Basic Information
Provider Information
NPI: 1295736510
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HELMKE
FirstName: HAROLD
MiddleName: WILLIAM
NamePrefix:  
NameSuffix: III
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5959 S SHERWOOD FOREST BLVD
Address2:  
City: BATON ROUGE
State: LA
PostalCode: 708166038
CountryCode: US
TelephoneNumber: 2576557272
FaxNumber: 2257659196
Practice Location
Address1: 7777 HENNESSY BLVD
Address2: SUITE 1000
City: BATON ROUGE
State: LA
PostalCode: 708084300
CountryCode: US
TelephoneNumber: 2257573900
FaxNumber: 2257662226
Other Information
ProviderEnumerationDate: 08/09/2005
LastUpdateDate: 03/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X14536RLAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011X029869LAY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

ID Information
IDTypeStateIssuerDescription
112912705LA MEDICAID
23275001LAWELLCAREOTHER
250084701LAUNITED HEALTH CAREOTHER
060006862901LAPALMETTO GBA 10066OTHER
558072701LAAETNAOTHER


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