Individual provider Active NPI

Larry F Nelson, MD

  • Anesthesiology Physician
  • New Iberia, LA
National Provider Identifier
1306864301
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
015421 Issued in LA
Practice address
2315 E Main St
New Iberia, LA 70560-4031
Phone
(337) 367-2812
Fax
(337) 369-3536
NPI assigned
Jul 17, 2006
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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 015421 LA Primary

Addresses

Primary practice location

2315 E Main St
New Iberia, LA 70560-4031

Mailing address

PO Box 10203
New Iberia, LA 70562-0203
Phone (337) 367-2812

Other identifiers 1

IdentifierTypeStateIssuer
1346691MedicaidLA

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
I20040312000907 LA Practitioner - Anesthesiology 4981593407 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015421LAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Medical Center Physician Practice Network Current Accepting new patients
Hospital Service District No. 1 of Iberia Parish CurrentSince Apr 6, 2022 Accepting new patients
Youngs Professional Services LLC CurrentSince Jul 1, 2016 Accepting new patients
Hospital Service District No 1 of Iberia Parish CurrentSince Apr 6, 2022 Accepting new patients
Our Lady of Lourdes Regional Medical Center Past Accepting new patients

Locations

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

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

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

600 N Lewis St
New Iberia, LA 70563
Phone (337) 365-7311

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/ibermed-05842f36

Organizations & group practices 7

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1306864301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10203",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705620203",
            "telephone_number": "337-367-2812",
            "fax_number": "337-369-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604031",
            "telephone_number": "337-367-2812",
            "fax_number": "337-369-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LARRY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "015421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346691",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.