Provider Demographics
NPI:1861573586
Name:HAMMOND, JAMES DAVID (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6555 PERKINS RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4237
Mailing Address - Country:US
Mailing Address - Phone:225-278-1416
Mailing Address - Fax:
Practice Address - Street 1:8595 PICARDY AVE
Practice Address - Street 2:SUITE 430
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3670
Practice Address - Country:US
Practice Address - Phone:225-763-4650
Practice Address - Fax:225-763-4656
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA022970207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA022970OtherLA MEDICAL LICENSE
LA1689335Medicaid
LA1689335Medicaid
LA5Y186Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL #