MR. MATTHEW IVANYISKY (NPI# 1871069377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871069377 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW IVANYISKY |
| Credential | PA-C |
| Practice Address |
16777 Medical Center Dr Baton Rouge LA 70816-3254 |
| Mailing Address |
Po Box 471 Albany LA 70711-0471 |
| Practice Telephone | 2257615200 |
| Mailing Telephone | 2252296288 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 310189 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16777 MEDICAL CENTER DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-3254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176985 | Stanocola Home Health | Home Health | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2005-07-01 |
| 1992356398 | Terri Mcgee Frazier | Pharmacist | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2019-09-26 |
| 1386113066 | Ryan Jack Paul Faulkner | Nurse Practitioner | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2018-11-25 |
| 1629596325 | Karee Balfantz | Dietitian, Registered | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2017-09-01 |
| 1841713716 | Jennifer Hooper Laws | Nurse Practitioner | 16777 Medical Center Dr, Baton Rouge, LA 70816 | 2017-07-21 |
| 1801246186 | Carey Clifton | Podiatrist | 16777 Medical Center Dr, Baton Rouge, LA 70816 | 2016-06-16 |
| 1912368812 | Emily Johnston | Speech-Language Pathologist | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2016-03-19 |
| 1972963700 | Mary-kate Boh Davis | Nurse Practitioner | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2016-03-07 |
| 1801256144 | Jimi Michelle Aucoin | Advanced Practice Midwife | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2016-02-29 |
| 1730548603 | Brittany Q. George | Nurse Practitioner | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2016-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508474958 | Katherine Whittington | Physician Assistant | 778 Albert Hart Dr, Baton Rouge, LA 70808-5805 | 2020-07-21 |
| 1881213254 | Sana Badat | Physician Assistant | 18406 Cedar Line Dr, Baton Rouge, LA 70817-4263 | 2020-04-15 |
| 1770116022 | Auxilio Surgical Solutions Ras, LLC | Physician Assistant | 140 Valhalla Blvd, Baton Rouge, LA 70810-3649 | 2020-02-14 |
| 1861025116 | Auxilio Surgical Solutions Crb, LLC | Physician Assistant | 2621 Cedar Lodge Dr, Baton Rouge, LA 70809-1058 | 2020-02-14 |
| 1154988186 | Michael Chafin Dugas | Physician Assistant | 17000 Medical Center Dr # 70816, Baton Rouge, LA 70816-3246 | 2019-05-24 |
| 1700399037 | Louisana Em-i Medical Services A Medical Corporation | Physician Assistant | 501 Louisiana Ave, Baton Rouge, LA 70802-5921 | 2017-11-08 |
| 1376052514 | Shanna Evans | Physician Assistant | 18303 Perkins Rd E Ste 304, Baton Rouge, LA 70810-3939 | 2017-09-20 |
| 1336668425 | Gregory Scott Miller | Physician Assistant | 8751 Sullivan Rd, Baton Rouge, LA 70818-6014 | 2017-09-11 |
| 1982121141 | Matthew Stephen Chappellie | Physician Assistant | 8585 Picardy Ave Ste 518, Baton Rouge, LA 70809-3748 | 2017-08-28 |
| 1245751569 | Megan Stabiler Schmitt | Physician Assistant | 12525 Perkins Rd Ste B, Baton Rouge, LA 70810-1907 | 2017-06-28 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
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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.