DR. JOHN MICHAEL BARRAZA II (NPI# 1487934584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487934584 |
| Entity Type | Individual |
| Full Name | DR. JOHN MICHAEL BARRAZA II |
| Credential | M.D. |
| Practice Address |
5000 Hennessy Blvd Baton Rouge LA 70808-4375 |
| Mailing Address |
8230 Summa Ave Ste C Baton Rouge LA 70809-3465 |
| Practice Telephone | 2257570552 |
| Practice Fax Number | 2257639997 |
| Mailing Telephone | 2257570552 |
| Mailing Fax Number | 2257639997 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
322304 | LA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
53392 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT210265 | PA | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | INTERN | LA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q028867 | 05 | |
| KY | 7100478620 | 05 | |
| TN | TSC | Q028867 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639108012 | John Michael Barraza | Radiology | 1888 Hudson Cir, Ste 2, Monroe, LA 71201-3546 | 2006-06-30 |
| Street Address |
5000 HENNESSY BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919380 | Robert John Carroll | Internal Medicine | 5000 Hennessy Blvd, First Floor, Baton Rouge, LA 70808-4375 | 2005-06-01 |
| 1801414495 | Robert Joseph Irwin IIi | Physician Assistant | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2020-07-09 |
| 1417578840 | Maggie Robert | Social Worker | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2020-04-27 |
| 1609409283 | Elizabeth Rashel Moreau | Nurse Practitioner | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2020-02-21 |
| 1023649803 | Kaley Mcclure | Nurse Anesthetist, Certified Registered | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2020-01-30 |
| 1033740857 | Meghan Elizabeth Moholland | Dietitian, Registered | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4367 | 2020-01-30 |
| 1437780343 | Gabriel Landreneau | Nurse Anesthetist, Certified Registered | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2020-01-29 |
| 1760012207 | Leslie Williams Caruso | Nurse Practitioner | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2020-01-23 |
| 1003446873 | Raymond Tucker | Psychologist | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2020-01-21 |
| 1205476942 | Ashley Pharez Davis | Nurse Anesthetist, Certified Registered | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659575173 | John Grezaffi Jr. | Radiology | 7887 Picardy Ave, Baton Rouge, LA 70809-3534 | 2007-06-11 |
| 1144300666 | Chester Chattin Coles Jr. | Radiology | 5937 Goodwood Ave, Baton Rouge, LA 70806-7308 | 2006-10-17 |
| 1366469884 | Cheryl D Randal Knatt | Radiology | 6821 Fountain Ln, Baton Rouge, LA 70809-1046 | 2006-07-17 |
| 1922041334 | Jacques A De La Bretonne | Radiology | 5422 Dijon Dr, Baton Rouge, LA 70808-4315 | 2006-06-14 |
| 1841270592 | Keith Robert Gibson | Radiology | 5000 Hennessey Blvd, Baton Rouge, LA 70808 | 2006-01-19 |
| 1326027632 | Michael Lynn Bruce | Radiology | 8230 Summa Ave Ste C, Baton Rouge, LA 70809-3421 | 2006-01-13 |
| 1801895578 | Imaging Center of Louisiana LLC | Radiology | 8338 Summa Ave, Suite 100, Baton Rouge, LA 70809-3669 | 2005-07-15 |
| 1891793188 | Cecil Noel Bankston Jr. | Radiology | 4841 Woodlake Dr, Baton Rouge, LA 70817-1833 | 2005-07-11 |
| 1558780940 | Maverick Joseph Leblanc | Radiology | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2014-04-14 |
| 1700220977 | Lisa Katherine Harris | Radiology | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2013-04-18 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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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.