Individual provider Active NPI

John R Passman III, PA-C

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1720038110
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.A10388 Issued in LA
Practice address
2345 Oneal LN
Baton Rouge, LA 70816-3317
Phone
(225) 754-3278
Fax
(225) 754-3255
NPI assigned
May 10, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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 PA.A10388 LA Primary

Addresses

Primary practice location

2345 Oneal LN
Baton Rouge, LA 70816-3317

Mailing address

9001 Summa Ave
Baton Rouge, LA 70809-3726
Phone (225) 761-5200

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
I20060612000095 LA Practitioner - Physician Assistant 1355353368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Medical CenterGroup PAC ID 3173430196, 9 clinicians

Practice addresses (Care Compare)

1900 Main St
Franklinton, LA 70438-3688
Phone (985) 839-4431

806 Riverside Dr
Suite B
Franklinton, LA 70438-3603
Phone (985) 839-3555

809 Riverside Dr
Franklinton, LA 70438-3635
Phone (985) 795-4208

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince May 1, 2006 Accepting new patients
Riverside Medical Center CurrentSince Apr 7, 2025 Accepting new patients
PCP Urgent Care Holdings LLC CurrentSince Dec 21, 2017 Accepting new patients
Ochsner Clinic, LLC CurrentSince May 1, 2006 Accepting new patients
Riverside Medical Center CurrentSince Apr 7, 2025 Accepting new patients
PCP Urgent Care Holdings LLC CurrentSince Dec 21, 2017 Accepting new patients
Riverside Medical Center Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Riverside Medical Center Past Accepting new patients

Locations

8540 Siegen Ln
Ste B
Baton Rouge, LA 70810
Phone (225) 224-8690

9001 Summa Ave
Baton Rouge, LA 70809

1000 Ochsner Blvd
Covington, LA 70433
Phone (985) 898-7051

51704 Highway 438
Franklinton, LA 70438
Phone (985) 730-6700

709 Riverside Dr
Franklinton, LA 70438
Phone (985) 795-4166

711 Riverside Dr
Franklinton, LA 70438
Phone (985) 795-4294

806 Riverside Dr
Ste B
Franklinton, LA 70438
Phone (985) 795-4134

809 Riverside Dr
Franklinton, LA 70438
Phone (985) 795-4208

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1900 Main St
Sheridan, LA 70438
Phone (985) 795-4294

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1720038110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 SUMMA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093726",
            "telephone_number": "225-761-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 ONEAL LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163317",
            "telephone_number": "225-754-3278",
            "fax_number": "225-754-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSMAN",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.A10388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.