WAYNE DAVID GRAVOIS (NPI# 1902806185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902806185 |
| Entity Type | Individual |
| Full Name | WAYNE DAVID GRAVOIS |
| Credential | MD |
| Practice Address |
3401 North Blvd Ste 200 Baton Rouge LA 70806-3743 |
| Practice Telephone | 2253816620 |
| Practice Fax Number | 2258191179 |
| Mailing Telephone | 2253816620 |
| Mailing Fax Number | 2258191179 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 016200 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1338915 | 05 |
| Street Address |
3401 NORTH BLVD STE 200 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-3743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447889373 | Sitara Satish | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-04-03 |
| 1093344053 | Mervina Aaliyah George | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-04-02 |
| 1235767302 | Valeria Alexandra Soegaard Garcia | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-04-01 |
| 1528696879 | Jeremy Adel | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-03-31 |
| 1831727148 | Jeffrey Thiebaud | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-03-31 |
| 1255969630 | Patrick Alexander Bergin | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-03-31 |
| 1831727379 | Ifeoma Okponyia | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-03-30 |
| 1467080903 | Alakananda Mukherjee | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2020-03-30 |
| 1649834508 | Benjamin Ozbun | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2019-04-26 |
| 1043773443 | Devin Petrone | Student in an Organized Health Care Education/Training Program | 3401 North Blvd Ste 200, Baton Rouge, LA 70806-3743 | 2019-04-11 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023571460 | Robert Dwight Brower | Family Medicine | 7037 Woodstock Dr, Baton Rouge, LA 70809-1131 | 2019-04-11 |
| 1154896470 | Jornel Rarnise Dixon | Family Medicine | 10627 Hillary Ct, Baton Rouge, LA 70810-2842 | 2018-10-13 |
| 1588187686 | Baton Rouge General Physicians Concierge Medicine, LLC | Family Medicine | 10523 N Oak Hills Pkwy Ste A, Baton Rouge, LA 70810-2858 | 2017-07-20 |
| 1265886303 | Rachael Kermis | Family Medicine | 8595 Picardy Ave Ste 200, Baton Rouge, LA 70809-3674 | 2016-04-14 |
| 1902266489 | Jon Anthony Savoie | Family Medicine | 19527 East Lakeway Avenue, Baton Rouge, LA 70810-8926 | 2016-02-26 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| 1477950202 | Baton Rouge General Physicians, Inc. | Family Medicine | 9241 Bluebonnet Blvd Ste B, Baton Rouge, LA 70810-2971 | 2014-11-21 |
| 1275808305 | Jonathan Arlen Roundtree | Family Medicine | 504 Mayflower St, Baton Rouge, LA 70802-6419 | 2012-03-22 |
| 1295019743 | Christine L. Mills Smith, Md, LLC | Family Medicine | 8261 Summa Ave Ste A, Baton Rouge, LA 70809 | 2011-10-03 |
| 1093095408 | Oscar Menees Thompson Jr. | Family Medicine | 8655 Jefferson Hwy, # 3, Baton Rouge, LA 70809-2244 | 2011-08-17 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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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.