TAMARA AISHA MARRYSHOW GRANADOS


Address: 12525 Perkins Rd Ste A, Baton Rouge, LA 70810-1907
Phone: 2257614256

TAMARA AISHA MARRYSHOW GRANADOS (NPI# 1982124244) 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) 1982124244
Entity Type Individual
Full Name TAMARA AISHA MARRYSHOW GRANADOS
Credential MD
Practice Address 12525 Perkins Rd Ste A
Baton Rouge
LA 70810-1907
Mailing Address 5959 S Sherwood Forest Blvd
Baton Rouge
LA 70816-6038
Practice Telephone 2257614256
Practice Fax Number 2257614034
Mailing Telephone 2255260001
Mailing Fax Number 2257659196
Enumeration Date 2017-06-27
Last Update Date 2020-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 322666 LA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine LP04112 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI RHODE ISLAND MEDICAL LICENSE LP04112 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
111 Brewster St, Fcc C, Pawtucket, RI 02860 4017292769 4017292772

Office Location

Street Address 12525 PERKINS RD STE A
City BATON ROUGE
State LA
Zip Code 70810-1907

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073991535 James Michael Robinson Family Medicine 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 2015-05-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639734973 Baton Rouge Clinic, A Medical Corporation Podiatrist 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 2019-05-02
1699278135 Taylor Denise Debourg Specialist/Technologist 8921 Boone Drive, Baton Rouge, LA 70810 2018-03-12
1528583945 Baton Rouge Perio, L.L.C. Dentist 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 2017-08-07
1902334931 Reginald Shaffer Counselor 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 2017-06-03
1770010381 Keona Julien Case Manager/Care Coordinator 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 2017-05-12
1205372893 Grand Canyon Mobile Dentistry Dentist 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 2017-01-06
1215395173 Kimberly Booker Counselor 9371 Bimini Dr, Baton Rouge, LA 70810 2016-02-08
1710354022 St Gabriel Health Clinic, Inc Clinic/Center 9211 Parkway Dr, Baton Rouge, LA 70810 2015-08-24
1942682430 Jasmine Alexander Counselor 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 2015-06-22
1699185579 Parker Jones Psychiatry & Neurology 3342 Rue D' Orleans Dr., Baton Rouge, LA 70810 2014-05-01
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City BATON ROUGE
Zip Code 70810

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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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