RED STICK CARDIOLOGY LLC NPI 1154309318

NPI Information

  • NPI: 1154309318
  • Provider Name: RED STICK CARDIOLOGY LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • CLIA Number: 19D2303617
  • Address: 17050 MEDICAL CENTER DR
    STE 111
    BATON ROUGE, LA
    ZIP 70816
  • Phone: (225) 753-8686

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NPI Details

RED STICK CARDIOLOGY LLC is a cardiovascular disease internal medicine in Baton Rouge, LA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. RED STICK CARDIOLOGY LLC NPI is 1154309318. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17050 MEDICAL CENTER DR
STE 111
BATON ROUGE, LA
ZIP 70816-252
Phone: (225) 753-8686
Fax: (225) 753-8774

The provider's authorized official is Charles Allen Thompson .
The authorized official title is Physician and has the following contact phone number (225) 753-8686.

The CLIA number assigned to this NPI record is 19D2303617 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease10749RLOUISIANAYes

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 Other Provider Identifier Issuer
11666840MEDICAIDLOUISIANA

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: 11/21/2025

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