OUR LADY OF THE LAKE PHYSICIAN GROUP LLC
NPI 1033494943
Internal Medicine in Baton Rouge, LA

Active since October 12, 2011CLIA Certified · 3 labs
7777 HENNESSY BLVD, STE 6002, BATON ROUGE, LA 70808(225) 765-7727(225) 766-5645 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Our Lady Of The Lake Physician Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUR LADY OF THE LAKE PHYSICIAN GROUP LLC (NPI 1033494943) is a healthcare organization registered as an internal medicine in Baton Rouge, Louisiana and active in the NPI registry since October 2011. The organization holds 3 active CLIA laboratory certificates and lists Jeffrey Limbocker, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033494943
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOUR LADY OF THE LAKE PHYSICIAN GROUP LLC
Location Address7777 HENNESSY BLVD, STE 6002Baton Rouge, LA 70808-4300
Mailing Address2051 Silverside Dr, Ste 260Baton Rouge, LA 70808-9005 · (225) 490-6301 · Fax (225) 765-9539
Fax(225) 766-5645
Organization SubpartNo
Authorized OfficialJeffrey LimbockerCfo · (225) 765-7727
Enumeration DateOctober 12, 2011
Last NPPES UpdateOctober 8, 2015
NPI 1033494943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgeryTaxonomy 208600000X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
7777 HENNESSY BLVD, Baton Rouge, LA 70808

Other Identifiers 2

Medicare PIN5DX80LA
Medicaid2305042LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2302532

Our Lady Of The Lake Physician Group La Cardiology · Baton Rouge, LA
Active · expires Apr 10, 2028
CLIA Number19D2302532
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorC Andrew Smith
Laboratory Phone(225) 767-3900
Laboratory LocationOur Lady Of The Lake Physician Group La Cardiology7777 Hennessy Blvd, Ste 1000, Baton Rouge, LA 70808
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D0462715

Our Lady Of The Lake Physician Group - Urology · Baton Rouge, LA
Active · expires Oct 14, 2027
CLIA Number19D0462715
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorJames S. Morris
Laboratory Phone(225) 763-0990
Laboratory LocationOur Lady Of The Lake Physician Group - Urology7777 Hennessy Blvd Suite 2004, Baton Rouge, LA 70808
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 19D2171056

Our Lady Of The Lake Physician Group - Psychology · Baton Rouge, LA
Active · expires Aug 25, 2027
CLIA Number19D2171056
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorMark Zielinski
Laboratory Phone(225) 374-0400
Laboratory LocationOur Lady Of The Lake Physician Group - Psychology5131 O'donovan Dr, Suite 300, Baton Rouge, LA 70808
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
7777 HENNESSY BLVD, SUITE 301
BATON ROUGE, LA 70808
Nurse Practitioner
7777 HENNESSY BLVD, SUITE 1000
BATON ROUGE, LA 70808
Nurse Practitioner (Acute Care)
7777 HENNESSY BLVD, SUITE 701
BATON ROUGE, LA 70808
Durable Medical Equipment & Medical Supplies
7777 HENNESSY BLVD, SUITE 5000
BATON ROUGE, LA 70808
Surgery
7777 HENNESSY BLVD, SUITE 612
BATON ROUGE, LA 70808
Physician Assistant
7777 HENNESSY BLVD, OUR LADY OF THE LAKE MED CNTR -- ER DEPT
BATON ROUGE, LA 70808
Surgery
7777 HENNESSY BLVD, SUITE 612
BATON ROUGE, LA 70808
Nurse Anesthetist, Certified Registered
7777 HENNESSY BLVD, SUITE 301
BATON ROUGE, LA 70808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Our Lady Of The Lake Physician Group LLC's NPI number?

The NPI number for Our Lady Of The Lake Physician Group LLC is 1033494943. It was assigned to this organization in the NPPES registry on October 12, 2011.

Where is Our Lady Of The Lake Physician Group LLC located?

Our Lady Of The Lake Physician Group LLC is located at 7777 Hennessy Blvd Ste 6002, Baton Rouge, LA 70808. The listed phone number is (225) 765-7727.

What is Our Lady Of The Lake Physician Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Our Lady Of The Lake Physician Group LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Our Lady Of The Lake Physician Group LLC accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Our Lady Of The Lake Physician Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Our Lady Of The Lake Physician Group LLC was last updated on October 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.