# BATON ROUGE ORTHOPAEDIC CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BATON ROUGE ORTHOPAEDIC CLINIC
- **Other names:** Ascension Orthopaedic Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164697983
- **Legal business name:** BATON ROUGE ORTHOPAEDIC CLINIC
- **Authorized official:** MARY C BOWLIN (CREDENTIALS COORDINATOR)
- **Authorized official phone:** (985) 974-0422

## Contact information

- **Practice address:** 1023 W HIGHWAY 30, GONZALES, LA 70737-5002
- **Practice address phone:** (225) 743-2366
- **Practice address fax:** (225) 743-2369
- **Mailing address:** 8080 BLUEBONNET BLVD, SUITE 1000, BATON ROUGE, LA 70810-7827
- **Mailing address phone:** (225) 924-2424
- **Mailing address fax:** (225) 408-7984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 08/09/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1793418 | — | LA |