Active NPI
Vonni Serbin, MD, LLC
- Anesthesiology Physician
- Metairie, LA
National Provider Identifier
1558873117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 016455
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vonni Serbin, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1341444 | Medicaid | LA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1154357481
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.