Active NPI
Henry Govan Taliaferro, M.D.
- Otolaryngology Physician
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 012237
- Practice address
- 2516 Broadmoor Blvd
Monroe, LA 71201-2988 - Phone
- (318) 812-1125
- Fax
- (318) 812-1129
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 012237 | LA | Primary |
Addresses
Primary practice location
2516 Broadmoor Blvd
Monroe, LA 71201-2988
Mailing address
130 Desiard St
Suite 355
Monroe, LA 71201-7319
Phone (318) 807-7875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194972 | 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
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7373 Perkins Rd
Baton Rouge, LA 70808-4326
Phone (225) 246-9790
7373 Perkins Rd
Baton Rouge, LA 70808-4373
920 Oliver Rd
Monroe, LA 71201-5702
Phone (318) 998-3426
Hospital & facility affiliations
- Fmol Health St Francis
- Monroe Surgical Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 60.04
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12237 | LA | MD | Case Manager/Care Coordinator |
| 012237 | LA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Health Group, LLC | Otolaryngology | Current | Accepting new patients |
| Baton Rouge Clinic, a Medical Corporation | Current | Accepting new patients | |
| Baton Rouge Clinic, a Medical Corporation | Otolaryngology | Current | Accepting new patients |
| Affinity Health Group, LLC | Current | Accepting new patients |
Locations
7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790
2516 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 322-1161
130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875
2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525
Interoperability endpoints
- htaliaferro5299619@direct.casso.us.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1871546911
Otolaryngology
-
- Orthopaedic Surgery Physician
- Monroe, LA
- NPI 1861879249
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1528941655
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1225031495
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1992844435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 DESIARD ST",
"address_2": "SUITE 355",
"city": "MONROE",
"state": "LA",
"postal_code": "712017319",
"telephone_number": "318-807-7875",
"fax_number": "318-812-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 BROADMOOR BLVD",
"city": "MONROE",
"state": "LA",
"postal_code": "712012988",
"telephone_number": "318-812-1125",
"fax_number": "318-812-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALIAFERRO",
"first_name": "HENRY",
"middle_name": "GOVAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "LA",
"license": "012237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194972",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.