Anthony Leslie Vanduzee, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

A10412 Issued in LA

Practice address

5439 Airline Hwy
Baton Rouge, LA 70805-1712

Phone

(225) 358-2280

NPI assigned

Nov 1, 2006

Last updated

Apr 17, 2024By 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 2

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baton Rouge Orthopaedic Clinic LLCGroup PAC ID 3274446414, 142 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Baton Rouge Orthopaedic Clinic, LLC

  • Orthopaedic Surgery Physician
  • Baton Rouge, LA
  • NPI 1770503690
  Medicare reassignment Care Compare group
• Convenient Care LLC

  dba Lake After Hours Perkins

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1164422630
  Medicare reassignment
• F. Allen Johnston, MD, Apmc

  • Orthopaedic Surgery Physician
  • Baton Rouge, LA
  • NPI 1841456225
  Medicare reassignment
• Lake Urgent Care Ascension LLC

  dba Lake Urgent Care - Ascension

  • Urgent Care Clinic/Center
  • Prairieville, LA
  • NPI 1912243122
  Medicare reassignment
• Our Lady of the Lake Physician Group LLC

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1033494943
  Medicare reassignment
• Convenient Care LLC

  dba Lake After Hours Hammond

  • Urgent Care Clinic/Center
  • Hammond, LA
  • NPI 1225119225
  NPD
• Lake Urgent Care Ascension LLC

  dba Lake Urgent Care - Gonzales

  • Urgent Care Clinic/Center
  • Gonzales, LA
  • NPI 1477899656
  NPD
• Our Lady of the Lake Physician Group LLC

  dba Our Lady of the Lake Children's Health Developmental Center at McMains

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Baton Rouge, LA
  • NPI 1235912502
  NPD
• Our Lady of the Lake Physician Group, LLC

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1588062079
  NPD
• Baton Rouge Orthopaedic Clinic

  • Radiology Clinic/Center
  • Baton Rouge, LA
  • NPI 1881717577
  NPD (past)
• Baton Rouge Orthopaedic Clinic

  dba Physical Therapy & Hand Center

  • Physical Therapy Clinic/Center
  • Baton Rouge, LA
  • NPI 1952596264
  NPD (past)
• Baton Rouge Orthopaedic Clinic LLC

  dba Baton Rouge Orthopaedic Clinic

  • Durable Medical Equipment & Medical Supplies
  • Walker, LA
  • NPI 1023818010

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1184701930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708051712",
            "telephone_number": "225-358-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708051712",
            "telephone_number": "225-358-2280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8080 Bluebonnet Blvd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708107827",
            "country_code": "US",
            "telephone_number": "225-924-2424",
            "fax_number": "225-408-7980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDUZEE",
        "first_name": "ANTHONY",
        "middle_name": "LESLIE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "A10412",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "A10412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1453188",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vance G Misuraca DDS LLC
• John Robert Vance, DDS
• Adam Vandenlangenberg, MD
• Scott Daniel Vanderlick, DPT
• Iver O'Neal Vandiver II, PHARMD
• Vanessa's Hair Company
• Danielle Vanhaute, FCP
• James A Vanhook, PHD
• Herbert W Vanhorn III, M.D.
• Shanta Sharae Vannorman

• Surgical Physician Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Surgical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.