BAYOU PHYSICAL MEDICINE, INC. (NPI# 1962636597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962636597 |
| Entity Type | Organization |
| Organization Name | BAYOU PHYSICAL MEDICINE, INC. |
| Practice Address |
12038 Lake Sherwood Ave N Baton Rouge LA 70816-4341 |
| Mailing Address |
Po Box 64800 Baton Rouge LA 70896-4800 |
| Practice Telephone | 2252476483 |
| Mailing Telephone | 2252476483 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-10-13 |
| Authorized Official Name | DR. ELSIE M COLIN (PRESIDENT/CEO) |
| Authorized Official Telephone | 2252476483 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD.15662R | LA | Allopathic & Osteopathic Physicians |
| Street Address |
12038 LAKE SHERWOOD AVE N |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-4341 |
| 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 | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417167750 | Markus Vattakattil John | Physical Medicine & Rehabilitation | 4021 We Heck Ct, Building M-1, Baton Rouge, LA 70816-0416 | 2007-05-23 |
| 1831431626 | Matthew Neumann | Physical Medicine & Rehabilitation | 7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808 | 2013-03-20 |
| 1952676785 | Hamed, LLC | Physical Medicine & Rehabilitation | 8108 Picardy Ave, Suite C, Baton Rouge, LA 70809-3514 | 2012-03-12 |
| 1821044025 | Gregory Ward | Physical Medicine & Rehabilitation | 8338 Summa Ave, Suite 500, Baton Rouge, LA 70809-3669 | 2006-05-26 |
| 1780637223 | Louisiana Institute of Physical Medicine & Family Practice | Physical Medicine & Rehabilitation | 8338 Summa Ave, Ste 500, Baton Rouge, LA 70809-3669 | 2006-05-18 |
| 1093704181 | Jyoti S Pham | Physical Medicine & Rehabilitation | 10101 Park Rowe Ave, Suite 200, Baton Rouge, LA 70810-1686 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736343 | David S Vaughan | Physical Medicine & Rehabilitation | 3926 Barron St Ste C210, Metairie, LA 70002-5798 | 2020-07-02 |
| 1184196784 | Evan Phillips | Physical Medicine & Rehabilitation | 1103 Kaliste Saloom Rd Ste 100&102, Lafayette, LA 70508-5783 | 2018-12-19 |
| 1093236283 | Spine Management Group, LLC | Physical Medicine & Rehabilitation | 4600 S Claiborne Ave Ste 100, New Orleans, LA 70125-5010 | 2017-06-28 |
| 1467808519 | Healthspere Management Group | Physical Medicine & Rehabilitation | 872 Behrman Hwy, Gretna, LA 70056-4546 | 2016-05-09 |
| 1144568320 | Rees Medical Services, LLC | Physical Medicine & Rehabilitation | 1211 Coolidge Blvd Ste 401, Lafayette, LA 70503-2638 | 2013-01-23 |
| 1386807444 | Axcess Medical Clinic, Inc | Physical Medicine & Rehabilitation | 524 Elmwood Park Blvd, Suite 100, Harahan, LA 70123-3339 | 2008-07-08 |
| 1124298344 | Satvik Bhargav Munshi | Physical Medicine & Rehabilitation | 3820 Lapalco Blvd, Harvey, LA 70058 | 2008-03-04 |
| 1437263522 | Omni Pain Management, LLC | Physical Medicine & Rehabilitation | 2701 David Dr, Suite A, Metairie, LA 70003-4511 | 2006-08-18 |
| 1558475806 | Stat Care Pain Management, LLC | Physical Medicine & Rehabilitation | 807 Stubb St., Suite 1, Monroe, LA 71201 | 2006-08-17 |
| 1811900459 | Omni Paim Management Plus, LLC | Physical Medicine & Rehabilitation | 700 Gause Blvd Ste 101, Slidell, LA 70458-2852 | 2006-08-14 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
Please comment or provide details below to improve the information on BAYOU PHYSICAL MEDICINE, INC..
| 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.