Active NPI
Laura Toups Hetzler, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- MD.204078
- Practice address
- 4950 Essen LN Ste 400
Baton Rouge, LA 70809-3738 - Phone
- (225) 765-1765
- Fax
- (225) 765-1768
- NPI assigned
- Aug 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 125049497 | IL | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MD.204078 | LA | Primary |
Addresses
Primary practice location
4950 Essen LN Ste 400
Baton Rouge, LA 70809-3738
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1067814 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Louisiana State University School of Medicine in New Orleans, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4950 Essen LN
Suite 400
Baton Rouge, LA 70809-3738
Phone (225) 765-1765
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 14 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125049497 | IL | MD | Specialist |
| MD.204078 | LA | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Otolaryngology | Current | Accepting new patients |
| Our Lady of the Lake Physician Group LLC | Past | Accepting new patients |
Locations
7777 Hennessy Blvd
Ste 709
Baton Rouge, LA 70808
Phone (225) 765-7735
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
4950 Essen Ln
Ste 400
Baton Rouge, LA 70809
Phone (225) 765-1765
9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1033494943
Otolaryngology
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
dba Our Lady of the Lake Children's Health Developmental Center at McMains
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baton Rouge, LA
- NPI 1235912502
-
dba OLOL Physician Surgical Specialty
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Our Lady of the Lake Regional Medical Center
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1740446228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-765-5727",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 ESSEN LN STE 400",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093738",
"telephone_number": "225-765-1765",
"fax_number": "225-765-1768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETZLER",
"first_name": "LAURA",
"middle_name": "TOUPS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "125049497",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "LA",
"license": "MD.204078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1067814",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.