Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Bird Perkins Cancer Center

Organization Therapeutic Radiology Physician · NPI 1225274483

Mary Bird Perkins Cancer Center is a Therapeutic Radiology Physician in Baton Rouge, Louisiana. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

4950 Essen Ln
Baton Rouge, LA 70809-3738
Phone: (225) 767-0847
Fax: (225) 766-0218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Therapeutic Radiology Physician (primary) Taxonomy 2085R0203X
Clinical Medical Laboratory Taxonomy 291U00000X

Record details

NPI number1225274483
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Nowacki — Cfo · (225) 215-1223
Other names Mary Bird Perkins Cancer Center Medicaid Group; Mary Bird Perkins Cancer Center Medicaid Group
NPI enumeratedDecember 18, 2008
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023
Mailing address4950 Essen Ln, Baton Rouge, LA 70809-3738

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