Individual provider Active NPI

Norman Douglas Deen Jr.

  • Physician Assistant
  • Franklin, LA
National Provider Identifier
1417681024
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1115 Weber St
Franklin, LA 70538-4124
Phone
(337) 828-2550
NPI assigned
Jul 11, 2022
Last updated
Jan 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 Primary

Addresses

Primary practice location

1115 Weber St
Franklin, LA 70538-4124

Mailing address

5850 E Still Cir
Mesa, AZ 85206-3618
Phone (480) 219-6000

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
I20240131004376 LA Practitioner - Physician Assistant 3072966563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teche Action Board IncGroup PAC ID 0648163980, 27 clinicians

Practice addresses (Care Compare)

1115 Weber St
Franklin, LA 70538-4124
Phone (337) 828-2550

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Teche Action Board Inc CurrentSince Dec 23, 2023 Accepting new patients
Teche Action Board Inc Past Accepting new patients
Teche Action Board Inc Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients

Locations

1115 Weber St
Franklin, LA 70538
Phone (337) 828-2550

1014 W Tunnel Blvd
Houma, LA 70360
Phone (985) 851-1717

3528 Highway 70 S
Pierre Part, LA 70339
Phone (985) 252-6211

1709 Ridgefield Rd
Thibodaux, LA 70301
Phone (985) 446-7341

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1417681024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 E STILL CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063618",
            "telephone_number": "480-219-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEN",
        "first_name": "NORMAN",
        "middle_name": "DOUGLAS",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-01-22",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, LA

Sources for this page

Verify at the official NPI Registry.