Individual provider Active NPI

Rand Sebastian Metoyer, M.D.

  • Specialist
  • Slidell, LA
National Provider Identifier
1952366031
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
020497 Issued in LA
Practice address
1850 Gause Blvd E
Suite 201
Slidell, LA 70461-5442
Phone
(985) 649-5825
Fax
(985) 645-0884
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 020497 LA Primary

Addresses

Primary practice location

1850 Gause Blvd E
Suite 201
Slidell, LA 70461-5442

Mailing address

501 Keyser Ave
Natchitoches, LA 71457-6018
Phone (318) 214-4153

Other identifiers 1

IdentifierTypeStateIssuer
173801000OtherLAWORKERS COMP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000433 LA Practitioner - Pain ManagementPractitioner - Anesthesiology 7214063015 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020497LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cane River Pain Center LLC CurrentSince Mar 1, 2017 Accepting new patients
Helios Outpatient Center, L.L.C. PastSince Jan 4, 2011 Accepting new patients

Locations

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

Interoperability endpoints

  • Direct secure messaging: rand.metoyer@direct.la-hie.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1952366031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576018",
            "telephone_number": "318-214-4153",
            "fax_number": "318-214-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 GAUSE BLVD E",
            "address_2": "SUITE 201",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615442",
            "telephone_number": "985-649-5825",
            "fax_number": "985-645-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METOYER",
        "first_name": "RAND",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "020497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "173801000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.