Individual provider Active NPI

Korey Daniel Willmann, M.D.

  • Anesthesiology Physician
  • Baton Rouge, LA
National Provider Identifier
1184940819
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
P9031 Issued in TX
Practice address
8585 Picardy Ave
Baton Rouge, LA 70809-3679
Phone
(225) 763-4000
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X P9031 TX Primary

Addresses

Primary practice location

8585 Picardy Ave
Baton Rouge, LA 70809-3679

Mailing address

8585 Picardy Ave
Baton Rouge, LA 70809-3679
Phone (225) 763-4000

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
I20150917002592 LA Practitioner - Anesthesiology 8729208699 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical Branch at Galveston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Capital City Anesthesia Group, LLCGroup PAC ID 1658272844, 49 clinicians

Practice addresses (Care Compare)

8585 Picardy Ave
Baton Rouge, LA 70809-3748
Phone (225) 763-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9031TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Capital City Anesthesia Group, LLC Anesthesiology CurrentSince Aug 1, 2015 Accepting new patients
Youngs Professional Services LLC CurrentSince Mar 1, 2018 Accepting new patients
Arena Anesthesia LLC Anesthesiology CurrentSince Sep 15, 2018 Accepting new patients
Diversified Professionals, Inc. Anesthesiology CurrentSince Feb 8, 2019 Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

7301 Hennessy Blvd
Ste 100
Baton Rouge, LA 70808
Phone (225) 763-6011

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443

8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143

1211 Coolidge Blvd
Ste 302
Lafayette, LA 70503
Phone (337) 289-8245

1105 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (225) 296-0041

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

Organizations & group practices 4

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 6

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1184940819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093679",
            "telephone_number": "225-763-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093679",
            "telephone_number": "225-763-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLMANN",
        "first_name": "KOREY",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P9031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.