Individual provider Active NPI

Vernon J Carriere, MD

  • Obstetrics & Gynecology Physician
  • Metairie, LA
National Provider Identifier
1013906320
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
16167 Issued in LA
Practice address
4228 Houma Blvd Ste 410
Metairie, LA 70006-3021
Phone
(504) 883-3770
Fax
(504) 883-3711
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 16167 LA Primary

Addresses

Primary practice location

4228 Houma Blvd Ste 410
Metairie, LA 70006-3021

Mailing address

4200 Houma Blvd
Medical Staff Services
Metairie, LA 70006
Phone (504) 503-6781

Other identifiers 1

IdentifierTypeStateIssuer
1366773MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103000001 LA Practitioner - Obstetrics/Gynecology 5597723965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

4228 Houma Blvd
Suite 410
Metairie, LA 70006-3021
Phone (504) 883-3770

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16167LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Sep 26, 2021 Accepting new patients

Locations

4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4228 Houma Blvd
Ste 410
Metairie, LA 70006
Phone (504) 454-0606

4228 Houma Blvd
Ste 410B
Metairie, LA 70006
Phone (504) 883-3770

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4300 Houma Blvd
Ste 105
Metairie, LA 70006
Phone (504) 454-7800

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

Networks

  • MS PPO
  • MS PPO D-SNP
  • LA PPO C-SNP
  • MS PPO C-SNP
  • TX HMO

Interoperability endpoints

  • Direct secure messaging: vernon.carriere@direct.ejgh.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1013906320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 HOUMA BLVD",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-503-6781",
            "fax_number": "504-503-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 410",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063021",
            "telephone_number": "504-883-3770",
            "fax_number": "504-883-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIERE",
        "first_name": "VERNON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "16167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366773",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.