| Larouge Healthcare | |
|
9800 Airline Hwy Ste 233 Baton Rouge LA 70816-8195 | |
| (833) 262-1101 | |
| (844) 927-4527 |
| Full Name | Larouge Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 9800 Airline Hwy Ste 233, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Ebony Brown (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8332621101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larouge Healthcare Po Box 485 Baker LA 70704-0485 Ph: (225) 955-1707 | Larouge Healthcare 9800 Airline Hwy Ste 233 Baton Rouge LA 70816-8195 Ph: (833) 262-1101 |
| NPI Number | 1669074159 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 12/20/2022 |
| Medicare PECOS PAC ID | 9234532433 |
|---|---|
| Medicare Enrollment ID | O20210818002148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669074159 | NPI | - | NPPES |
| Provider Name | Robert C Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619955408 PECOS PAC ID: 1153364146 Enrollment ID: I20050610000124 |
| Provider Name | Tiny E Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669403218 PECOS PAC ID: 1759482748 Enrollment ID: I20080513000319 |
| Provider Name | Keytha L Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538593538 PECOS PAC ID: 0840425591 Enrollment ID: I20131105000745 |
| Provider Name | Laura D Ostermiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871950659 PECOS PAC ID: 5496058182 Enrollment ID: I20160130000093 |
| Provider Name | Paula Olaitan Sakin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669062519 PECOS PAC ID: 0648689604 Enrollment ID: I20210902003370 |
| Provider Name | Vanessa Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588877393 PECOS PAC ID: 9739289992 Enrollment ID: I20211215002045 |
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