Tony Paul, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA.200164 Issued in LA

Practice address

130 Jefferson St
Mansfield, LA 71052-2602

Phone

(318) 872-2700

Fax

(318) 872-6214

NPI assigned

Jan 24, 2008

Last updated

Aug 6, 2013By 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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Coastal Urgent Care, LLCGroup PAC ID 8729138896, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEDHAA

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
• Coastal Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Gonzales, LA
  • NPI 1568601425
  Medicare reassignment Care Compare group
• Desoto Regional Family Medicine

  dba DeSoto Regional Family Medicine - Mansfield

  • Rural Health Clinic/Center
  • Mansfield, LA
  • NPI 1043359839
  NPD
• Hulin Urgent Care Services LLC

  dba Southstar Urgent Care

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD
• Ahs Walk in Clinic Inc

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • Youngsville, LA
  • NPI 1639234495
  NPD (past)
• Desoto Hospital Association

  dba DeSoto Regional Family Medicine-Mansfield

  • Rural Health Clinic/Center
  • Mansfield, LA
  • NPI 1043580624
  NPD (past)
• Hulin Urgent Care Services LLC

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • Minden, LA
  • NPI 1467910141
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1669659363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 JEFFERSON ST",
            "address_2": "P O BOX 740",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522602",
            "telephone_number": "318-872-2700",
            "fax_number": "318-872-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522602",
            "telephone_number": "318-872-2700",
            "fax_number": "318-872-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "TONY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1365149",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikki Marie Olsson, LPC
• Outreach Family Services LLC
• Emily Owens
• Nilay A. Patel, PHARM.D.
• Juanita Paul, MHS
• Linda Payton
• Shmeshia Peoples
• Naishia Lashay Pipkins, ANP
• Poole Home & Retreat
• Sonya Parker Poole, LPC NCC NCSP

• Medical Physician Assistant in Mansfield, LA
• Providers in Mansfield, LA by specialty
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.