Ivo Iatchovski-Baronne, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.201181 Issued in LA

Practice address

3017 Harvard Ave
Suite 102
Metairie, LA 70006-6494

Phone

(504) 885-7018

Fax

(504) 885-7018

NPI assigned

Oct 26, 2006

Last updated

May 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ivo Tzvetanov Iatchovski Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivo Baronne MD,Medical Corporation

  • Family Medicine Physician
  • Metairie, LA
  • NPI 1376617928
  Medicare reassignment NPD Authorized official
• Clearview Internal Medicine, Inc

  • Legal Medicine
  • Metairie, LA
  • NPI 1124160932
  NPD (past)
• Lakeside Physician Associates, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • New Orleans, LA
  • NPI 1942391826
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1326123563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 HARVARD AVE",
            "address_2": "SUITE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066402",
            "telephone_number": "504-338-4042",
            "fax_number": "504-885-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 HARVARD AVE",
            "address_2": "SUITE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066494",
            "telephone_number": "504-885-7018",
            "fax_number": "504-885-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IATCHOVSKI-BARONNE",
        "first_name": "IVO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME96106",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.201181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1064483",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVO",
            "last_name": "IATCHOVSKI",
            "middle_name": "TZVETANOV",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audrey Yaejin Hwang
• Rene J Hymel, D.P.M.
• Daniel J Hyneman, DDS, MD
• Hyperbaric Medical Associate PC
• I Ricardo Martinez MD PHD Apmc
• Hanan Mahmoud Ibrahim, APRN-FNP
• Patricia Ann Idrogo
• Danielle Iemmola
• Olamide Elizabeth Ifanse, CNA
• Peter D Igoe, D.D.S.

• Family Medicine Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.