Matthew Ivanyisky, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

310189 Issued in LA

Practice address

16777 Medical Center Dr
Baton Rouge, LA 70816-3254

Phone

(225) 761-5200

NPI assigned

Oct 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mivanyisky690038@direct.ochsner.org
• Direct secure messaging: matthew.ivanyisky.1@25776.direct.athenahealth.com

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.

• Baton Rouge Radiology Group Inc

  • Diagnostic Radiology Physician
  • Baton Rouge, LA
  • NPI 1407880339
  Medicare reassignment
• Neuromedical Center

  • Specialist
  • Baton Rouge, LA
  • NPI 1740216399
  Medicare reassignment
• North Oaks Medical Center, LLC

  • Diagnostic Radiology Physician
  • Hammond, LA
  • NPI 1164785648
  Medicare reassignment
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment
• North Oaks Medical Center, LLC

  • General Acute Care Hospital
  • Hammond, LA
  • NPI 1972630705
  NPD
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • Gretna, LA
  • NPI 1548704422
  NPD

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1871069377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "ALBANY",
            "state": "LA",
            "postal_code": "707110471",
            "telephone_number": "225-229-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16777 MEDICAL CENTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163254",
            "telephone_number": "225-761-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVANYISKY",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "310189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isd Renal Inc
• Harold Leroy Ishler, M.D.
• Dashun Island
• Catina R Istre, CIT-5707
• Natalie Marie Istre, LCSW-BACS
• Amanda Lynn Iverson, PA-C
• Keithan Ivey
• William Thomas Ivey, PHARMACIST
• Dominique Ivory
• Tabitha Ivy, LMT

• Physician Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.