TRACEE CHAVAWN SHORT (NPI# 1780813311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780813311 |
| Entity Type | Individual |
| Full Name | TRACEE CHAVAWN SHORT |
| Credential | MD |
| Practice Address |
3401 North Blvd Ste 200-b Baton Rouge LA 70806-3743 |
| Mailing Address |
8490 Picardy Ave Bldg 200 Baton Rouge LA 70809-3731 |
| Practice Telephone | 2253812615 |
| Practice Fax Number | 2253812638 |
| Mailing Telephone | 2252371754 |
| Mailing Fax Number | 2252371722 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2014-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | E-6871 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2347799 | 05 | |
| LA | MEDICARE PTAN | 324582YUB6 | 01 |
| Street Address |
3401 NORTH BLVD STE 200-B |
| 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 |
| 1467739789 | Lc Internal Medicine Clinic LLC | Internal Medicine | 3401 North Blvd, Suite 360, Baton Rouge, LA 70806-3743 | 2011-11-15 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043509326 | Chad Warren Kaplan | General Practice | 3401 North Blvd Ste 130, Baton Rouge, LA 70806-3743 | 2011-04-07 |
| 1154531465 | Lorenza Marie Winn | General Practice | 8220 Goodwood Blvd Ste 2a, Baton Rouge, LA 70806-7741 | 2007-05-23 |
| 1982790697 | Douglas W Davidson | General Practice | 12525 Perkins Road, Suite B, Baton Rouge, LA 70810 | 2006-10-04 |
| 1548253016 | Jimmy Nooe Guidry | General Practice | 8742 Goodwood Blvd, Baton Rouge, LA 70806-7915 | 2005-08-30 |
| 1255331450 | Gary Brandt | General Practice | 9422 Scotland Ave, Baton Rouge, LA 70807-3951 | 2005-07-29 |
| 1447811831 | Louisiana Assistive Tech Access Network | General Practice | 10988 N Harrells Ferry Rd Ste 5, Baton Rouge, LA 70816-8360 | 2019-06-26 |
| 1902325699 | David Andrew Plaisance | General Practice | 13406 Airline Hwy, Baton Rouge, LA 70817-5917 | 2017-09-13 |
| 1063955060 | Ochsner Clinic LLC | General Practice | 17050 Medical Center Dr, Baton Rouge, LA 70816-3221 | 2016-11-22 |
| 1043691090 | Neurotrac of Baton Rouge LLC | General Practice | 10626 Linkwood Ct, Suite A, Baton Rouge, LA 70810-2965 | 2015-06-16 |
| 1912338690 | Ochsner Clinic LLC | General Practice | 170 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2013-12-06 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on TRACEE CHAVAWN SHORT.
| 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.