TAYLOR BRYAN THEUNISSEN


Address: 5233 Dijon Dr, Baton Rouge, LA 70808-4692
Phone: 2252186108

TAYLOR BRYAN THEUNISSEN (NPI# 1801086368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801086368
Entity Type Individual
Full Name TAYLOR BRYAN THEUNISSEN
Credential M.D.
Practice Address 5233 Dijon Dr
Baton Rouge
LA 70808-4692
Mailing Address 5959 S Sherwood Forest Blvd
Baton Rouge
LA 70816-6038
Practice Telephone 2252186108
Practice Fax Number 2252236010
Mailing Telephone 2255260006
Mailing Fax Number 2257659291
Enumeration Date 2007-07-30
Last Update Date 2016-04-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 026454 LA Allopathic & Osteopathic Physicians
N 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
026454 LA Allopathic & Osteopathic Physicians
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
026454 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1063444 05
MS 05285897 05

Office Location

Street Address 5233 DIJON DR
City BATON ROUGE
State LA
Zip Code 70808-4692

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275506479 James Anthony Stephens Specialist 5233 Dijon Dr, Baton Rouge, LA 70808-4312 2006-02-08
1942807417 Griffon Ainsley Lawson Physician Assistant 5233 Dijon Dr, Baton Rouge, LA 70808-4692 2020-10-07
1689978975 Kaylii Melancon Jewell Registered Nurse 5233 Dijon Dr, Baton Rouge, LA 70808-4692 2011-01-01
1023247582 Michael S Hanemann Jr Md LLC Clinic/Center 5233 Dijon Dr, Baton Rouge, LA 70808-4692 2009-07-06
1396907770 J Anthony Stephens Md Plastic Surgery 5233 Dijon Dr, Baton Rouge, LA 70808-4692 2008-06-27
1457573065 Michael Stephen Hanemann Jr. Otolaryngology 5233 Dijon Dr, Baton Rouge, LA 70808-4692 2007-05-03
1831269513 Janine Hopper Registered Nurse 5233 Dijon Dr, Baton Rouge, LA 70808-4312 2006-11-09

Providers in the same zip code

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 Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942590153 Jenna Martin Bourgeois Surgery Associates In Plastic Surgery, 8425 Cumberland Place, Baton Rouge, LA 70806 2011-04-10
1295808863 James W Wade Surgery 5233 Dijon Drive, Baton Rouge, LA 70817 2006-11-15
1265054969 Ford Plastic & Reconstructive Surgery Pmc Surgery 4864 Bluebonnet Blvd, Baton Rouge, LA 70809-9666 2020-05-15
1851882997 Cusimano Plastic Surgery LLC Surgery 7777 Hennessy Blvd Ste 102, Baton Rouge, LA 70808-4363 2018-05-24
1396062030 Luke Anthony Cusimano IIi Surgery 7777 Hennessy Blvd Ste 102, Baton Rouge, LA 70808-4363 2010-04-20
1629112560 John Vincent Williams Surgery 8777 Bluebonnet Blvd, Suite A, Baton Rouge, LA 70810-2818 2007-02-16
1326180696 Our Lady of The Lake Hospital Inc Surgery 7777 Hennessy Blvd, Plaza 1 Suite 306, Baton Rouge, LA 70808 2007-02-13
1801887500 Wendell H Kisner Surgery 7777 Hennessy Blvd, Baton Rouge, LA 70808-4300 2005-11-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003430257 Thibodaux Regional Network Development Corporation Surgery 604 N Acadia Rd Ste 410, Thibodaux, LA 70301-4897 2020-06-03
1710121306 John P Guste Surgery 3900 Veterans Blvd., Suite 200, Metairie, LA 70002 2009-04-27
1700929874 The Plastic Surgery Center LLP Surgery 385 Bert Kouns Ind. Loop, Bldg 100, Shreveport, LA 71106-8124 2007-02-15
1861595969 Terry A Cromwell Surgery 1101 South College Road, Suite 400, Lafayette, LA 70503 2006-09-06
1154344000 Scott Keith Sullivan Jr. Surgery 1717 Saint Charles Ave, New Orleans, LA 70130-5223 2006-07-25
1568482339 Herbert Stephen Maguire Surgery 501 Medical Center Dr Ste 1b, Alexandria, LA 71301-8124 2006-07-21
1346260205 O'neil Joseph Engeron Surgery 615 Dunn St, Houma, LA 70360-4707 2006-07-20
1912936196 Kenneth W. Sanders, Md and Willis-knighton Medical Center Surgery 1811 East Bert Kouns, Suite 160, Shreveport, LA 71105-5505 2006-07-01
1134190465 Ralph W Colpitts Surgery 2000 Southwood Dr, Suite B, Lake Charles, LA 70605-4138 2006-01-26
1699758474 Forrest P Wall Surgery 385 Bert Kound Ind. Loop, Bldg 100, Shreveport, LA 71106-8124 2005-11-25
Find all providers with the same taxonomy

Competitor

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City BATON ROUGE
Zip Code 70808

Improve Information

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Dataset Information

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.

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