Gina V Readore, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

TPA174 Issued in LA

Practice address

3975 Interstate 49 S Service Rd
Ste 201
Opelousas, LA 70570-0775

Phone

(337) 407-2795

Fax

(337) 407-2798

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396880431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 ABDALLA BLVD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705869",
            "telephone_number": "337-407-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 INTERSTATE 49 S SERVICE RD",
            "address_2": "STE 201",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700775",
            "telephone_number": "337-407-2795",
            "fax_number": "337-407-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READORE",
        "first_name": "GINA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "TPA174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1449627",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.