ROSLYN M TABOR MD LLC NPI 1770758542

NPI Information

  • NPI: 1770758542
  • Provider Name: ROSLYN M TABOR MD LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SUMMA FAMILY MEDICAL CENTER
  • Address: 8044 SUMMA AVE
    BLDG 1 SUITE A
    BATON ROUGE, LA
    ZIP 70809
  • Phone: (225) 757-8185

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NPI Details

ROSLYN M TABOR MD LLC is a family medicine in Baton Rouge, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROSLYN M TABOR MD LLC NPI is 1770758542. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Summa Family Medical Center.

The provider's business location address is:

8044 SUMMA AVE
BLDG 1 SUITE A
BATON ROUGE, LA
ZIP 70809-411
Phone: (225) 757-8185
Fax: (225) 757-3837

The provider's authorized official is Susan Stewart .
The authorized official title is Office Manager and has the following contact phone number (225) 757-8185.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 4/23/2008.

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
1207Q00000XFamily Medicine017770LOUISIANAYes

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
11693294MEDICAIDLOUISIANA
25CB47MEDICARE PINLOUISIANA
3D16968MEDICARE UPINLOUISIANA

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: 3/30/2025

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