Individual provider Active NPI

Aaron Dean Chauvin, PAC

  • Physician Assistant
  • Shreveport, LA
National Provider Identifier
1689629909
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
A10257RX Issued in LA
Practice address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone
(318) 675-6885
Fax
(318) 675-6878
NPI assigned
May 24, 2006
Last updated
May 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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 A10257RX LA Primary

Addresses

Primary practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1501 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-6885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

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

State licenses

LicenseStateTypeSpecialty
A10257RXLAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rapides Healthcare System LLC CurrentSince Jun 13, 2014 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Jun 1, 2018 Accepting new patients
Convenient Care LLC CurrentSince Jan 14, 2020 Accepting new patients
Rapides Healthcare System, LLC CurrentSince Jun 13, 2014 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jun 1, 2018 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Feb 16, 2022 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Feb 16, 2022 Accepting new patients
Convenient Care LLC CurrentSince Jan 14, 2020 Accepting new patients
North Louisiana Surgery Center PastSince Jan 1, 1990 Accepting new patients
North Louisiana Surgery Center LLC PastSince Jan 1, 1990 Accepting new patients
Texas Trail Emergency Physicians LLC 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

  • FHIR API: https://api.platform.athenahealth.com/14073/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1689629909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-6885",
            "fax_number": "318-675-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-6885",
            "fax_number": "318-675-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUVIN",
        "first_name": "AARON",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "A10257RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.