ENT OF ACADIANA
NPI 1720005754
Otolaryngology in New Iberia, LA

NPI Status: Active since July 16, 2006

Contact Information

426 CHARLES ST
NEW IBERIA, LA
ZIP 70560
Phone: (337) 365-4156
Fax: (337) 365-4192

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  • Organization
  • Otolaryngology
  • Accepts Insurance
  • CLIA Number: 19D1054200
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-14-2028

About ENT OF ACADIANA

This page provides the complete NPI Profile along with additional information for Ent Of Acadiana, a provider established in New Iberia, Louisiana operating as a Otolaryngology. The healthcare provider is registered in the NPI registry with number 1720005754 assigned on July 2006. The practitioner's primary taxonomy code is 207Y00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Ent Of Acadiana. The authorized official of this NPI record is Dr. Tynes Emery Mixon Iii M.d. (Physician)

NPI
1720005754
Provider Legal Name
TYNES MIXON, III MD APMC
Other Organization Name
ENT OF ACADIANA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
426 CHARLES ST NEW IBERIA, LA 70560
Location Phone
(337) 365-4156
Location Fax
(337) 365-4192
Mailing Address
426 CHARLES ST NEW IBERIA, LA 70560
Mailing Phone
(337) 365-4156
Mailing Fax
(337) 365-4192
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2006
Last Update Date
10-09-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Otolaryngology

Taxonomy Code
207Y00000X
Type
Allopathic & Osteopathic Physicians
License State
LA
Taxonomy Description
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
  • Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
  • Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
  • Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
  • Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3400 - PPO
  • Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
  • Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
  • Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
  • Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
  • Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
  • Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TYNES EMERY MIXON III M.D.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(337) 365-4156

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5CG62MEDICARE ID-TYPE UNSPECIFIED (04)LAMEDICARE GROUP NUMBER
1445282MEDICAID (05)LA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D1054200
Facility Type
Physician Office
Certificate Effective Date
May 15, 2026
Certificate Expiration Date
May 14, 2028
Laboratory Director
TYNES E. MIXON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ent Of Acadiana to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1720005754, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 4 + 0 + 0 + 0 + 1 + 0 + 7 + 1 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1720005754.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
426 CHARLES ST
NEW IBERIA, LA 70560
Nurse Practitioner (Family)
426 CHARLES ST
NEW IBERIA, LA 70560
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
426 CHARLES ST
NEW IBERIA, LA 70560
Nurse Practitioner (Family)
426 CHARLES ST
NEW IBERIA, LA 70560

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720005754, enumerated as an "organization" on July 16, 2006.

The provider is located at 426 CHARLES ST NEW IBERIA, LA 70560 and the phone number is (337) 365-4156.

Otolaryngology with taxonomy code 207Y00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.