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ST. JUDE AFFILIATE/BATON ROUGE
NPI 1063428688
Pediatrics - Pediatric Hematology-Oncology in Baton Rouge, LA

Active since August 01, 2006
7777 HENNESSY BLVD, STE. 312, BATON ROUGE, LA 70808(225) 763-6337(225) 761-4072 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. Jude Affiliate/baton Rouge NPPES

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

ST. JUDE AFFILIATE/BATON ROUGE (NPI 1063428688) is a healthcare organization registered as a pediatric hematology-oncology in Baton Rouge, Louisiana and active in the NPI registry since August 2006. The organization lists Michael C Canarios, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1063428688
Entity TypeOrganization
Primary Taxonomy2080P0207X
Legal Business NameST. JUDE CHILDREN'S RESEARCH HOSPITAL
Location Address7777 HENNESSY BLVD, STE. 312Baton Rouge, LA 70808-4300
Mailing Address7777 Hennessy Blvd, Ste. 312Baton Rouge, LA 70808-4300 · (225) 763-6337 · Fax (225) 761-4072
Phone(225) 763-6337
Fax(225) 761-4072
Organization SubpartNo
Authorized OfficialMichael C CanariosVp/cfo · (901) 495-3006
Enumeration DateAugust 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063428688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
7777 HENNESSY BLVD, Baton Rouge, LA 70808
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Other Names 1

Doing Business AsSt. Jude Affiliate/baton Rouge

Other Identifiers 3

Other2678828LA · Aetna
Medicaid01554572MS
Medicaid1446131LA

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

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.

SARA ADAMS MARTIN MD
Anesthesiology
7777 HENNESSY BLVD, SUITE 301
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 214-6438
CELESTE BUUCK FNP
Nurse Practitioner
7777 HENNESSY BLVD, SUITE 1000
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 767-3900
PAMELA STANLEY NP
Nurse Practitioner (Acute Care)
7777 HENNESSY BLVD, SUITE 701
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 765-5864
EYE SPECIALISTS EYEWEAR
Durable Medical Equipment & Medical Supplies
7777 HENNESSY BLVD, SUITE 5000
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 768-7777
DR. JOHN MCALISTER WHITAKER M.D.
Surgery
7777 HENNESSY BLVD, SUITE 612
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 769-5656
PAULLA DANIELLE BROUILLETTE PA
Physician Assistant
7777 HENNESSY BLVD, OUR LADY OF THE LAKE MED CNTR -- ER DEPT
BATON ROUGE, LA 70808
East Baton Rouge Parish (888) 447-2450
OUR LADY OF THE LAKE ADVANCED HEALTH SOLUTIONS
Surgery
7777 HENNESSY BLVD, SUITE 612
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 769-5656
AMY MARTIN MCMILLAN CRNA
Nurse Anesthetist, Certified Registered
7777 HENNESSY BLVD, SUITE 301
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 214-6438

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 St. Jude Children's Research Hospital's NPI number?

The NPI number for St. Jude Children's Research Hospital is 1063428688. It was assigned to this organization in the NPPES registry on August 1, 2006. The provider is doing business as St. Jude Affiliate/Baton Rouge.

Where is St. Jude Children's Research Hospital located?

St. Jude Children's Research Hospital is located at 7777 Hennessy Blvd Ste. 312, Baton Rouge, LA 70808. The listed phone number is (225) 763-6337.

What is St. Jude Children's Research Hospital's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

When was this NPI record last updated?

The NPPES record for St. Jude Children's Research Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.