Spine Clinic of Baton Rouge
NPI 1477689305ActiveOrganization· Rehabilitation Practitioner· Baton Rouge, LA
Rehabilitation Practitioner in Baton Rouge, Louisiana, registered in NPPES in February 2007. The authorized official on file is George John Ivanicky, Owner.
Overview
| NPI | 1477689305 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 26, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | 024904 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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