Organization Active NPI

Vonni Serbin, MD, LLC

  • Anesthesiology Physician
  • Metairie, LA
National Provider Identifier
1558873117
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
016455 Issued in LA
Legal business name
VONNI SERBIN, MD, LLC
Practice address
4324 Veterans Memorial Blvd Ste 101
Metairie, LA 70006-5445
Phone
(504) 309-4211
Fax
(504) 309-4214
NPI assigned
Nov 3, 2017
Last updated
Nov 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Vonni Serbin, MDNPI 1154357481
Title
Owner
Phone
(504) 881-1022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 016455 LA Primary

Addresses

Primary practice location

4324 Veterans Memorial Blvd Ste 101
Metairie, LA 70006-5445

Mailing address

1 Wren St
New Orleans, LA 70124-4121
Phone (504) 881-1022

Other identifiers 1

IdentifierTypeStateIssuer
1341444MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1558873117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WREN ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701244121",
            "telephone_number": "504-881-1022",
            "fax_number": "504-456-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 VETERANS MEMORIAL BLVD STE 101",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065445",
            "telephone_number": "504-309-4211",
            "fax_number": "504-309-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VONNI SERBIN, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "SERBIN",
        "authorized_official_first_name": "VONNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-881-1022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "016455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1341444",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.