| Baton Rouge General Gastroenterology | |
|
8585 Picardy Ave Suite 325 Baton Rouge LA 70809-3679 | |
| (225) 819-1190 | |
| Not Available |
| Full Name | Baton Rouge General Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 8585 Picardy Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kendall A. Johnson (CFO) |
| Authorized Official Contact | 2252371645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baton Rouge General Gastroenterology 8585 Picardy Ave Suite 325 Baton Rouge LA 70809-3679 Ph: () - | Baton Rouge General Gastroenterology 8585 Picardy Ave Suite 325 Baton Rouge LA 70809-3679 Ph: (225) 819-1190 |
| NPI Number | 1841577988 |
|---|---|
| Provider Enumeration Date | 11/03/2011 |
| Last Update Date | 11/03/2011 |
| Medicare PECOS PAC ID | 3779759030 |
|---|---|
| Medicare Enrollment ID | O20120109000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841577988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Stacy D Jones-pedescleaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962670570 PECOS PAC ID: 1355418500 Enrollment ID: I20091201000479 |
| Provider Name | Darakhshan Wahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801872627 PECOS PAC ID: 7911030226 Enrollment ID: I20100805001068 |
| Provider Name | Vasanthi Vinayagam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376520650 PECOS PAC ID: 1355466780 Enrollment ID: I20100908001144 |
| Provider Name | Jonnika Hudson Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104342765 PECOS PAC ID: 5496015364 Enrollment ID: I20180214001826 |
| Provider Name | Anthony V Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699201434 PECOS PAC ID: 5496020281 Enrollment ID: I20210915000088 |
| Provider Name | Kierstin Renee Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447935796 PECOS PAC ID: 6608215827 Enrollment ID: I20240419001748 |
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