rouge, LA 70805 | 2006-07-24 |
| 1740202555 | Michael O'donnell Bourgeois | Internal Medicine | Lsu Healthcare Network, 3401 North Blvd, Suite 400, Baton Rouge, LA 70806 | 2006-07-24 |
| 1972525749 | Dorothy V. Hayden | Internal Medicine | 1700 Medical Center Drive, Baton Rouge, LA 70816 | 2006-07-24 |
| 1134141856 | Phillip J. Brantley | Internal Medicine | Earl K. Long Hospital, Lsu Unit, 5825 Airline Highway, Baton Rouge, LA 70805 | 2006-07-24 |
| 1659331247 | Leon Francis Kraft | Internal Medicine | 8401 Picardy Ave, Baton Rouge, LA 70809-3685 | 2006-03-27 |
| 1154309318 | Red Stick Cardiology LLC | Internal Medicine | 17050 Medical Center Dr, Ste 111, Baton Rouge, LA 70816-3252 | 2006-01-06 |
| 1073515011 | Norman Joseph Deumite | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2005-08-10 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on CARDIAC CIN 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.