Dr. Kenneth Charles Civello Jr., MD, MPH
Dr. Kenneth Charles Civello Jr., MD, MPH is a Cardiovascular Disease (Cardiology) in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 2000, 26 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana and Ohio.
- Years since qualifying
- 26
- Trained at
- Louisiana State University School of Medicine in New Orleans
- Licensed in
- LA, OH
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
Practice location Address checks out
7777 Hennessy Blvd Ste 1000Baton Rouge, LA 70808-4300
Phone: (225) 767-3900
Fax: (225) 766-2226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Cardiac Electrophysiology Physician (primary) | Taxonomy 207RC0001X · Licence 201354 (LA) |
|---|---|
| Cardiovascular Disease Physician | Taxonomy 207RC0000X · Licence 201354 (LA) |
| Cardiovascular Disease Physician | Taxonomy 207RC0000X · Licence 35084798 (OH) |
| Clinical Cardiac Electrophysiology Physician | Taxonomy 207RC0001X · Licence 35084798 (OH) |
Record details
| NPI number | 1699745562 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , MPH |
| Sole proprietor | No |
| NPI enumerated | January 24, 2006 |
| Last updated in NPPES | February 11, 2021 |
| Certification date | February 11, 2021 |
Medicare enrollment
| Medicare specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
|---|---|
| Also practises | CARDIAC ELECTROPHYSIOLOGY |
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduated | 2000 (26 years in practice) |
| Group practice | Our Lady Of The Lake Physician Group Llc — 635 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Baton Rouge
-
Richard Frank Burroughs, MD
Earl K Long Hospital LSU Unit 5825 Airline Highway, Baton Rouge, LA 70805 · (225) 358-3938
-
Cardiovascular Specialty Care Center - Vascular
7777 Hennessy Blvd Ste 215, Baton Rouge, LA 70808-4365 · (225) 456-5383
-
Cardiovascular Specialty Care Center of Baton Rouge LLC
7777 Hennessy Blvd Ste 215, Baton Rouge, LA 70808-4300 · (225) 763-6989
-
Dr. William Morgan Cassidy, MD
LSU Healthcare Network 3401 North Blvd Ste 400, Baton Rouge, LA 70806 · (225) 381-2755
-
Paul Martin Dampf, MD
7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 · (225) 767-3900
-
Xuong T. Dao, MD
Earl K Long Hospital LSU Unit 5825 Airline Hwy, Baton Rouge, LA 70805 · (225) 358-3938
-
Dr. Gehl H. Davis, MD
Earl K Long Hospital LSU Unit 5825 Airline Highway, Baton Rouge, LA 70805 · (225) 358-3938
-
Dr. Marta S Fechete, MD
Earl K Long Hospital LSU Unit 5825 Airline Highway, Baton Rouge, LA 70805 · (225) 358-3938