TAYLOR BRYAN THEUNISSEN M.D. NPI 1801086368

NPI Information

NPI: 1801086368
Provider Name: TAYLOR BRYAN THEUNISSEN, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
5233 DIJON DR
BATON ROUGE, LA
ZIP 70808
Phone: (225) 218-6108
Get Directions

Taylor Bryan Theunissen, M.D. is a plastic and reconstructive surgery surgery in Baton Rouge, LA with 21 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Taylor Bryan Theunissen, M.D. NPI is 1801086368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2003

The provider's business location address is:

5233 DIJON DR
BATON ROUGE, LA
ZIP 70808-692
Phone: (225) 218-6108
Fax: (225) 223-6010

The NPI 1801086368 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 4/28/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207X00000X	Orthopaedic Surgery		026454	LOUISIANA	No
2	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	026454	LOUISIANA	No
3	2086S0122X	Surgery	Plastic and Reconstructive Surgery	026454	LOUISIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4Q217CY70	MEDICARE PIN
2	05285897	MEDICAID	MISSISSIPPI
3	1063444	MEDICAID	LOUISIANA

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

NPI Synchronization or Removal

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