Active NPI
Pamela Parra Beadle, M.D.
- Emergency Medicine Physician
- Baton Rouge, LA
National Provider Identifier
1154458693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 012984
- Practice address
- 5000 Hennessy Blvd
Olol Emergency Department
Baton Rouge, LA 70808-4375 - Phone
- (225) 765-8080
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 012984 | LA | Primary |
Addresses
Primary practice location
5000 Hennessy Blvd
Olol Emergency Department
Baton Rouge, LA 70808-4375
Mailing address
5000 Hennessey Blvd.
Olol Emergency Dept.
Baton Rouge, LA 70808
Phone (225) 765-8080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0035223 | Medicaid | LA | |
| P00922631 | Other | LA | RRMCARE THRU PEPA |
Other names 1
- Dr. Pamela Ann Parra
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012984 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roslyn M Tabor MD LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Baton Rouge, LA
- NPI 1770758542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1154458693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 HENNESSEY BLVD.",
"address_2": "OLOL EMERGENCY DEPT.",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70808",
"telephone_number": "225-765-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 HENNESSY BLVD",
"address_2": "OLOL EMERGENCY DEPARTMENT",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084375",
"telephone_number": "225-765-8080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEADLE",
"first_name": "PAMELA",
"middle_name": "PARRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "012984",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0035223",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCARE THRU PEPA",
"identifier": "P00922631",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "PARRA",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.