Carlos R Vazquez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

022083 Issued in LA

Practice address

2211 S Burnside Ave
Ste 4
Gonzales, LA 70737-4634

Phone

(225) 647-1947

NPI assigned

Jun 29, 2006

Last updated

Aug 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: carlos.vazquez@amadc-la.direct.office.nextgen.com

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.

• Adult Medicine and Diagnostic Center

  • Clinic/Center
  • Gonzales, LA
  • NPI 1902173271
  Medicare reassignment
• Adult Medicine Institute & Diagnostic Center

  • Primary Care Clinic/Center
  • Gonzales, LA
  • NPI 1578885240
  NPD (past) Authorized official

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1326076266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1117",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707071117",
            "telephone_number": "225-647-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S BURNSIDE AVE",
            "address_2": "STE 4",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374634",
            "telephone_number": "225-647-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "CARLOS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "022083",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "LA",
            "license": "022083",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1495859",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Gros Turner, APRN, FNP-C
• Stephanie Gibson Turner, LPC
• Tyler Joshua Turner
• Diana Ngan Uong, OD
• Robert Buckley Vanbreemen, D.C.
• Susan Veillon, R.N.
• Helen Grace Verret
• Lequatta C Vessel
• Sheri Vestal Franz, M.S, CCC-SLP
• Jessica Vincent

• Internal Medicine Physician in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.