Richard Jason Ardoin, PA-C
Individual provider Active NPI Surgical Physician Assistant · Ocean Springs, MS
NPI 1669501680 · NPPES record last updated Apr 28, 2022
Key facts
- NPI
- 1669501680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA00090 (MS)
- Practice address
- 3603 Bienville Blvd
Suite 103
Ocean Springs, MS 39564-5727 - Phone
- (228) 762-3000
- Fax
- (228) 818-4151
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Singing River Health System
Practice addresses (Care Compare)
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 818-0563
2819 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 762-3466
3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1111
3535 Bienville Blvd
Ocean Springs, MS 39564-5705
Phone (228) 872-1641
7001 Hwy 614
Coastal Ambulatory Services
Hurley, MS 39555-5340
Phone (228) 588-6622
Hospital & facility affiliations
- Singing River Gulfport
- Singing River Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070831000231 | MS | Practitioner - Physician Assistant | 2163515446 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00090 | MS | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singing River Health System | Current |
Accepting new patients | |
| Singing River Health System | Past | Accepting new patients | |
| Singing River Health System | Past | Accepting new patients |
Locations
1720A Medical Park Dr
Ste 220
Biloxi, MS 39532
Phone (228) 392-9355
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
3603 Bienville Blvd
Ste 103
Ocean Springs, MS 39564
Phone (228) 762-3000
3535 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1111
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00090 | MS | |
| Surgical Physician Assistant | 363AS0400X | PA00090 | MS | Yes |
Addresses
Primary practice location
3603 Bienville Blvd
Suite 103
Ocean Springs, MS 39564-5727
Mailing address
3535 Bienville Blvd
Ocean Springs, MS 39564-5705
Phone (228) 762-3000
Other names
- Jason Ardoin
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rardoin3443@direct.mysrhs.com | Health Information Exchange (HIE) |
Other providers in Ocean Springs, MS
- Mohammad Aftab Anwar
- Benjamin Walker Appelo
- Applied Psychology Center, PC
- Applied Psychology Ctr Apc
- Laquisha Arbuthnot
- Brenda Sue Arnold
- Kathleen Cecilia Arnold
- Aseracare Hospice - Gulfport, LLC
- Alyssa Ashmore
- Cadi Samantha Atwell
All providers in Ocean Springs, MS · Surgical Physician Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.