MR. LARRY DON EZELL MD NPI 1679523807

NPI Information

  • NPI: 1679523807
  • Provider Name: MR. LARRY DON EZELL, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 620 ECOLLEGE STREET
    HOMER, LA
    ZIP 71040
  • Phone: (318) 927-2024

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NPI Details

MR. Larry Don Ezell, MD is a family medicine in Homer, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Larry Don Ezell, MD NPI is 1679523807. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

620 ECOLLEGE STREET
HOMER, LA
ZIP 71040
Phone: (318) 927-2024
Fax: (318) 927-3723

The NPI 1679523807 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 3/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineC7023ARKANSASNo
2207Q00000XFamily MedicineC7023ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
150503OTHERARKANSASBLUE SHIELD
250503MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
350503G254MEDICARE PINARKANSAS
4MD203522OTHERLOUISIANALOUISIANA LICENSE
5112238001MEDICAIDARKANSAS
6B89977MEDICARE UPIN
71884219MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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