Iberia Foot Specialists, LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PD324R Issued in LA

Legal business name

IBERIA FOOT SPECIALISTS, LLC

Practice address

2309 E Main St
Suite 201
New Iberia, LA 70560-4046

Phone

(337) 364-8878

Fax

(337) 364-8380

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Blake Green, D.P.M.NPI 1124027644

Title

Owner

Phone

(337) 364-8878

Specialties & licenses 1

Addresses

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.

• Justin B. Green, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • New Iberia, LA
  • NPI 1124027644
  Authorized official Same address or phone

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609973858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST",
            "address_2": "SUITE 201",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604046",
            "telephone_number": "337-364-8878",
            "fax_number": "337-364-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 E MAIN ST",
            "address_2": "SUITE 201",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604046",
            "telephone_number": "337-364-8878",
            "fax_number": "337-364-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERIA FOOT SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-364-8878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "LA",
            "license": "PD324R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iberia Dermatology
• Iberia Emergency Group LLC
• Iberia Eye Center,LLC
• Iberia Family Care, Apmc
• Iberia Familymd, LLC (Alberto M. Palmiano,M.D.)
• Iberia Gastroenterology Associates, Inc. a Professional Medical Corpor
• Iberia General Hospital & Medical Center (Iberia Medical Center Home Health Agency)
• Iberia General Hospital & Medical Center (The Children's Practice)
• Iberia General Hospital & Medical Center (Iberia Medical Center)
• Iberia General Hospital and Medical Center (Endocrinology Associates)

• Foot Surgery Podiatrist in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Foot Surgery Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.