Aaron Dean Chauvin, PAC
Individual provider Active NPI Physician Assistant · Shreveport, LA
NPI 1689629909 · NPPES record last updated May 9, 2008
Key facts
- NPI
- 1689629909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- A10257RX (LA)
- Practice address
- 1501 Kings Hwy
Shreveport, LA 71103-4228 - Phone
- (318) 675-6885
- Fax
- (318) 675-6878
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA
- 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 |
|---|---|---|---|---|
| I20040524000097 | LA | Practitioner - Physician Assistant | 0749271153 | Reassigns benefits to 2 organizations |
| I20050509000849 | LA | Practitioner - Physician Assistant | 0749271153 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10257RX | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapides Healthcare System LLC | Current |
Accepting new patients | |
| Convenient Care LLC | Current |
Accepting new patients | |
| Lake Urgent Care Ascension LLC | Current |
Accepting new patients | |
| Lake Urgent Care Ascension LLC | Current |
Accepting new patients | |
| Rapides Healthcare System, LLC | Current |
Accepting new patients | |
| Convenient Care LLC | Current |
Accepting new patients | |
| Calcasieu Urgent Care, LLC | Current |
Accepting new patients | |
| Calcasieu Urgent Care LLC | Current |
Accepting new patients | |
| North Louisiana Surgery Center LLC | Past |
Accepting new patients | |
| Texas Trail Emergency Physicians LLC | Past | Accepting new patients | |
| North Louisiana Surgery Center | Past |
Accepting new patients |
Locations
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857
1776 N Airline Hwy
Ste A
Gonzales, LA 70737
Phone (225) 647-4988
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
213 Hospital Blvd
Pineville, LA 71360
Phone (318) 769-5664
14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930
40546 Highway 42
Prairieville, LA 70769
Phone (225) 744-4988
10714 Highway 431
Saint Amant, LA 70774
Phone (225) 644-0005
Interoperability endpoints
- https://api.platform.athenahealth.com/14073/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | A10257RX | LA | Yes |
Addresses
Primary practice location
1501 Kings Hwy
Shreveport, LA 71103-4228
Mailing address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-6885
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1626465 | Medicaid | LA |
Other providers in Shreveport, LA
- Satya Narayan Chaudhary
- Shabnum Ilyas Chaudhery
- Catherine Smith Chaudoir
- Marc Wayne Chaudoir
- Prem Shankar Chaurasiya
- Brad Chauvin
- Michelle Chauvin
- Ashwitha Chawan
- Irene Kien Che
- Anthony Cheathem
All providers in Shreveport, LA · Physician Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2008. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.