| Grady Endocrinology Center Llc | |
|
10512 S Glenstone Pl Suite 102 Baton Rouge LA 70810-2966 | |
| (225) 505-5532 | |
| (225) 926-9674 |
| Full Name | Grady Endocrinology Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10512 S Glenstone Pl, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Justin Grady Matrisciano (MANAGING MEMBER / OWNER) |
| Authorized Official Contact | 5163801490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grady Endocrinology Center Llc 10512 S Glenstone Pl Suite 102 Baton Rouge LA 70810-2966 Ph: (225) 505-5532 | Grady Endocrinology Center Llc 10512 S Glenstone Pl Suite 102 Baton Rouge LA 70810-2966 Ph: (225) 505-5532 |
| NPI Number | 1548668452 |
|---|---|
| Provider Enumeration Date | 12/09/2014 |
| Last Update Date | 12/09/2014 |
| Medicare PECOS PAC ID | 4183934144 |
|---|---|
| Medicare Enrollment ID | O20151104001368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548668452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD202783 (Louisiana) | Primary |
| Provider Name | Justin G Matrisciano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922093210 PECOS PAC ID: 8426948092 Enrollment ID: I20090723000134 |
Charlie H Bridges Md, Facs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd Ste 608, Baton Rouge, LA 70808 Phone: 225-767-0394 Fax: 225-767-3904 | |
Venus/neuropathy Treatment Centers Of La,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 S Sherwood Forest Blvd, Suite110, Baton Rouge, LA 70816 Phone: 225-636-5184 Fax: 225-636-5185 | |
St. Gabriel - Innovation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7800 Innovation Dr, Baton Rouge, LA 70820 Phone: 225-642-9676 Fax: 225-642-9696 | |
Central Community School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13421 Hooper Rd, Baton Rouge, LA 70818 Phone: 225-262-1919 | |
Deekay Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3923 Convention St, Baton Rouge, LA 70806 Phone: 225-381-6478 | |
Total Family Healthcare, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4336 North Blvd, Suite 103, Baton Rouge, LA 70806 Phone: 225-383-3187 Fax: 225-383-3190 | |
3c&l Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4720 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809 Phone: 225-256-7219 |