Individual provider Active NPI

Mason Tauer Garfield, PA-C

  • Physician Assistant
  • Shreveport, LA
National Provider Identifier
1548076656
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
346743 Issued in LA
Practice address
2751 Albert L Bicknell Dr Ste 3D
Shreveport, LA 71103-3941
Phone
(318) 212-6710
Fax
(318) 212-6705
NPI assigned
Dec 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 346743 LA Primary

Addresses

Primary practice location

2751 Albert L Bicknell Dr Ste 3D
Shreveport, LA 71103-3941

Mailing address

2751 Albert L Bicknell Dr Ste 3D
Shreveport, LA 71103-3941
Phone (318) 212-6710

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
I20250820003696 LA Practitioner - Physician Assistant 2365942828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Louisiana State University School of Medicine in Shreveport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK North Laparoscopic Surgical AssociatesGroup PAC ID 8921242520, 2 clinicians

Practice addresses (Care Compare)

2751 Albert L Bicknell Dr
Suite 3D
Shreveport, LA 71103-3941
Phone (318) 212-6710

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles R. Byrd MD a Professional PastSince Dec 1, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1548076656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR STE 3D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033941",
            "telephone_number": "318-212-6710",
            "fax_number": "318-212-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBERT L BICKNELL DR STE 3D",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033941",
            "telephone_number": "318-212-6710",
            "fax_number": "318-212-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARFIELD",
        "first_name": "MASON",
        "middle_name": "TAUER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "346743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.