LOUISIANA EDOSCOPY CENTER, INC. (NPI# 1467409672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467409672 |
| Entity Type | Organization |
| Organization Name | LOUISIANA EDOSCOPY CENTER, INC. |
| Practice Address |
9103 Jefferson Hwy Baton Rouge LA 70809-2440 |
| Practice Telephone | 2259271190 |
| Practice Fax Number | 2252318819 |
| Mailing Telephone | 2259271190 |
| Mailing Fax Number | 2252318819 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES C. BERGGREEM (DIRECTOR) |
| Authorized Official Telephone | 2259271190 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
46 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1902781 | 05 |
| Street Address |
9103 JEFFERSON HWY |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245211341 | Marie Adele Burkstaller | Nurse Anesthetist, Certified Registered | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2005-11-07 |
| 1750734356 | Mallori M Fletcher | Internal Medicine | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2016-07-19 |
| 1497025019 | Catherine Delord George | Internal Medicine | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2012-01-12 |
| 1669753216 | Kathryn Regan Hall Baker | Physician Assistant | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2011-09-08 |
| 1346521341 | Julie Lecompte Mcneil | Dietitian, Registered | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2011-09-02 |
| 1568759710 | Brittany M Hall | Physician Assistant | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2011-07-07 |
| 1376878884 | Anesthesiology Affiliates,llc | Nurse Anesthetist, Certified Registered | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2009-10-16 |
| 1043472467 | Kelly Lynn Huddleston | Physician Assistant | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2008-06-26 |
| 1720262405 | Baton Rouge La Endoscopy Asc LLC | Clinic/Center | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2007-12-18 |
| 1689867434 | Jonathon Casey Chapman | Internal Medicine | 9103 Jefferson Hwy, Baton Rouge, LA 70809-2440 | 2007-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013178417 | Gonzales Endoscopy Center LLC | Clinic/Center | 1433 E Highway 30, Gonzales, LA 70737-4765 | 2008-06-19 |
| 1447324132 | Endocenter, LLC | Clinic/Center | 131-a Cherokee Rose Lane, Covington, LA 70433-7195 | 2006-11-17 |
| 1821014473 | Mga Gastrointestinal Diagnostic & Therapeutic-metairie | Clinic/Center | 3333 Kingman St, 202, Metairie, LA 70006-4236 | 2006-07-15 |
| 1184605792 | Colonnade Endoscopy Center LLC | Clinic/Center | 555 Dr Michael Debakey Dr Ste 102, Lake Charles, LA 70601 | 2005-11-10 |
| 1417957796 | Endoscopy Center of Monroe, Inc. | Clinic/Center | 316 S 6th St, Monroe, LA 71201-7568 | 2005-07-28 |
| 1073519195 | Alliance Surgery Center LLC | Clinic/Center | 3717 Houma Blvd, Ste 200, Metairie, LA 70006-4115 | 2005-06-23 |
| 1255865937 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Highway 190 East Service Rd, Ste 102, Covington, LA 70433-4960 | 2017-04-19 |
| 1497064406 | Calche Surgery Center | Clinic/Center | 8030 Crowder Blvd, New Orleans, LA 70127-1063 | 2010-09-26 |
| 1003067844 | Endocenter LLC | Clinic/Center | 58515 Pearl Acres Rd, Slidell, LA 70461-5423 | 2008-10-09 |
| 1578744470 | Mga Gastrointestinal Diagnostic & Therapeutic Center | Clinic/Center | 2633 Napoleon Ave, Suite 707, New Orleans, LA 70115-6357 | 2007-11-19 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on LOUISIANA EDOSCOPY CENTER, INC..
| 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.