Dustin Rand Goudeau, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAA10612 Issued in LA

Practice address

3351 Masonic Dr
Alexandria, LA 71301-3842

Phone

(318) 473-9556

Fax

(318) 441-8339

NPI assigned

Feb 16, 2006

Last updated

Dec 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rapides Healthcare System LLCGroup PAC ID 0446163158, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBCECA/Endpoint/GBCECA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rapides Healthcare System, LLC

  dba Rapides Regional Medical Center-Hospital-Based Physicians

  • Pediatric Pulmonology Physician
  • Alexandria, LA
  • NPI 1366618837
  Medicare reassignment Care Compare group
• Rapides Healthcare System LLC

  • Internal Medicine Physician
  • Mamou, LA
  • NPI 1174609200
  NPD
• Rapides Healthcare System, LLC

  dba HP Long Urgent Care Clinic-Alexandria

  • Urgent Care Clinic/Center
  • Alexandria, LA
  • NPI 1477970168
  NPD
• Huey P. Long Medical Center

  • Internal Medicine Physician
  • Pineville, LA
  • NPI 1467496190
  NPD (past)
• Mid State Orthopaedic & Sports Medicine Center LLC

  • Orthopaedic Surgery Physician
  • Jena, LA
  • NPI 1609320506
  NPD (past)
• Mid State Orthopaedic & Sports Medicine Center, LLC

  • Orthopaedic Surgery Physician
  • Alexandria, LA
  • NPI 1104890052
  NPD (past)
• SPG Capital Partners, LLC

  • Durable Medical Equipment & Medical Supplies
  • Leesville, LA
  • NPI 1003343450
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rapides Healthcare System, L.L.C.

  dba Rapides Regional Medical Center

  • General Acute Care Hospital
  • Alexandria, LA
  • NPI 1477500015
  Care Compare affiliation
• Rapides Healthcare System, LLC

  dba HP Long Urgent Care-Pineville

  • Multi-Specialty Clinic/Center
  • Pineville, LA
  • NPI 1083031413

  Hospital

  Care Compare affiliation
• Rapides Healthcare System, LLC

  dba HP Long Urgent Care Clinic-Alexandria

  • Urgent Care Clinic/Center
  • Alexandria, LA
  • NPI 1477970168

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1003880956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013842",
            "telephone_number": "318-473-9556",
            "fax_number": "318-441-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013842",
            "telephone_number": "318-473-9556",
            "fax_number": "318-441-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUDEAU",
        "first_name": "DUSTIN",
        "middle_name": "RAND",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PAA10612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PALMETT",
            "identifier": "P00246919",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Gore
• Tamara Denise Gorham, M.S., CCC-SLP
• Grace Gosserand
• John L Gosserand, MD
• Courtney N Goudeau, CRNA
• Kenneth H Goudeau, CRNA
• Christy M Gough, PLPC
• Ykeisha Nicole Govan
• Berryl Dawn Govender
• Grace Social Services LLC

• Physician Assistant in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.

Verify at the official NPI Registry.