Provider Demographics
NPI:1487681359
Name:HEDGEMON, HELEN KAYE (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:KAYE
Last Name:HEDGEMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 CHEVELLE CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6502
Mailing Address - Country:US
Mailing Address - Phone:225-925-2055
Mailing Address - Fax:225-925-2142
Practice Address - Street 1:624 CHEVELLE CT
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6502
Practice Address - Country:US
Practice Address - Phone:225-925-2055
Practice Address - Fax:225-925-2142
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06831R208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA00184OtherCIGNA PROVIDER #
LA1354368OtherKID MED PROVIDER #
LA1449245Medicaid
LA1354368Medicaid
LA1200142OtherUNITED HEALTH PROVIDER #
LA4087033OtherAETNA PROVIDER NUMBER
LA1354368Medicaid
LA00184OtherCIGNA PROVIDER #