NEUROMEDICAL CENTER (NPI# 1740216399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740216399 |
| Entity Type | Organization |
| Organization Name | NEUROMEDICAL CENTER |
| Practice Address |
10101 Park Rowe Ave Ste. 200 Baton Rouge LA 70810-1686 |
| Mailing Address |
Po Box 98509 Baton Rouge LA 70884-9509 |
| Practice Telephone | 2257692200 |
| Practice Fax Number | 2257682185 |
| Mailing Telephone | 2257692200 |
| Mailing Fax Number | 2257682185 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | GREGORY L. FAUTHEREE (PRESIDENT) |
| Authorized Official Telephone | 2257692200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1798061 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10155 Perkins Rowe Apt 410, Baton Rouge, LA 708102074 | 2257692200 | |
| 10461 Hill Pointe Ave, Baton Rouge, LA 708107773 | 2257692200 | |
| 10622 Ashbrook Dr, Baton Rouge, LA 708094062 | 2257692200 | 2257682185 |
| 1104 W Highway 30, Gonzales, LA 707375003 | 2257692200 | |
| 11334 Bainbridge Ave, Baton Rouge, LA 708177825 | 2257692200 | |
| 1200 Pinnacle Pkwy Ste 7, Covington, LA 704339169 | 2257692200 | |
| 12070 White Oak Plains Ln, Baker, LA 707146207 | 2257692200 | |
| 13043 Moss Pointe Dr, Geismar, LA 707343063 | 2257692200 | |
| 1307 Crowley Rayne Hwy Ste D, Crowley, LA 705268210 | 2257692200 | |
| 13338 Brookcrest Dr, Walker, LA 707855529 | 2257692200 | |
| 13372 Cypress Lake Ave, Gonzales, LA 707376296 | 2257692200 | |
| 1374 Knollwood Dr, Baton Rouge, LA 708088647 | 2257692200 | 2257682185 |
| 140 Valhalla Blvd, Baton Rouge, LA 708103649 | 2257692200 | 2257682185 |
| 14055 Knoll Park Pl, Baton Rouge, LA 708100460 | 2257692200 | |
| 14315 Center Town Dr, Baton Rouge, LA 708103483 | 2257692200 | |
| 14372 Summerset Dr, Gonzales, LA 707377090 | 2257692200 | |
| 150 Sunset Blvd, Baton Rouge, LA 708085072 | 2257692200 | |
| 15420 S Harrells Ferry Rd Ste E, Baton Rouge, LA 708162933 | 2257692200 | |
| 15560 Rose Meadow Dr, Baton Rouge, LA 708174016 | 2257692200 | |
| 1566 Highway 343, Church Point, LA 705257435 | 2257692200 | |
| 15828 Professional Plz, Hammond, LA 704031453 | 2257692200 | |
| 1621 Ingleside Dr, Baton Rouge, LA 708081268 | 2257692200 | |
| 1624 Lichester Dr, Baton Rouge, LA 708100503 | 2257692200 | |
| 18349 E Village Way Dr, Baton Rouge, LA 708108936 | 2257692200 | |
| 18631 Cherry Oak Dr, Baton Rouge, LA 708177553 | 2257692200 | |
| 18683 Santa Maria Dr, Baton Rouge, LA 708096745 | 2257692200 | |
| 19037 Epernay Ct, Baton Rouge, LA 708177661 | 2257692200 | |
| 19065 Dr John Lambert Dr Ste 2001, Hammond, LA 704030996 | 2257692200 | |
| 19221 N Shore Ct, Baton Rouge, LA 708173981 | 2257692200 | |
| 2050 Terrace Ave, Baton Rouge, LA 708066759 | 2257692200 | |
| 23475 Kirtley Dr, Plaquemine, LA 707645535 | 2257692200 | |
| 25003 Arlington Ave, Denham Springs, LA 707266603 | 2257692200 | |
| 2621 Cedar Lodge Dr, Baton Rouge, LA 708091058 | 2257692200 | 2257682185 |
| 2647 S Saint Elizabeth Blvd Ste 225, Gonzales, LA 707375022 | 2257692200 | |
| 300 Riverview Dr, Baton Rouge, LA 708161760 | 2257692200 | 2257682185 |
| 3033 Mccarroll Dr, Baton Rouge, LA 708091512 | 2257692200 | |
| 33434 Hwy 1036, Holden, LA 707443135 | 2257692200 | |
| 3521 Highway 190 Ste Q, Eunice, LA 705355135 | 2257692200 | |
| 37240 Corvette Dr, Prairieville, LA 707693308 | 2257692200 | |
| 3817 S Ramsey Dr, Baton Rouge, LA 708081649 | 2257692200 | 2257682185 |
| 38641 Alderly Ln, Denham Springs, LA 707060480 | 2257692200 | |
| 3911 Chelsea Dr, Baton Rouge, LA 708092354 | 2257692200 | |
| 4717 Orchid St, Baton Rouge, LA 708083960 | 2257692200 | |
| 4724 Claycut Rd, Baton Rouge, LA 708067103 | 2257692200 | |
| 4731 Blecker Dr, Baton Rouge, LA 708096954 | 2257692200 | |
| 4845 Main St Ste B, Zachary, LA 707913943 | 2257692200 | |
| 5000 Hennessy Blvd, Baton Rouge, LA 708084375 | 2257656565 | |
| 5000 Odonavan Blvd Ste 412, Walker, LA 707856351 | 2257692200 | |
| 5326 Oak St, Saint Francisville, LA 707754510 | 2257692200 | |
| 5805 Harelson Dr, Saint Gabriel, LA 707765124 | 2257692200 | 2257682185 |
| 612 Corsair Dr, Baton Rouge, LA 708105515 | 2257692200 | |
| 6204 Province Ln, Baton Rouge, LA 708083574 | 2257692200 | 2257682185 |
| 6452 Lasalle Ave, Baton Rouge, LA 708067317 | 2257692200 | |
| 6480 Union Dr, Addis, LA 707102433 | 2257692200 | |
| 6650 Pikes Ln, Baton Rouge, LA 708084272 | 2257692200 | 2257682185 |
| 6810 Jefferson Hwy Apt 310, Baton Rouge, LA 708068175 | 2257692200 | |
| 7052 Kodiak Dr, Baton Rouge, LA 708101159 | 2257692200 | |
| 7111 Lanes End, Baton Rouge, LA 708102269 | 2257692200 | 2257682185 |
| 714 Woodview Ct, Baton Rouge, LA 708105336 | 2257692200 | 2257682185 |
| 7231 Woodstock Dr, Baton Rouge, LA 708091135 | 2257692200 | 2257682185 |
| 8026 Walden Rd, Baton Rouge, LA 708085943 | 2257692200 | |
| 818 Myrtle View Dr, Baton Rouge, LA 708104226 | 2257692200 | 2257682185 |
| 8776 Greenleaves Dr, Denham Springs, LA 707266747 | 2257692200 | |
| 8948 Spring Grove Dr, Baton Rouge, LA 708095248 | 2257692200 | |
| 9331 Sculptor Ct, Baton Rouge, LA 708092899 | 2257692200 |
| Street Address |
10101 PARK ROWE AVE STE. 200 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-1686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013902766 | Thomas B Flynn | Neurological Surgery | 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810-1686 | 2005-09-19 |
| 1316560436 | Omega Neuromonitoring | Clinic/Center | 10101 Park Rowe Ave, Baton Rouge, LA 70810-1686 | 2020-05-22 |
| 1295288942 | Alexandra K. Rau | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810 | 2016-07-29 |
| 1386099224 | Daniel Long | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2016-04-28 |
| 1992150817 | Amanda L Bucher | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2016-04-28 |
| 1871950659 | Laura D. Ostermiller | Nurse Practitioner | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2016-01-25 |
| 1366818478 | Tiffany Vincent | Physician Assistant | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2015-08-12 |
| 1528462215 | Amanda Hedges | Physical Therapist | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2014-10-09 |
| 1568864015 | Emily Lanier | Physician Assistant | 10101 Park Rowe Ave, Ste, 200, Baton Rouge, LA 70810 | 2014-09-16 |
| 1215354642 | Brooke Cole | Psychologist | 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810-1686 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| 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 | 70810 |
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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.