Anjanette L Varnado, M.D.
Individual provider Active NPI Family Medicine Physician · Greensburg, LA
NPI 1003025347 · NPPES record last updated Apr 29, 2013
Key facts
- NPI
- 1003025347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 202120 (LA)
- Practice address
- 6214 Highway 10
Greensburg, LA 70441 - Phone
- (225) 222-3206
- Fax
- (225) 222-3190
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Helena Parish Hospital
Practice addresses (Care Compare)
16874 Hwy 43
Greensburg, LA 70441-4834
Phone (225) 222-6111
Hospital & facility affiliations
- St Helena Parish Hospital
- St Helena Parish Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080627000549 | LA | Practitioner - Family Practice | 9638241169 |
Reassigns benefits to 2 organizations Practice locations: Greensburg, LA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202120 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Helena Parish Hospital | Current |
Accepting new patients | |
| St. Helena Parish Hospital | Current |
Accepting new patients | |
| St. Helena Parish Hospital | Past | Accepting new patients |
Locations
6214 Highway 10
Greensburg, LA 70441
Phone (225) 222-3206
16874 Highway 43
Greensburg, LA 70441
Phone (225) 222-6111
19 N 1st St
Greensburg, LA 70441
Phone (225) 222-3681
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/sthelpa-d110a831
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 202120 | LA | Yes |
Addresses
Primary practice location
6214 Highway 10
Greensburg, LA 70441
Mailing address
6214 Highway 10
PO Box 1178
Greensburg, LA 70441
Phone (225) 222-3206
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1239321 | Medicaid | LA |
NPI Registry JSON
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1003025347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6214 HIGHWAY 10",
"address_2": "PO BOX 1178",
"city": "GREENSBURG",
"state": "LA",
"postal_code": "70441",
"telephone_number": "225-222-3206",
"fax_number": "225-222-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6214 HIGHWAY 10",
"city": "GREENSBURG",
"state": "LA",
"postal_code": "70441",
"telephone_number": "225-222-3206",
"fax_number": "225-222-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNADO",
"first_name": "ANJANETTE",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "202120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1239321",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, LA
- St. Helena Parish Hospital
- St. Helena Parish School Board
- Melissa Ann Stringer
- Therapeutic Compassion Inc.
- Constance Elizabeth Thompson-Fly
- Beulah Yolanda Varnado
- Jimmie W Varnado
- Shane E Waite
- Katrena Higginbotham Williams
- Dildred Small Womack
All providers in Greensburg, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.