Central Stat Care | |
11055 Shoe Creek Dr Baton Rouge LA 70818-4022 | |
(225) 261-4493 | |
Not Available |
Full Name | Central Stat Care |
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Speciality | General Practice |
Location | 11055 Shoe Creek Dr, Baton Rouge, Louisiana |
Authorized Official Name and Position | Bryan W Barrett (OWNER) |
Authorized Official Contact | 2252614493 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Stat Care Po Box 14149 Baton Rouge LA 70898-4149 Ph: (225) 924-9827 | Central Stat Care 11055 Shoe Creek Dr Baton Rouge LA 70818-4022 Ph: (225) 261-4493 |
NPI Number | 1467736165 |
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Provider Enumeration Date | 09/29/2011 |
Last Update Date | 10/19/2011 |
Medicare PECOS PAC ID | 6103091624 |
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Medicare Enrollment ID | O20111213000119 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467736165 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Melissa R Barrett |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1245329325 PECOS PAC ID: 7315846896 Enrollment ID: I20040105000045 |
Provider Name | Rebecca J Cranford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134475429 PECOS PAC ID: 1153570668 Enrollment ID: I20120927000034 |
Provider Name | Jeremy S Dedeaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104233923 PECOS PAC ID: 3173745189 Enrollment ID: I20141106001475 |
Provider Name | Chenika H Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265850572 PECOS PAC ID: 3870817117 Enrollment ID: I20150115001035 |
Provider Name | Justin J Dillard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205293941 PECOS PAC ID: 6507162310 Enrollment ID: I20160303002569 |
Provider Name | Keturiah N Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952759193 PECOS PAC ID: 9133414675 Enrollment ID: I20160823003108 |
Provider Name | Mallory S Bankston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174938211 PECOS PAC ID: 7416242524 Enrollment ID: I20160827000167 |
Provider Name | Elizabeth A Frazier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427453745 PECOS PAC ID: 8224334271 Enrollment ID: I20161122001683 |
Provider Name | Bill Cranford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184074502 PECOS PAC ID: 0143501940 Enrollment ID: I20170110003305 |
Provider Name | Frances V Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740655000 PECOS PAC ID: 1658642533 Enrollment ID: I20170810003500 |
Provider Name | Rosaline Osu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235653890 PECOS PAC ID: 3072885987 Enrollment ID: I20170826000173 |
Provider Name | Crissy D Devall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598250870 PECOS PAC ID: 4284983164 Enrollment ID: I20180827001518 |
Provider Name | Christopher B Staggers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184283236 PECOS PAC ID: 8820327778 Enrollment ID: I20190903001064 |
Provider Name | Rebekah J Schmieder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285293464 PECOS PAC ID: 0749519494 Enrollment ID: I20190906000069 |
Provider Name | Kamaria Liani Blakes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811496730 PECOS PAC ID: 4789916032 Enrollment ID: I20191106000716 |
Provider Name | Angela D Coss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356974265 PECOS PAC ID: 9739518200 Enrollment ID: I20200403001580 |
Provider Name | Rebekah E Rayner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306361928 PECOS PAC ID: 3971932047 Enrollment ID: I20200413000388 |
Provider Name | Tram Fruge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306457379 PECOS PAC ID: 3173940590 Enrollment ID: I20200901000050 |
Provider Name | Rebecca Chair Muzika |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396318978 PECOS PAC ID: 6204226111 Enrollment ID: I20211208003208 |
Provider Name | Ashton L Fox |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568196616 PECOS PAC ID: 4880078336 Enrollment ID: I20220831003603 |
Provider Name | Deanna N Ibrahim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497473268 PECOS PAC ID: 6204291412 Enrollment ID: I20230421002631 |
Provider Name | Angela D Kennerly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275249088 PECOS PAC ID: 8527424001 Enrollment ID: I20230525003279 |
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