LAKE PHYSICIAN GROUP CARDIOLOGY SER
NPI 1356643399
Internal Medicine - Cardiovascular Disease in Baton Rouge, LA

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since November 24, 2010

8415 GOODWOOD BLVD, STE 105, BATON ROUGE, LA 70806(225) 765-5727(225) 765-4278 Get Directions Write a Review

NPPES record last updated: November 24, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Lake Physician Group Cardiology Ser NPPES

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

LAKE PHYSICIAN GROUP CARDIOLOGY SER (NPI 1356643399) is a healthcare organization registered as a cardiovascular disease in Baton Rouge, Louisiana and active in the NPI registry since November 2010. The organization lists Elona Sharbaugh, Vp Physician Practices, as its authorized official.

NPPES Registry Identity

NPI1356643399

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameOUR LADY OF THE LAKE PHYSICIAN GROUP LLC

Location Address8415 GOODWOOD BLVD, STE 105Baton Rouge, LA 70806-7851

Mailing Address8415 Goodwood Blvd, Ste 105Baton Rouge, LA 70806-7851 · (225) 765-5727 · Fax (225) 765-4278

Phone(225) 765-5727

Fax(225) 765-4278

Organization SubpartYes

Authorized OfficialElona SharbaughVp Physician Practices · (225) 765-8680

Enumeration DateNovember 24, 2010

✔ NPI 1356643399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

8415 GOODWOOD BLVD, Baton Rouge, LA 70806

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Other Names 1

Doing Business AsLake Physician Group Cardiology Ser

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, UnitedHealthcare.Insurance ›

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.

DR. CESAR RONALDO FUNES M.D.

Pediatrics

8415 GOODWOOD BLVD, SUITE 200
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 765-6346

OUR LADY OF THE LAKE HOSPITAL INC

Pediatrics

8415 GOODWOOD BLVD, STE 200
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 765-8674

OUR LADY OF THE LAKE HOSPITAL INC

Internal Medicine

8415 GOODWOOD BLVD, SUITE 105
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 765-5727

DIANE M. KIRBY M.D.

Pediatrics

8415 GOODWOOD BLVD, SUITE 202
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 765-8013

OUR LAKE OF THE LAKE HOSPITAL INC

Internal Medicine

8415 GOODWOOD BLVD, SUITE 105
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 765-4361

PAMELA SMITH SHRIVER NP

Nurse Practitioner (Pediatrics)

8415 GOODWOOD BLVD, SUITE 100
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 765-5633

DR. JAMEL ALPHONSO MARTIN M.D.

Pediatrics

8415 GOODWOOD BLVD, SUITE 104
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 925-9797

DAVID BENJAMIN HOLMES MD

Student in an Organized Health Care Education/Training Program

8415 GOODWOOD BLVD, STE. 202
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 765-8013

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 1356643399. It was assigned to this organization in the NPPES registry on November 24, 2010. The provider is doing business as Lake Physician Group Cardiology Ser.

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

Our Lady Of The Lake Physician Group LLC is located at 8415 Goodwood Blvd Ste 105, Baton Rouge, LA 70806. The listed phone number is (225) 765-5727.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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

Health plans from AmeriHealth Caritas Next and UnitedHealthcare 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 November 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.