| Imaging Affiliates Of Baton Rouge, Ltd. | |
|
8044 Summa Ave Baton Rouge LA 70809-3411 | |
| (225) 761-7278 | |
| (225) 767-8121 |
| Full Name | Imaging Affiliates Of Baton Rouge, Ltd. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8044 Summa Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Edward R Asaro (PRESIDENT) |
| Authorized Official Contact | 5044543600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imaging Affiliates Of Baton Rouge, Ltd. 8044 Summa Ave Baton Rouge LA 70809-3411 Ph: (225) 761-7278 | Imaging Affiliates Of Baton Rouge, Ltd. 8044 Summa Ave Baton Rouge LA 70809-3411 Ph: (225) 761-7278 |
| NPI Number | 1710093687 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2769461862 |
|---|---|
| Medicare Enrollment ID | O20040714000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710093687 | NPI | - | NPPES |
| 1948578 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael D Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528061058 PECOS PAC ID: 3274420153 Enrollment ID: I20040304000100 |
| Provider Name | Rodney W Burns |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164419370 PECOS PAC ID: 9234115403 Enrollment ID: I20040628001073 |
| Provider Name | Mark T Stephan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578550794 PECOS PAC ID: 2961494661 Enrollment ID: I20040628001097 |
| Provider Name | Warren John Green |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174546386 PECOS PAC ID: 7911893821 Enrollment ID: I20041029000004 |
| Provider Name | Steven W Pate |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942223185 PECOS PAC ID: 1557323839 Enrollment ID: I20041029000008 |
| Provider Name | Paula M Sharkey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578556783 PECOS PAC ID: 5890757017 Enrollment ID: I20041101000077 |
| Provider Name | Gerard A Ballanco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053330779 PECOS PAC ID: 4183689441 Enrollment ID: I20041129000264 |
| Provider Name | Stephanie D Casey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508870783 PECOS PAC ID: 5294736088 Enrollment ID: I20070824000051 |
| Provider Name | Joan Wojak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881648277 PECOS PAC ID: 0547350613 Enrollment ID: I20080910000596 |
| Provider Name | William M Wilder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730120312 PECOS PAC ID: 6406872134 Enrollment ID: I20090520000335 |
| Provider Name | Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861657611 PECOS PAC ID: 7719121060 Enrollment ID: I20140909000284 |
| Provider Name | Jacob Elidge Enterkin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306043096 PECOS PAC ID: 2769626530 Enrollment ID: I20180123003151 |
| Provider Name | Timothy J Machen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013303353 PECOS PAC ID: 2668778226 Enrollment ID: I20210506001722 |
| Provider Name | Hunter Thomas Christy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699162206 PECOS PAC ID: 5698073211 Enrollment ID: I20210616002306 |
| Provider Name | Dallas Blanco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740716331 PECOS PAC ID: 7012394844 Enrollment ID: I20230921000622 |
| Provider Name | Ashley Arnaud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023547684 PECOS PAC ID: 9931471240 Enrollment ID: I20230921003148 |
| Provider Name | Thomas Iii Block |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265096390 PECOS PAC ID: 9537490883 Enrollment ID: I20240521001258 |
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