Edward J Wren III, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

015754 Issued in LA

Practice address

1100 Andre St
Suite 300
New Iberia, LA 70563-2159

Phone

(337) 364-9225

Fax

(337) 364-6094

NPI assigned

Feb 15, 2007

Last updated

Aug 26, 2013By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Louisiana Anesthesia Partners, LLC

  • Anesthesiology Physician
  • Slidell, LA
  • NPI 1720237209
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1427191790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20452",
            "address_2": "YPS-CRED",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200452",
            "telephone_number": "614-442-2406",
            "fax_number": "614-442-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ANDRE ST",
            "address_2": "SUITE 300",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632159",
            "telephone_number": "337-364-9225",
            "fax_number": "337-364-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WREN",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "015754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "1427191790",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LA",
            "identifier": "1427191790",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1311111",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• WM. Andre Cenac, MD Apmc
• WM. Andre Cenac, MD Apmc
• Ella Wolfe
• Woman's Clinic of Iberia, a Professional Medical Corp (The Woman's Clinic)
• Women First, LLC
• Elizabeth Wyatt, M.S., CCC-SLP
• Michael Yoes Jr., PT, MPT, CERT DN
• Nicholas Youman
• Marissa Young, MA CCC-SLP
• Roy Young

• Anesthesiology Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.