Carol Wilburn, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

A10133 Issued in LA

Practice address

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Phone

(504) 842-4000

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• University Medical Center Management Corporation

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1083655567

  LA

  Medicare reassignment
• University Medical Center Management Corporation

  • Psychiatric Hospital Unit
  • New Orleans, LA
  • NPI 1144261728
  NPD
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD (past)
• Ochsner Clinic LLC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1033602891
  NPD (past)
• Ochsner Clinic LLC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1043780281
  NPD (past)
• Ochsner Clinic LLC

  • General Practice Physician
  • River Ridge, LA
  • NPI 1053850446
  NPD (past)
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1184051765
  NPD (past)
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1184957193
  NPD (past)
• Ochsner Clinic LLC

  • Pediatrics Physician
  • New Orleans, LA
  • NPI 1245446384
  NPD (past)
• Ochsner Clinic LLC

  • General Practice Physician
  • Harahan, LA
  • NPI 1245774926
  NPD (past)
• Ochsner Clinic LLC

  • General Practice Physician
  • Houma, LA
  • NPI 1245782465
  NPD (past)
• Ochsner Clinic LLC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1376182188
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1245337229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "CAROL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "A10133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714551",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Wikrent, MS, PLPC
• Patrice Wilber
• Madden Elizabeth Wilbert, AU.D.
• Tammy Lewis Wilborn, PH.D, LPC-S, NCC
• Ernest Arthur Wilbur III, OD
• Smokey Wilburn
• Emily Elizabeth Wild, M.D.
• Laurianne G Wild, MD
• Johanna Moon Wilde, MD
• Patience Wildenfels, MD

• All providers in New Orleans, LA
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.