Organization Active NPI

Iberville Horizon, LLC

  • Obstetrics & Gynecology Physician
  • Baton Rouge, LA
National Provider Identifier
1316964232
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
022970 Issued in LA
Legal business name
IBERVILLE HORIZON, LLC
Practice address
8595 Picardy Ave
Suite 430
Baton Rouge, LA 70809-3670
Phone
(225) 763-4650
Fax
(225) 763-4656
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Allen Meadows, MD
Title
Owner
Phone
(225) 767-5525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 022970 LA Primary

Addresses

Primary practice location

8595 Picardy Ave
Suite 430
Baton Rouge, LA 70809-3670

Mailing address

8777 Bluebonnet Blvd
Suite B
Baton Rouge, LA 70810-2818
Phone (225) 767-5525

National Provider Directory

National Provider Directory

Locations

8595 Picardy Ave
Ste 430
Baton Rouge, LA 70809
Phone (225) 763-4650

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316964232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 BLUEBONNET BLVD",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102818",
            "telephone_number": "225-767-5525",
            "fax_number": "225-767-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 PICARDY AVE",
            "address_2": "SUITE 430",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093670",
            "telephone_number": "225-763-4650",
            "fax_number": "225-763-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERVILLE HORIZON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-767-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "022970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.