Individual provider Active NPI

Jairo Ivan Torres, MD

  • Otolaryngology Physician
  • Marshall, VA
National Provider Identifier
1093927329
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101247647 Issued in VA
Practice address
8452 Renalds Ave
Marshall, VA 20115-3755
Phone
(571) 354-6595
Fax
(540) 227-6543
NPI assigned
May 7, 2007
Last updated
May 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101247647 VA Primary
Pediatric Otolaryngology Physician 207YP0228X A102646 CA
Otolaryngology Physician 207Y00000X A102646 CA
Otolaryngology Physician 207Y00000X ME114342 FL

Addresses

Primary practice location

8452 Renalds Ave
Marshall, VA 20115-3755

Mailing address

8452 Renalds Ave
Marshall, VA 20115-3755
Phone (571) 354-6595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170412002320 LA Practitioner - Otolaryngology 6709944101 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101247647VAMDOtolaryngology Physician
A102646CAMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Mar 1, 2017 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Mar 1, 2017 Accepting new patients
Louisiana State University School of Med in New Orleans Faculty Grou CurrentSince Mar 1, 2017 Accepting new patients
Valley Children's Specialty Medical Group, Inc. Past Accepting new patients
Florida ENT Associates, Inc. Otolaryngology Past Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1542 Tulane Ave
Ste 659
New Orleans, LA 70112
Phone (504) 568-2314

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Interoperability endpoints

  • Direct secure messaging: jtorres127357@direct.nemours.org

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1093927329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8452 RENALDS AVE",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201153755",
            "telephone_number": "571-354-6595",
            "fax_number": "540-227-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8452 RENALDS AVE",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201153755",
            "telephone_number": "571-354-6595",
            "fax_number": "540-227-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "JAIRO",
        "middle_name": "IVAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101247647",
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "CA",
            "license": "A102646",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A102646",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME114342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.