LC INTERNAL MEDICINE CLINIC LLC (NPI# 1467739789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467739789 |
| Entity Type | Organization |
| Organization Name | LC INTERNAL MEDICINE CLINIC LLC |
| Practice Address |
3401 North Blvd Suite 360 Baton Rouge LA 70806-3743 |
| Mailing Address |
17849 British Ln Baton Rouge LA 70810-6595 |
| Practice Telephone | 2253812789 |
| Practice Fax Number | 2253812780 |
| Mailing Telephone | 2253812789 |
| Mailing Fax Number | 2253812780 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |
| Authorized Official Name | AYANNA ODOM (OFFICE MANAGER) |
| Authorized Official Telephone | 2253812789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 12672R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1544507 | 05 |
| Street Address |
3401 NORTH BLVD SUITE 360 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934740 | Peter James Bostick | Surgery | 3401 North Blvd, Ste 330, Baton Rouge, LA 70806 | 2005-06-30 |
| 1841752250 | Julissa Placencio | Student in an Organized Health Care Education/Training Program | 3401 North Blvd, Baton Rouge, LA 70806-3743 | 2019-04-03 |
| 1871027870 | Cassandra Barnes | Family Medicine | 3401 North Blvd, Ste 200, Baton Rouge, LA 70806-3743 | 2017-04-17 |
| 1528439130 | Mayo Health Systems, Inc | Clinic/Center | 3401 North Blvd, Suite 410, Baton Rouge, LA 70806-3743 | 2015-10-08 |
| 1538587134 | Baton Rouge General Physicians, Inc | Family Medicine | 3401 North Blvd, Suite #200-a, Baton Rouge, LA 70806-3743 | 2014-04-01 |
| 1851719652 | Robreka King | Clinical Nurse Specialist | 3401 North Blvd, Suite #200-b, Baton Rouge, LA 70806-3743 | 2014-03-31 |
| 1801219043 | Baton Rouge General Physicians, Inc. | Nurse Practitioner | 3401 North Blvd, Suite #200a, Baton Rouge, LA 70806-3743 | 2014-01-23 |
| 1073861357 | Infectious Diseases Consultants, LLC | Clinic/Center | 3401 North Blvd, Suite 335, Baton Rouge, LA 70806-3743 | 2012-08-17 |
| 1285993170 | Baton Rouge General Physicians Hospital Specialists | Pediatrics | 3401 North Blvd, Baton Rouge, LA 70806-3743 | 2012-05-11 |
| 1255630067 | Desi R Valentine | Family Medicine | 3401 North Blvd, Ste 200-a, Baton Rouge, LA 70806-3743 | 2011-03-18 |
| Find all providers in the same location | ||||
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1518581305 | Ochsner Clinic LLC | Internal Medicine | 10150 Bluebonnet Blvd, Baton Rouge, LA 70810-7131 | 2020-06-08 |
| 1417583428 | Garbutt Medical LLC | Internal Medicine | 9373 Barringer Foreman Rd Bldg 2, Baton Rouge, LA 70809-5716 | 2020-03-21 |
| 1437784907 | Affinity Health Group, LLC | Internal Medicine | 13348 Coursey Blvd, Baton Rouge, LA 70816-4970 | 2020-03-05 |
| 1881121770 | Manish Mishra | Internal Medicine | 4550 Government St, Baton Rouge, LA 70806-5817 | 2017-05-22 |
| 1750822540 | Live Oak Aesthetics and Wellness | Internal Medicine | 8225 Ymca Plaza Dr, Baton Rouge, LA 70810-0922 | 2017-03-14 |
| 1467814004 | Rajendra Boyilla | Internal Medicine | 7807 N Jefferson Place Cir, Baton Rouge, LA 70809-8632 | 2016-03-23 |
| 1063884047 | Lourdes Rodriguez | Internal Medicine | 5428 O’ Donovan Dr, Ste C, Baton Rouge, LA 70808 | 2015-10-29 |
| 1467846428 | Mary Catherine Gaston | Internal Medicine | 755 Highland Park Dr, Baton Rouge, LA 70808-5644 | 2015-03-26 |
| 1174917652 | Eric Frusha | Internal Medicine | 8585 Picardy Ave Ste 410, Baton Rouge, LA 70809-3749 | 2015-03-24 |
| 1114356979 | Baton Rouge General Primary Care, LLC | Internal Medicine | 5353 Florida Blvd, Baton Rouge, LA 70806-4130 | 2013-11-02 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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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.