IBERIA FOOT SPECIALISTS, LLC (NPI# 1609973858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609973858 |
| Entity Type | Organization |
| Organization Name | IBERIA FOOT SPECIALISTS, LLC |
| Practice Address |
2309 E Main St Suite 201 New Iberia LA 70560-4046 |
| Practice Telephone | 3373648878 |
| Practice Fax Number | 3373648380 |
| Mailing Telephone | 3373648878 |
| Mailing Fax Number | 3373648380 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JUSTIN BLAKE GREEN (OWNER) |
| Authorized Official Telephone | 3373648878 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PD324R | LA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2309 E MAIN ST SUITE 201 |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70560-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027644 | Justin B. Green | Podiatrist | 2309 E Main St, Suite 201, New Iberia, LA 70560-4046 | 2005-07-18 |
| 1780033068 | Fmc Associates of New Iberia | Family Medicine | 2309 E Main St, Suite 400, New Iberia, LA 70560-4046 | 2016-06-08 |
| 1538578216 | Yps Healthcare LLC | Anesthesiology | 2309 E Main St, Suite 300, New Iberia, LA 70560-4046 | 2014-08-07 |
| 1003227513 | Alison T. Cantrall | Nurse Practitioner | 2309 E Main St, Suite 301, New Iberia, LA 70560-4046 | 2014-05-19 |
| 1205170198 | Women First, LLC | Specialist | 2309 E Main St, Suite 501, New Iberia, LA 70560-4046 | 2012-11-16 |
| 1780976266 | Clayton Michael Maraist | Obstetrics & Gynecology | 2309 E Main St, Suite 200, New Iberia, LA 70560-4046 | 2011-05-03 |
| 1679896955 | Sydney Jo Leblanc | Nurse Practitioner | 2309 E Main St, Suite 301, New Iberia, LA 70560-4046 | 2010-03-01 |
| 1437304680 | Daphne Darlene Landry | Nurse Practitioner | 2309 E Main St, Suite 200, New Iberia, LA 70560-4046 | 2008-12-01 |
| 1932355021 | Jeannine B Lafrance | Clinical Nurse Specialist | 2309 E Main St, Suite 301, New Iberia, LA 70560-4046 | 2008-08-08 |
| 1023208337 | Erinn W Olivier | Obstetrics & Gynecology | 2309 E Main St, Suite 501, New Iberia, LA 70560-4046 | 2007-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578289 | Kelly Koch | Speech-Language Pathologist | 3919 Highway 14, New Iberia, LA 70560 | 2020-01-30 |
| 1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
| 1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
| 1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
| 1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
| 1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
| 1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
| 1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
| 1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
| 1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
| Find all providers in zip 70560 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063672327 | Edward Lang | Podiatrist | 2626 Jena St., New Orleans, LA 70115-6325 | 2008-06-11 |
| 1568651966 | Louisiana Medical Foot Center Associates Inc | Podiatrist | 110 Bellemeade Blvd, Suite A, Gretna, LA 70056-7142 | 2007-10-22 |
| 1386832822 | Dr Jonathan J Gisclair Apmc Dba Lafourche Podiatry Clinic | Podiatrist | 16148 W Main St, Cut Off, LA 70345-3511 | 2007-10-10 |
| 1841483666 | Charles Anthony Caplis | Podiatrist | 2520 Harvard Ave Ste 2b, Metairie, LA 70001-1172 | 2007-08-24 |
| 1467675124 | Baton Rouge Foot Care, PC | Podiatrist | 8160 Ymca Plaza Dr Ste C, Baton Rouge, LA 70810-0916 | 2007-04-11 |
| 1104957695 | The Foot Clinic of West Louisiana | Podiatrist | 901 Shirley Street, Deridder, LA 70634 | 2007-03-08 |
| 1942384227 | Minden Foot Clinic, Inc | Podiatrist | 603 Fleming Ln, Minden, LA 71055-3073 | 2006-10-24 |
| 1639190366 | Robert Jarrett Kadish | Podiatrist | 1521 N Causeway Blvd, Ste. A, Metairie, LA 70001-4135 | 2006-07-21 |
| 1639195639 | Darren Michael Vigee | Podiatrist | 985 Robert Blvd Ste 103, Slidell, LA 70458-2063 | 2006-07-14 |
| 1447289426 | Robert A. Arango | Podiatrist | 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601-8990 | 2006-07-01 |
| Find all providers with the same taxonomy | ||||
| City | NEW IBERIA |
| Zip Code | 70560 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.