GRADY ENDOCRINOLOGY CENTER LLC
NPI 1548668452
Internal Medicine - Endocrinology, Diabetes & Metabolism in Baton Rouge, LA

NPI Status: Active since December 09, 2014

Contact Information

10512 S GLENSTONE PL
SUITE 102
BATON ROUGE, LA
ZIP 70810
Phone: (225) 505-5532
Fax: (225) 926-9674

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  • Organization
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism

About GRADY ENDOCRINOLOGY CENTER LLC

This page provides the complete NPI Profile along with additional information for Grady Endocrinology Center Llc, an internist established in Baton Rouge, Louisiana operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1548668452 assigned on December 2014. The practitioner's primary taxonomy code is 207RE0101X with license number MD202783 (LA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Justin Grady Matrisciano M.d. (Managing Member / Owner)

NPI
1548668452
Provider Name
GRADY ENDOCRINOLOGY CENTER LLC
Entity Type
Organization
Location Address
10512 S GLENSTONE PL SUITE 102 BATON ROUGE, LA 70810
Location Phone
(225) 505-5532
Location Fax
(225) 926-9674
Mailing Address
10512 S GLENSTONE PL SUITE 102 BATON ROUGE, LA 70810
Mailing Phone
(225) 505-5532
Mailing Fax
(225) 926-9674
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2014
Last Update Date
12-09-2014
Code Navigator

An internist like Grady Endocrinology Center Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
License No.
MD202783
License State
LA
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

DR. JUSTIN GRADY MATRISCIANO M.D.

Authorized Official Title
MANAGING MEMBER / OWNER
Authorized Official Phone
(516) 380-1490

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548668452
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
258812616410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 6 + 1 + 6 + 4 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1548668452 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568893907 KYLE FITZGERALD P. A
Individual
Physician Assistant10512 S GLENSTONE PL SUITE 102
BATON ROUGE, LA 70810
(225) 757-6555
1194470906POST TRAUMA INSTITUTE OF LOUISIANA
Organization
Substance Abuse Rehabilitation Facility10512 S GLENSTONE PL
BATON ROUGE, LA 70810
(225) 751-5412
1588910947POST TRAUMA INSTITUTE OF LOUISIANA
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))10512 S GLENSTONE PL
BATON ROUGE, LA 70810
(225) 751-5412
1225738586 ISABELLA ROLLO LCSW
Individual
Social Worker10512 S GLENSTONE PL
BATON ROUGE, LA 70810
(225) 613-8225
1467222612 TENNIA WILLIAMS LCSW
Individual
Social Worker10512 S GLENSTONE PL
BATON ROUGE, LA 70810
(225) 361-8225
1275376600 JAMES BRADFORD OWENS APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)10512 S GLENSTONE PL
BATON ROUGE, LA 70810
(225) 751-5412
1295550382DR. CHELSEY CHRISTINE WOOTEN PHD, LPC, NCC
Individual
Counselor (Professional)10512 S GLENSTONE PL
BATON ROUGE, LA 70810
(225) 751-5412

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548668452, enumerated in the NPI registry as an "organization" on December 09, 2014

The provider is located at 10512 S Glenstone Pl Suite 102 Baton Rouge, La 70810 and the phone number is (225) 505-5532

This medical organization specializes in Internal Medicine with taxonomy code 207RE0101X with a focus in Endocrinology, Diabetes & Metabolism

This NPI record was last updated on December 09, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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