# BATON ROUGE ORTHOPAEDIC CLINIC LLC

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

## Provider details

- **NPI number:** 1295535144
- **Legal business name:** BATON ROUGE ORTHOPAEDIC CLINIC LLC
- **Authorized official:** SAMUEL WILLIAMSON (CEO)
- **Authorized official phone:** (225) 924-2424

## Contact information

- **Practice address:** 42078 VETERANS AVE STE B, HAMMOND, LA 70403-1490
- **Practice address phone:** (225) 490-3070
- **Mailing address:** 8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810-7827
- **Mailing address phone:** (225) 924-2424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | — |
| 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:** 03/18/2025
- **Last updated:** 03/18/2025