Deborah Eileen Deubler, P.A.-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA.A10572.RX Issued in LA

Practice address

1057 Paul Maillard Rd
Suite D-1900
Luling, LA 70070-4349

Phone

(985) 785-5636

NPI assigned

Mar 6, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Community Medical Group-St Charles Inc

  • Internal Medicine Physician
  • Luling, LA
  • NPI 1407281546
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1407986912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10726 ROYAL RIDGE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708108007",
            "telephone_number": "225-266-6894",
            "fax_number": "985-785-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "address_2": "SUITE D-1900",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUBLER",
        "first_name": "DEBORAH",
        "middle_name": "EILEEN",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "PA.A10572.RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2393154",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07403824",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Daigle, MPAS, MLA
• Jennifer Davison
• Robert Earl Dawson, MD
• Barbara A Dehon-Manuel, LCSW
• Ashley Mehrtens Desselle, M.S. L-SLP, CCC-SLP
• Vadakkipalayam N. Devarajan
• Devereux and Nguyen LLC
• Katherine Dornan
• Dr Edmund Jeansonne Jr DDS
• Danielle R Dufrene, FNP

• Surgical Physician Assistant in Luling, LA
• Providers in Luling, 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 Dec 17, 2015; 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.