PEDIATRIC SPECIALTY CLINIC
NPI 1952355125
Pediatrics - Pediatric Gastroenterology in Baton Rouge, LA

Q: What is Our Lady Of The Lake Hospital Inc's NPI number?

The NPI number for Our Lady Of The Lake Hospital Inc is 1952355125. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as Pediatric Specialty Clinic.

Q: What is Our Lady Of The Lake Hospital Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Active since May 20, 2006

5000 HENNESSY BLVD, BATON ROUGE, LA 70808(225) 766-5204(225) 765-4062 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pediatric Specialty Clinic NPPES

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

PEDIATRIC SPECIALTY CLINIC (NPI 1952355125) is a healthcare organization registered as a pediatric gastroenterology in Baton Rouge, Louisiana and active in the NPI registry since May 2006. The organization lists Tamara White, Director Of Business Services, as its authorized official.

NPPES Registry Identity

NPI1952355125

Entity TypeOrganization

Primary Taxonomy2080P0206X

Legal Business NameOUR LADY OF THE LAKE HOSPITAL INC

Location Address5000 HENNESSY BLVDBaton Rouge, LA 70808-4375

Mailing Address8415 Goodwood Blvd, Ste 105Baton Rouge, LA 70806-7851 · (225) 765-4226 · Fax (225) 765-9244

Phone(225) 766-5204

Fax(225) 765-4062

Organization SubpartNo

Authorized OfficialTamara WhiteDirector Of Business Services · (225) 765-4251

Enumeration DateMay 20, 2006

Last NPPES UpdateMay 11, 2011

✔ NPI 1952355125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X

Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X

Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X

5000 HENNESSY BLVD, Baton Rouge, LA 70808

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Other Names 1

Doing Business AsPediatric Specialty Clinic

Other Identifiers 3

Medicaid08775372MS

Medicare PIN5BD11LA

Medicaid1447129LA

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.

MS. JESSICA LYNN BROUSSE NP

Nurse Practitioner