OrganizationActive
St. Elizabeth-Mary Bird Perkins Cancer Center, L.L.C.
NPI 1619155124 · Radiation Oncology Physician · Gonzales, LA
Provider details
- NPI number
- 1619155124
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacob Kraft, Decision Support Manager(225) 215-1281
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nuclear Radiology Physician2085N0904X
Allopathic & Osteopathic Physicians
- Therapeutic Radiology Physician2085R0203X
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Practice location
1104 W Highway 30
Gonzales, LA 70737-5003
Phone: (225) 215-1223
Fax: (225) 766-0218
Approximate (ZIP-level) locationGet directions
Mailing address
5215 Essen Ln Ste 200
Baton Rouge, LA 70809-3543
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2025-12-18
- Certified
- 2025-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.