Individual provider Active NPI

Victor Vincent Pouw, M.D.

  • Pediatric Endocrinology Physician
  • Lacombe, LA
National Provider Identifier
1194741355
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
14077R Issued in LA
Practice address
27350 Highway 190
Lacombe, LA 70445-6403
Phone
(985) 882-7077
Fax
(985) 882-7079
NPI assigned
Jul 14, 2006
Last updated
May 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 14077R LA Primary

Addresses

Primary practice location

27350 Highway 190
Lacombe, LA 70445-6403

Mailing address

1430 Lindberg Dr
Slidell, LA 70458-8056
Phone (985) 781-7337

Other identifiers 1

IdentifierTypeStateIssuer
1100617MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14077RLAMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's International L.L.C. Past Accepting new patients

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, 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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1194741355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 LINDBERG DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588056",
            "telephone_number": "985-781-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27350 HIGHWAY 190",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704456403",
            "telephone_number": "985-882-7077",
            "fax_number": "985-882-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUW",
        "first_name": "VICTOR",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "LA",
            "license": "14077R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100617",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacombe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.