Active NPI
Jairo Ivan Torres, MD
- Otolaryngology Physician
- Marshall, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 0101247647
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101247647 | VA | MD | Otolaryngology Physician |
| A102646 | CA | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | 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 | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Louisiana State University School of Med in New Orleans Faculty Grou | Current | 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
- 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.
-
dba LSU Healthcare Network
- Pediatrics Physician
- New Orleans, LA
- NPI 1932492626
-
dba LSU Healthcare Network
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
-
- Specialist
- Marshall, VA
- NPI 1659759025
-
dba Lsu Healthcare Network
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
-
dba LSU Healthcare Network
- Dentist
- New Orleans, LA
- NPI 1740534064
-
dba South Florida ENT Associates, Inc.
- Otolaryngology Physician
- West Miami, FL
- NPI 1184625733
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Pediatrics Physician
- Madera, CA
- NPI 1013968296
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.