STANOCOLA CLINIC ANCILLARY SERVICES
NPI 1881963858
Specialist in Baton Rouge, LA

Active since December 21, 2011
16777 MEDICAL CENTER DR, SUITE 400, BATON ROUGE, LA 70816(225) 952-8798(225) 952-8502 Get Directions Write a Review

NPPES record last updated: December 21, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About STANOCOLA CLINIC ANCILLARY SERVICES

This page provides the complete NPI Profile along with additional information for Stanocola Clinic Ancillary Services, a provider established in Baton Rouge, Louisiana operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1881963858 assigned on December 2011. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Stanocola Clinic Ancillary Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Stanocola Clinic Ancillary Services. The authorized official of this NPI record is Mr. Ronnie Johnson (Chief Executive Officer)

NPI
1881963858 Verify this NPI
Provider Legal Name
CAPITAL CITY MEDICAL GROUP, LLC
Other Organization Name
STANOCOLA CLINIC ANCILLARY SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
16777 MEDICAL CENTER DR SUITE 400 BATON ROUGE, LA 70816
Location Phone
(225) 952-8798
Location Fax
(225) 952-8502
Mailing Address
3838 N CAUSEWAY BLVD SUITE 2200 METAIRIE, LA 70002
Mailing Phone
(225) 926-7200
Mailing Fax
(225) 952-8502
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2011
Last Update Date
12-21-2011
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RONNIE JOHNSON

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(225) 926-7200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2142674MEDICAID (05)LA 
5DT17MEDICARE PIN (08) 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
16777 MEDICAL CENTER DR, STE 400
BATON ROUGE, LA 70816
Specialist
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
Optometrist
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
Specialist
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
Specialist
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
Dietitian, Registered
16777 MEDICAL CENTER DR, SUITE 400
BATON ROUGE, LA 70816
Pharmacist
16777 MEDICAL CENTER DR, SUITE 400
BATON ROUGE, LA 70816
Pharmacy Technician
16777 MEDICAL CENTER DR, SUITE 400
BATON ROUGE, LA 70816
Pharmacy Technician
16777 MEDICAL CENTER DR, SUITE 400
BATON ROUGE, LA 70816
General Practice
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
Advanced Practice Midwife
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
Durable Medical Equipment & Medical Supplies
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
Registered Nurse
16777 MEDICAL CENTER DR, STE 400
BATON ROUGE, LA 70816
Physician Assistant (Surgical)
16777 MEDICAL CENTER DR, SUITE 200
BATON ROUGE, LA 70816
Specialist
16777 MEDICAL CENTER DR, SUITE 400
BATON ROUGE, LA 70816
Internal Medicine
16777 MEDICAL CENTER DR, STE 400
BATON ROUGE, LA 70816
Optometrist
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
Specialist
16777 MEDICAL CENTER DR, STE 400
BATON ROUGE, LA 70816
Audiologist-Hearing Aid Fitter
16777 MEDICAL CENTER DR, PLAZA 2ND FLOOR AUDIOLOGY
BATON ROUGE, LA 70816
Midwife
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881963858, enumerated as an "organization" on December 21, 2011.

The provider is located at 16777 MEDICAL CENTER DR SUITE 400 BATON ROUGE, LA 70816 and the phone number is (225) 952-8798.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.