Individual provider · Type 1 NPI

John Dewaard, DO

Sports Medicine (Family Medicine) Physician · Baton Rouge, LA

NPI number 1629647805 Active

Practice location

10310 The Grove Blvd
Baton Rouge, LA 70836-6455

Call (225) 388-6630 Map

Other practice locations

5444 Burbank Dr, Baton Rouge, LA 70820-4011 · (225) 388-6900

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	347471 (LA)
Family Medicine Physician	207Q00000X	5101028098 (MI)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1629647805

John Dewaard, DO's National Provider Identifier is 1629647805, issued on Jun 22, 2021. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Baton Rouge, LA. The record was last updated on Oct 17, 2025.