Innovative Health Services LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INNOVATIVE HEALTH SERVICES LLC

Doing business as

Innovative Medical Clinic

Practice address

1570 Lindberg Dr
Ste 12
Slidell, LA 70458-8058

Phone

(985) 649-7070

NPI assigned

Jul 30, 2010

Last updated

May 31, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

INNOVATIVE HEALTH SERVCIES LLCAs reported in NPPES

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

Authorized official

Name

Dr. John V Barton, MDNPI 1841233095

Title

Director

Phone

(888) 447-2450

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Innovative Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Part of

Innovative Health SVCS LLC

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Appalachian Medical Services LLC

  • Emergency Medicine Physician
  • Etowah, TN
  • NPI 1770750341

  Member Of

  NPD member

Practitioners 4

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.

• John Vernon Barton, MD

  • Internal Medicine Physician
  • Slidell, LA
  • NPI 1841233095
  Medicare reassignment Authorized official
• Evangelos Stergios Sotiropoulos, MD

  • Hospitalist Physician
  • Hammond, LA
  • NPI 1518257757
  Medicare reassignment NPD
• Amanda Yong Rowe, APRN, FNP-C

  • Family Nurse Practitioner
  • West Lake Hills, TX
  • NPI 1013412139

  LA

  Medicare reassignment NPD
• Dirk H. Danielson, MD

  • Emergency Medicine Physician
  • Picayune, MS
  • NPI 1104869353
  NPD (past)

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1780998963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 960375",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 LINDBERG DR",
            "address_2": "STE 12",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588058",
            "telephone_number": "985-649-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE HEALTH SERVCIES LLC",
        "enumeration_date": "2010-07-30",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-447-2450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017621",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DR4884",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virgie Kay Ingles, LRPSGT, RST
• Jennifer Ingliss
• Ingrid K. Roskos, MD, Ampc
• Innate Potential Chiropractic LLC (Natural Healing Family Chiropractic)
• Innovative Health Services LLC
• Innovative Health Services LLC
• Innovative Health Services LLC
• Innovative Hospitalist Services LLC
• Insight Therapeutic Rehabilitation Inc.
• Integrated Concierge, LLC (DPC Plus)

• General Practice Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.