MISSION MEDICAL GROUP OF LOUISIANA LLC


Address: 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004
Phone: 4808621677

MISSION MEDICAL GROUP OF LOUISIANA LLC (NPI# 1811289390) 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) 1811289390
Entity Type Organization
Organization Name MISSION MEDICAL GROUP OF LOUISIANA LLC
Other Organization Name MATRIX MEDICAL NETWORK
Practice Address 2900 Westfork Dr Ste 401
Baton Rouge
LA 70827-0004
Mailing Address 9201 E Mountain View Rd
Suite 220
Scottsdale
AZ 85258-5172
Practice Telephone 4808621677
Practice Fax Number 4807187643
Mailing Telephone 4808621700
Mailing Fax Number 4809071537
Enumeration Date 2011-05-03
Last Update Date 2019-12-11
Authorized Official Name VICTORIA ALVAREZ (DIRECTOR, CREDENTIALING)
Authorized Official Telephone 4808621695
Is Organization Subpart Y
Parent Organization Name COMMUNITY CARE HEALTH NETWORK INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Matrix Medical Network Doing Business As Name - Organization

Office Location

Street Address 2900 WESTFORK DR STE 401
City BATON ROUGE
State LA
Zip Code 70827-0004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912511007 Shameka Mitchell Social Worker 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 2020-09-04
1275142325 Thomas G Greer Nurse Practitioner 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 2020-07-24
1770101883 Pure Mind Counseling & Wellness Community/Behavioral Health 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 2020-07-07
1912533613 D&t Med La, LLC Non-emergency Medical Transport (VAN) 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 2020-03-13
1447882162 Kristen M. Hill Nurse Practitioner 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 2020-02-11
1487299715 National Youth Advocate Program, Inc Foster Care Agency 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 2019-11-11
1851942841 Mattie & Associates Internal Medicine 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 2019-09-22
1710403852 The Chrysalis Center, LLC Clinic/Center 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827 2017-08-21
1366998015 Myisha Joseph Counselor 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 2016-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003350489 Central Ophthalmic & Medical Billing Services LLC Technician/Technologist 2900 West Fork Dr, Suite 401, Baton Rouge, LA 70827 2016-12-05
1972602662 Monitetra M King Social Worker 2900 W Fork Dr, Suite 200, Baton Rouge, LA 70827 2006-09-21
1336138304 Glenn N Jones Psychologist 2900 Westfork Dr, Suite 200, Baton Rouge, LA 70827-0004 2005-10-20
1538399704 Louisiana Phs LLC Family Medicine 2900 Westfork Dr, Suite 401, Baton Rouge, LA 70827-0004 2009-07-21
1023654134 A and T Aziz Enterprises, LLC Meals 2900 Westfork Dr, Baton Rouge, LA 70827-0010 2019-11-24
1487201562 Wilbert Dangerfield Non-emergency Medical Transport (VAN) 2900 Westfork Dr, Baton Rouge, LA 70827-0010 2019-08-22
1831565589 Karen Jones Nurse Practitioner 2900 Westfork Dr, Baton Rouge, LA 70827-0010 2015-08-18
1710360615 Brittney Howell Nurse Practitioner 2900 Westfork Dr, Ste 401, Baton Rouge, LA 70827-0010 2015-07-09
1164801965 Kristin Kennedy Nurse Practitioner 2900 Westfork Dr, Ste 401, Baton Rouge, LA 70827-0010 2015-05-26
1295088326 Tri Parish Medical Services Inc Private Vehicle 2900 Westfork Dr, Baton Rouge, LA 70827-0010 2012-10-26
Find all providers in zip 70827

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285101626 Joseph Carter Nurse Practitioner 15481 Airline Hwy, Baton Rouge, LA 70817-7314 2018-10-24
1407346984 Baton Rouge General Medical Center Nurse Practitioner 8585 Picardy Ave Ste 412, Baton Rouge, LA 70809-3749 2018-05-10
1235630260 Abby A Burke Nurse Practitioner 12072 S Tom Stokes Ct, Baton Rouge, LA 70810-3177 2018-02-25
1619484029 Andrea Viator Murphy Nurse Practitioner 8415 Goodwood Blvd Ste 202b, Baton Rouge, LA 70806 2018-01-08
1225558059 Christina Marino Nurse Practitioner 17141 Deer Meadow Ave, Baton Rouge, LA 70816-1701 2017-06-22
1871042713 Zenovia Harris Nurse Practitioner 1138 Elvin Dr, Baton Rouge, LA 70810-8715 2016-10-03
1275087033 Impact Network, LLC Nurse Practitioner 13636 Highland Rd, Baton Rouge, LA 70810-5013 2016-08-10
1295140812 Altegra Health Connections, LLC Nurse Practitioner 5615 Corporate Blvd, Suite 400 B, Baton Rouge, LA 70808-2536 2014-06-23
1043633183 Terrica Terrell Williams Nurse Practitioner 9118 Bluebonnet Centre Blvd Fl 2, Baton Rouge, LA 70809-2993 2014-01-24
1699010710 Aimee Claire Braus Nurse Practitioner 3121 Nicholson Lake Dr, Baton Rouge, LA 70810-0354 2012-11-29
Find all providers in BATON ROUGE

Competitor

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City BATON ROUGE
Zip Code 70827

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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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