Active NPI
Denton L Paige, PA
- Physician Assistant
- Houma, LA
National Provider Identifier
1235366089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 667
- Practice address
- 327 Bayou Gardens Blvd
Houma, LA 70364-7411 - Phone
- (985) 876-5000
- Fax
- (985) 876-5280
- NPI assigned
- Jun 19, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 667 | LA | Primary |
Addresses
Primary practice location
327 Bayou Gardens Blvd
Houma, LA 70364-7411
Mailing address
327 Bayou Gardens Blvd
Houma, LA 70364-7411
Phone (985) 876-5000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090812000109 | LA | Practitioner - Physician Assistant | 5890849707 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grafton Dermatology and Cosmetic Surgery
Practice addresses (Care Compare)
1253 Canal Blvd
Thibodaux, LA 70301-4543
Phone (985) 876-5000
327 Bayou Gardens Blvd
Houma, LA 70364-1434
Phone (985) 876-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 667 | LA | MD | Physician Assistant |
Interoperability endpoints
- lpaige@graftonderm.emadirect.md
- referral.paige@graftonderm.emadirect.md
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245369600000",
"number": "1235366089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 BAYOU GARDENS BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703647411",
"telephone_number": "985-876-5000",
"fax_number": "985-876-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 BAYOU GARDENS BLVD",
"city": "HOUMA",
"state": "LA",
"postal_code": "703647411",
"telephone_number": "985-876-5000",
"fax_number": "985-876-5280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAIGE",
"first_name": "DENTON",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-19",
"last_updated": "2009-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.