RADHIKA M. THORN (NPI# 1871754028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871754028 |
| Entity Type | Individual |
| Full Name | RADHIKA M. THORN |
| Credential | MD |
| Practice Address |
9001 Summa Ave Baton Rouge LA 70809-3726 |
| Practice Telephone | 2257615200 |
| Mailing Telephone | 2257615200 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD.206960 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08755852 | 05 | |
| LA | 2373846 | 05 |
| Street Address |
9001 SUMMA AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700888997 | Douglas K Mendoza | Internal Medicine | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2005-06-01 |
| 1134696941 | Grace Elisabeth Mansfield | Nutritionist | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-10-30 |
| 1437644739 | Blakeney Mcknight | Physician Assistant | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-06-28 |
| 1801380217 | Tiffany Ann Beauchamp | Specialist/Technologist | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-06-19 |
| 1265925515 | Aimee Elizabeth Lestage | Speech-Language Pathologist | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-06-12 |
| 1053800599 | Tyesha Taylor | Nurse Practitioner | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2018-05-09 |
| 1124479357 | Mary Hufft | Physician Assistant | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2016-06-29 |
| 1144689399 | Rachelle Sanders | Nurse Practitioner | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2016-02-16 |
| 1932568250 | Gina Heagy Braud | Dietitian, Registered | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2016-02-15 |
| 1366816837 | Kelly Chambers Mendoza | Nurse Practitioner | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2015-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265713572 | Shaista H. Faruqui, M.d. Apmc | Internal Medicine | 5320 Dijon Dr, Baton Rouge, LA 70808-4313 | 2011-08-31 |
| 1477601417 | Brian Gill Barnett | Internal Medicine | 17050 Medical Center Drive, Physician Plaza II 4th Floor, Baton Rouge, LA 70816 | 2007-01-08 |
| 1861489783 | Shaista Hoda Faruqui | Internal Medicine | 5320 Dijon Drive, Baton Rouge, LA 70808-4395 | 2005-10-05 |
| 1902809692 | Deborah M Johnson | Internal Medicine | 4950 Essen Ln Ste 300, Baton Rouge, LA 70809-3739 | 2005-05-27 |
| 1982155867 | Baton Rouge General Medical Center | Internal Medicine | 8595 Picardy Ave, Suite 400, Baton Rouge, LA 70809-3670 | 2016-10-17 |
| 1275971475 | Jeanette M Kovtun | Internal Medicine | 4950 Essen Ln Ste 500, Baton Rouge, LA 70809 | 2013-06-10 |
| 1629334347 | Sobia Ozair | Internal Medicine | 4950 Essen Ln Ste 300, Baton Rouge, LA 70809 | 2012-04-06 |
| 1972795250 | Joseph Ryan Shows | Internal Medicine | 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 | 2007-08-10 |
| 1194916650 | Lauren Zatarain | Internal Medicine | 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 | 2007-08-08 |
| 1730370875 | Scott R Seals | Internal Medicine | 8595 Picardy Ave, Suite 400, Baton Rouge, LA 70809-3670 | 2007-08-05 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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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.