Individual provider Active NPI

James Emmett Poisso Jr., OPA-C, SA-C, R.T.(R)

  • Surgical Assistant
  • New Iberia, LA
National Provider Identifier
1295962538
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
516 Jefferson Ter
Suite 100
New Iberia, LA 70560-4980
Phone
(337) 364-5310
Fax
(337) 364-5313
NPI assigned
Jun 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X Primary

Addresses

Primary practice location

516 Jefferson Ter
Suite 100
New Iberia, LA 70560-4980

Mailing address

307 N Lewis St
New Iberia, LA 70563-2842
Phone (337) 560-9425

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1244851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1295962538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N LEWIS ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632842",
            "telephone_number": "337-560-9425",
            "fax_number": "337-364-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 JEFFERSON TER",
            "address_2": "SUITE 100",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604980",
            "telephone_number": "337-364-5310",
            "fax_number": "337-364-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POISSO",
        "first_name": "JAMES",
        "middle_name": "EMMETT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "OPA-C, SA-C, R.T.(R)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-13",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.