NPIMap

Individual provider Active NPI

Philip Theodore Labarbera, M.D.

  • Family Medicine Physician
  • Nacogdoches, TX
National Provider Identifier
1528020823
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D8315 Issued in TX
Practice address
4944 NE Stallings Dr
Nacogdoches, TX 75965-1265
Phone
(936) 564-3751
Fax
(936) 560-5871
NPI assigned
Apr 4, 2006
Last updated
Nov 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D8315 TX Primary

Addresses

Primary practice location

4944 NE Stallings Dr
Nacogdoches, TX 75965-1265

Mailing address

4944 NE Stallings Dr
Nacogdoches, TX 75965-1265
Phone (936) 564-3751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000684 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 3072682277 Practice locations: Nacogdoches, TX

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Texas Medical Branch at Galveston, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4944 NE Stallings Dr
Nacogdoches, TX 75965-1265
Phone (936) 564-3751

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy16
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Removal or shaving of skin growth11
Skin biopsy35

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: philip.labarbera.1@20628.direct.athenahealth.com

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1528020823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651265",
            "telephone_number": "936-564-3751",
            "fax_number": "936-560-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651265",
            "telephone_number": "936-564-3751",
            "fax_number": "936-560-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABARBERA",
        "first_name": "PHILIP",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D8315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.