Individual provider Active NPI

Thomas Marsala Jr., PA-C

  • Physician Assistant
  • West Monroe, LA
National Provider Identifier
1689719932
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
A10448 Issued in LA
Practice address
1804 N 7TH St
West Monroe, LA 71291-4414
Phone
(318) 325-2610
Fax
(318) 325-7715
NPI assigned
Feb 21, 2007
Last updated
Jul 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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 A10448 LA Primary

Addresses

Primary practice location

1804 N 7TH St
West Monroe, LA 71291-4414

Mailing address

1804 N 7TH St
West Monroe, LA 71291-4414
Phone (318) 325-2610

Other identifiers 1

IdentifierTypeStateIssuer
1590720MedicaidLA

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
I20050525000933 LA Practitioner - Physician Assistant 5698717064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

138 Christian Dr
Rayville, LA 71269-3645
Phone (318) 728-2020

1801 Auburn Ave
Monroe, LA 71201-5005
Phone (318) 812-1600

1804 N 7TH St
West Monroe, LA 71291-4414
Phone (318) 325-2610

Merit-based Incentive Payment System (MIPS)

Final score
91.8 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A10448LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Oct 10, 2006 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Oct 10, 2006 Accepting new patients

Locations

1801 Auburn Ave
Monroe, LA 71201
Phone (318) 812-1600

138 Christian Dr
Rayville, LA 71269
Phone (318) 728-2020

108 Regency Pl
West Monroe, LA 71291
Phone (318) 325-2610

1804 N 7th St
West Monroe, LA 71291
Phone (318) 325-2610

Interoperability endpoints

  • Direct secure messaging: marsala@hhec1211.srs-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1689719932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914414",
            "telephone_number": "318-325-2610",
            "fax_number": "318-325-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 N 7TH ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914414",
            "telephone_number": "318-325-2610",
            "fax_number": "318-325-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSALA",
        "first_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "A10448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1590720",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.