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ADVANCED VIDEOSCOPIC SURGERY OF BATON ROUGE NPI 1336170257


NPI Information

NPI: 1336170257
Provider Name: ADVANCED VIDEOSCOPIC SURGERY OF BATON ROUGE
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
9094 PERKINS ROAD
SUITE A
BATON ROUGE, LA
ZIP 70810
Phone: (225) 819-0983
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ADVANCED VIDEOSCOPIC SURGERY OF BATON ROUGE is a surgery in Baton Rouge, LA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. ADVANCED VIDEOSCOPIC SURGERY OF BATON ROUGE NPI is 1336170257. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9094 PERKINS ROAD
SUITE A
BATON ROUGE, LA
ZIP 70810
Phone: (225) 819-0983
Fax: (225) 819-0986

The provider's authorized official is Drake Eric Bellanger .
The authorized official title is Owner and has the following contact phone number (225) 819-0983.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery00017405ALABAMANo
2208600000XSurgery11666RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11697486MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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