OPTIMUS PRIMARY CARE, LLC (NPI# 1518503754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518503754 |
| Entity Type | Organization |
| Organization Name | OPTIMUS PRIMARY CARE, LLC |
| Practice Address |
13828 Coursey Boulevard Address Line 2 Baton Rouge LA 70817 |
| Practice Telephone | 2257528356 |
| Mailing Telephone | 2257528356 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Authorized Official Name | DR. MICHAEL DAY (OWNER/OPERATOR) |
| Authorized Official Telephone | 2257528356 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
13828 COURSEY BOULEVARD ADDRESS LINE 2 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| 1609120062 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12880 Airline Hwy, Baton Rouge, LA 70817 | 2012-11-06 |
| Find all providers in zip 70817 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508342239 | Audubon Palliative Care Services Inc | Clinic/Center | 9181 Interline Ave Ste 220, Baton Rouge, LA 70809-1900 | 2018-07-16 |
| 1295264729 | Advanced Care Team LLC | Clinic/Center | 7122 Government St, Baton Rouge, LA 70806-6336 | 2017-06-08 |
| 1619409141 | Communitas Primary Care St James | Clinic/Center | 998 Stanford Ave Apt 305, Baton Rouge, LA 70808-3665 | 2017-04-03 |
| 1902287634 | Chili Medical Corporation | Clinic/Center | 4655 Bluebonnet Rd, Baton Rouge, LA 70809-2648 | 2015-06-18 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1063841898 | Infinity Primary Care Clinic | Clinic/Center | 2142 Oneal Ln # 128, Baton Rouge, LA 70816-3205 | 2013-11-02 |
| 1366878076 | The Healthcare Gallery | Clinic/Center | 3488 Brentwood Dr, Suite 103, Baton Rouge, LA 70809-1639 | 2013-09-25 |
| 1023326279 | Deekay Medical | Clinic/Center | 3923 Convention St, Baton Rouge, LA 70806-3806 | 2010-09-22 |
| 1497919435 | Michael Todd Howard Md LLC | Clinic/Center | 3525 Riley St, Baton Rouge, LA 70805-2746 | 2008-07-17 |
| 1154463305 | James Edward Hines IIi | Clinic/Center | 2149 N Foster Dr, Baton Rouge, LA 70806-1012 | 2007-02-13 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
Please comment or provide details below to improve the information on OPTIMUS PRIMARY CARE, 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.