Larry Don Ezell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C7023 Issued in AR

Practice address

620 Ecollege Street
Homer, LA 71040

Phone

(318) 927-2024

Fax

(318) 927-3723

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AR

  Medicare reassignment NPD
• Emergency Staffing Solutions Region III

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1689967895

  AR

  Medicare reassignment NPD
• Ess Hospitalist LLC

  • Hospitalist Physician
  • Crossett, AR
  • NPI 1881967305
  Medicare reassignment NPD
• Ess of Fordyce LLC

  • Emergency Medicine Physician
  • Fordyce, AR
  • NPI 1821547977
  Medicare reassignment NPD
• Fulton County Hospital

  • Emergency Medicine Physician
  • Salem, AR
  • NPI 1831274612
  Medicare reassignment NPD
• Hospital Care Consultants of Fordyce LLC

  • Hospitalist Physician
  • Fordyce, AR
  • NPI 1316497464
  Medicare reassignment NPD
• Monticello Ess LLC

  • Emergency Medicine Physician
  • Monticello, AR
  • NPI 1184010753
  Medicare reassignment NPD
• Arkansas Emergency Staffing Solutions, Inc

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1275774630
  Medicare reassignment
• Ozark Health, Inc

  • Emergency Care Clinic/Center
  • Clinton, AR
  • NPI 1043305501
  Medicare reassignment
• Fulton County Hospital

  • Critical Access Hospital
  • Salem, AR
  • NPI 1265407001
  NPD
• Apogee Medical Group, Arkansas, PA

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1295774610
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1679523807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 ECOLLEGE STREET",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "71040",
            "telephone_number": "318-927-2024",
            "fax_number": "318-927-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ECOLLEGE STREET",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "71040",
            "telephone_number": "318-927-2024",
            "fax_number": "318-927-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZELL",
        "first_name": "LARRY",
        "middle_name": "DON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C7023",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C7023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112238001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "50503",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1884219",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA LICENSE",
            "identifier": "MD203522",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CW Outreach Center
• Dialysis Clinic, Inc.
• Divinity Healthcare Services
• Diane Dyer
• Evergreen Presbyterian Ministries, Inc.
• Family Medical Clinic of Homer, la Inc
• Kensel Ferguson
• Kelsey Lee Fountain, MA CCC-SLP
• Laura K Gearhart, PHARMD
• Steve R Grayson, O.T.R.

• Family Medicine Physician in Homer, LA
• Providers in Homer, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.