MEDICARE: DR. CECIL NOEL BANKSTON JR. 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	2085R0202X	Diagnostic Radiology Physician	011675	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	:	1891793188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CECIL NOEL BANKSTON JR. M.D.

Provider Business Mailing Address
First Line	:	4841 WOODLAKE DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-1833
Country	:	US
Telephone Number	:	225-753-7917
Fax Number	:

Provider Business Practice Location Address
First Line	:	4841 WOODLAKE DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-1833
Country	:	US
Telephone Number	:	225-753-7917
Fax Number	:

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1790404655 — EMILY CLARE MARKS PT, DPT
Practice Location Address:

6632 JONES CREEK RD
BATON ROUGE, LA
70817-3054

Practice Phone: 225-214-5330
Practice Fax: 225-214-5333

1073441044 — MRS. JACQUELINE MARIE LORIO LCSW
Practice Location Address:

5104 CARNIFIX CT
BATON ROUGE, LA
70817-2203

Practice Phone: 225-718-0711
Practice Fax:

1457297723 — MS. RENEE CARMOUCHE TREWELLA FNP
Practice Location Address:

10135 MONTRACHET DR
BATON ROUGE, LA
70817-7482

Practice Phone: 225-337-2789
Practice Fax:

1679217947 — DESTINIE LEDUFF NP
Practice Location Address:

16333 COLUMNS WAY APT 2107
BATON ROUGE, LA
70817-7699

Practice Phone: 225-362-8199
Practice Fax:

1073518510 — DR. STUART JOHN LEBAS M.D.
Practice Location Address:

500 RUE DE LA VIE ST STE 513
BATON ROUGE, LA
70817-5129

Practice Phone: 225-924-8550
Practice Fax: 225-924-8647

1649279969 — MARSHALL S ST. AMANT M.D.
Practice Location Address:

100 WOMANS WAY
BATON ROUGE, LA
70817-5100

Practice Phone: 225-924-8338
Practice Fax:

Directions to “ DR. CECIL NOEL BANKSTON JR. M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.