Individual provider Active NPI

Grant Schiltz

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1235702648
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
333557 Issued in LA
Practice address
7777 Hennessy Blvd Ste 1008
Baton Rouge, LA 70808-4368
Phone
(225) 766-0416
Fax
(225) 769-9212
NPI assigned
Jul 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 333557 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd Ste 1008
Baton Rouge, LA 70808-4368

Mailing address

200 Henry Clay Ave
New Orleans, LA 70118-5798
Phone (504) 899-9511

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630000919 LA Practitioner - Physician Assistant 9032578513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Alabama College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19900 Old Scenic Hwy
Suite Fastlane
Zachary, LA 70791-7368
Phone (225) 570-2618

4801 McHugh Dr
Suite C Lane Dermatology
Zachary, LA 70791-4037
Phone (225) 658-4065

6300 Main St
Zachary, LA 70791-4037
Phone (225) 570-2618

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Orthopaedic Clinic, LLC CurrentSince Sep 1, 2024 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Jun 3, 2024 Accepting new patients
Baton Rouge Orthopaedic Clinic CurrentSince Sep 1, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 12, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 12, 2023 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Jun 3, 2024 Accepting new patients

Locations

8080 Bluebonnet Blvd
Ste 1000
Baton Rouge, LA 70810
Phone (225) 408-6633

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

4801 McHugh Rd
#C
Zachary, LA 70791
Phone (225) 570-2489

2335 Church St
Ste E
Zachary, LA 70791
Phone (225) 570-2489

4920 Church St
Ste E
Zachary, LA 70791
Phone (225) 570-2443

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

19900 Old Scenic Hwy
Ste E
Zachary, LA 70791
Phone (225) 570-2618

Interoperability endpoints

  • Direct secure messaging: gschiltz5243632@direct.casso.us.com

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1235702648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185798",
            "telephone_number": "504-899-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 1008",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084368",
            "telephone_number": "225-766-0416",
            "fax_number": "225-769-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILTZ",
        "first_name": "GRANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "333557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.