Mathew W Stovall, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.200215 Issued in LA

Practice address

5948 N Market St
Shreveport, LA 71107-2017

Phone

(318) 375-0001

Fax

(318) 375-0002

NPI assigned

Nov 21, 2008

Last updated

Nov 4, 2025By 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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blanchard MedicalGroup PAC ID 8325450315, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Caddo Medical Center Hospital, Vivian, LA, CCN 191304
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Merit-based Incentive Payment System (MIPS)

Final score

91.53 of 100Reported as apm

Quality

81.42

Promoting interoperability

94.6

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Blanchard Medical

  • Rural Health Clinic/Center
  • Shreveport, LA
  • NPI 1760089791
  Medicare reassignment Care Compare group
• North Caddo Hospital Service District

  dba North Caddo Medical Center

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684
  Medicare reassignment NPD
• North Caddo Hospital Service District

  dba Plain Dealing Medical Clinic

  • Family Medicine Physician
  • Plain Dealing, LA
  • NPI 1477798668
  Medicare reassignment NPD
• Benton Medical

  • Clinic/Center
  • Benton, LA
  • NPI 1932585841
  Medicare reassignment
• North Caddo Medical Center

  dba Oil City Medical

  • Rural Health Clinic/Center
  • Oil City, LA
  • NPI 1144063264
  Medicare reassignment
• South Bossier Medical

  • Rural Health Clinic/Center
  • Bossier City, LA
  • NPI 1649993585
  Medicare reassignment
• North Caddo Hospital Service District

  dba NCMC Medical & Surgical Clinic

  • Rural Health Clinic/Center
  • Vivian, LA
  • NPI 1013181866
  NPD
• Advanced Cardiovascular Specialists

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1881127090
  NPD (past)
• Ark-la-Tex Cardiology, Apmc

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1497745921
  NPD (past)
• North Caddo Medical Center Community RX

  • Community/Retail Pharmacy
  • Bossier City, LA
  • NPI 1174315584
  NPD (past)
• WK Oil City Medical Clinic

  • Family Medicine Physician
  • Oil City, LA
  • NPI 1588877179
  NPD (past)

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

• North Caddo Hospital Service District

  dba North Caddo Medical Center

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Bossier Health Center

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba Willis Knighton South Hospital

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  dba WK Pierremont Health Center

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1255586947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5948 N MARKET ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711072017",
            "telephone_number": "318-375-0001",
            "fax_number": "318-375-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5948 N MARKET ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711072017",
            "telephone_number": "318-375-0001",
            "fax_number": "318-375-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Vivian",
            "state": "LA",
            "postal_code": "710823353",
            "country_code": "US",
            "telephone_number": "318-375-3239",
            "fax_number": "318-375-2755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Highway 1 S",
            "address_purpose": "LOCATION",
            "city": "Oil City",
            "state": "LA",
            "postal_code": "710618663",
            "country_code": "US",
            "telephone_number": "318-995-6504",
            "fax_number": "318-955-6535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Burt Blvd",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "LA",
            "postal_code": "710064900",
            "country_code": "US",
            "telephone_number": "318-965-5017",
            "fax_number": "318-965-5019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N Forrest Rd",
            "address_purpose": "LOCATION",
            "city": "Plain Dealing",
            "state": "LA",
            "postal_code": "710644031",
            "country_code": "US",
            "telephone_number": "318-326-7272",
            "fax_number": "318-326-7282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "MATHEW",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-21",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1960497",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari Stonehouse, LCSW
• Stonelake Transportation LLC
• Madison Storrs, FNP
• Cheryl Cline Stough, P.A.
• Mallory Leigh Stovall, AU.D.
• Michael Strahan
• Keith Eliot Strain, MD
• Terry L Strain, P.A.
• Samantha A Strange, LPC
• Sharon Denise Strange, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.