Colin Rader Jr., PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

200765 Issued in LA

Practice address

160 San Antonio Ave
Many, LA 71449-3009

Phone

(318) 353-3412

Fax

(318) 353-3413

NPI assigned

Nov 18, 2009

Last updated

Oct 28, 2021By 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

Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 34)

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.

• Hulin Urgent Care Services LLC

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment Care Compare group NPD
• DM Properties of Lafayette, LLC

  dba Premier Urgent Care

  • Urgent Care Clinic/Center
  • Alexandria, LA
  • NPI 1659613537
  Medicare reassignment
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1649297730
  Medicare reassignment
• Rapides Healthcare System, LLC

  dba Rapides Regional Medical Center-Hospital-Based Physicians

  • Pediatric Pulmonology Physician
  • Alexandria, LA
  • NPI 1366618837
  Medicare reassignment
• Sound Physicians Emergency Medicine of Louisiana Inc

  • Emergency Medicine Physician
  • Lake Charles, LA
  • NPI 1396253407
  Medicare reassignment
• St. Francis Urgent Care LLC

  • Urgent Care Clinic/Center
  • Monroe, LA
  • NPI 1194104513
  Medicare reassignment
• DM Properties of Lafayette, LLC

  dba Premier Urgent Care

  • Urgent Care Clinic/Center
  • Jena, LA
  • NPI 1730722471
  NPD
• Hulin Urgent Care Services LLC

  dba Southstar Urgent Care

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Carencro, LA
  • NPI 1669774923
  NPD
• Rapides Healthcare System LLC

  • Internal Medicine Physician
  • Mamou, LA
  • NPI 1174609200
  NPD
• Rapides Healthcare System, LLC

  dba HP Long Urgent Care Clinic-Alexandria

  • Urgent Care Clinic/Center
  • Alexandria, LA
  • NPI 1477970168
  NPD

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1417285115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SAN ANTONIO AVE",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493009",
            "telephone_number": "318-353-3412",
            "fax_number": "318-353-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SAN ANTONIO AVE",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493009",
            "telephone_number": "318-353-3412",
            "fax_number": "318-353-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADER",
        "first_name": "COLIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2377698",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jo Prell
• Prism II, LLC
• Project Celebration, Inc.
• Quad C Physical Therapy LLC
• R. Michael Warren, D.D.S., P.L.L.C.
• Lauren Rader, FNP-C
• Zackery Joan Reed, LPC
• Breana Paige Remedes, RSW-MHS
• Atwood Lumberd Rice III, M.D.
• Christopher L. Ritter, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.