NPIMap

Individual provider Active NPI

Dustin Luke Vincent, M.D.

  • Emergency Medicine Physician
  • Denham Springs, LA
National Provider Identifier
1831415546
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.206194 Issued in LA
Practice address
8460 Harris Rd
Denham Springs, LA 70726-6729
Phone
(225) 665-5915
NPI assigned
Apr 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X MD.206194 LA Primary

Addresses

Primary practice location

8460 Harris Rd
Denham Springs, LA 70726-6729

Mailing address

200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130705000110 LA Practitioner - Emergency Medicine 2264672765 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Stick Emergency Group LLCGroup PAC ID 2062583578, 33 clinicians

Practice addresses (Care Compare)

3600 Florida St
Baton Rouge, LA 70806-3842
Phone (225) 387-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Emergency Physicians Group LLC Emergency Medicine CurrentSince Apr 21, 2015 Accepting new patients
Red Stick Emergency Group LLC Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Kenner Emergency Group LLC Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients
Michael E Isabelle MD Apmc Emergency Medicine Past Accepting new patients
Louisiana Em-1 Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients

Locations

8585 Picardy Ave
Ste 318
Baton Rouge, LA 70809
Phone (225) 333-3800

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

14105 Highway 73
Ste 100
Prairieville, LA 70769
Phone (225) 402-2600

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1831415546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 HARRIS RD",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707266729",
            "telephone_number": "225-665-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "DUSTIN",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-20",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.206194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

Verify at the official NPI Registry.