IBERIA BONE JOINT & FOOT CLINIC AMC (NPI# 1477700656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477700656 |
| Entity Type | Organization |
| Organization Name | IBERIA BONE JOINT & FOOT CLINIC AMC |
| Practice Address |
7855 Howell Blvd Ste 200 Baton Rouge LA 70807-5257 |
| Practice Telephone | 2254546000 |
| Practice Fax Number | 2253027255 |
| Mailing Telephone | 2254546000 |
| Mailing Fax Number | 2253027255 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Authorized Official Name | THEODORE KNATT (MD) |
| Authorized Official Telephone | 2254546000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 021167 | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1907600 | 05 |
| Street Address |
7855 HOWELL BLVD STE 200 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70807-5257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285624783 | Arewanda W Douglas | Occupational Therapist | 7855 Howell Blvd, Ste 220, Baton Rouge, LA 70807 | 2005-10-26 |
| 1093171951 | Crna of Baton Rouge LLC | Anesthesiologist Assistant | 7855 Howell Blvd, Baton Rouge, LA 70807-5256 | 2016-01-07 |
| 1649645979 | Baton Rouge Assist LLC | Surgery | 7855 Howell Blvd, Baton Rouge, LA 70807-5256 | 2015-12-11 |
| 1467827782 | Anesthesia of Baton Rouge LLC | Anesthesiology | 7855 Howell Blvd, Baton Rouge, LA 70807-5256 | 2015-12-11 |
| 1780090886 | Doctors Services,llc | Specialist | 7855 Howell Blvd, Baton Rouge, LA 70807 | 2014-07-09 |
| 1992054936 | Greater Baton Rouge Pharmacy | Durable Medical Equipment & Medical Supplies | 7855 Howell Blvd, Ste 160, Baton Rouge, LA 70807 | 2012-09-06 |
| 1912292301 | Louisiana Health Care Services, LLC | Local Education Agency (LEA) | 7855 Howell Blvd, Suite 130b, Baton Rouge, LA 70807-5256 | 2011-06-14 |
| 1609102045 | Neurosurgery Associates of Louisiana, LLC | Neurological Surgery | 7855 Howell Blvd, Suite 130-b, Baton Rouge, LA 70807-2016 | 2009-10-20 |
| 1396993416 | Darryl W. Peterson, Md, Apmc | Specialist | 7855 Howell Blvd, Ste 200, Baton Rouge, LA 70807-5257 | 2008-09-03 |
| 1295919991 | Carola B. Okogbaa | Ophthalmology | 7855 Howell Blvd, Suite 130a, Baton Rouge, LA 70807-5256 | 2007-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194384586 | Martha B Price | Nurse's Aide | 1950 Goudchaux St, Baton Rouge, LA 70807 | 2019-06-10 |
| 1083120026 | Germaine Nicole Baker | Counselor | 11824 Kingston Dr, Baton Rouge, LA 70807 | 2017-12-27 |
| 1962916197 | Sheila F. Lawson | Case Manager/Care Coordinator | 1955 Cunard Ave, Baton Rouge, LA 70807 | 2017-11-27 |
| 1730600776 | Sheeba Michelle King | Non-emergency Medical Transport (VAN) | 1529 Fairchild Street, Baton Rouge, LA 70807 | 2017-06-29 |
| 1073056818 | Sherlita Ann Varnado | Behavior Technician | 7801 Scenic Highway Apt. 1121, Baton Rouge, LA 70807 | 2016-11-28 |
| 1013469220 | Tonya Michelle Hill | Counselor | 1279 Rosenwald Road, Baton Rouge, LA 70807 | 2016-11-04 |
| 1093168536 | Anthony Wells Jr | Rehabilitation Practitioner | 2782 Thomas Rd, Baton Rouge, LA 70807 | 2016-07-20 |
| 1023468493 | Kasha Green | Case Manager/Care Coordinator | 2246 78th Ave, Baton Rouge, LA 70807 | 2016-06-16 |
| 1861852089 | Cheryl Morris | Counselor | 2867 Brig Gen Isaac Ave, Baton Rouge, LA 70807 | 2016-03-01 |
| 1871966762 | Monique Moses | Counselor | 2765 70th Ave, Baton Rouge, LA 70807 | 2015-11-02 |
| Find all providers in zip 70807 | ||||
| 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 | 70807 |
Please comment or provide details below to improve the information on IBERIA BONE JOINT & FOOT CLINIC AMC.
| 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.