MEDICARE: DR. HAROLD J BAYONNE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	200303	LA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	200303	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710937586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD J BAYONNE M.D.

Provider Business Mailing Address
First Line	:	1613 LOUISVILLE AVE
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-6027
Country	:	US
Telephone Number	:	318-855-3291
Fax Number	:	318-737-7039

Provider Business Practice Location Address
First Line	:	1613 LOUISVILLE AVE
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-6027
Country	:	US
Telephone Number	:	318-855-3291
Fax Number	:	318-855-3291

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	04/19/2024

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