Individual provider Active NPI

Charles Jesse Aswell III, MD

  • Internal Medicine Physician
  • Ville Platte, LA
National Provider Identifier
1801842141
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
013360 Issued in LA
Practice address
503 Jack Miller Rd
# A
Ville Platte, LA 70586-5627
Phone
(337) 363-7474
Fax
(337) 363-1197
NPI assigned
May 26, 2006
Last updated
Mar 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 013360 LA Primary

Addresses

Primary practice location

503 Jack Miller Rd
# A
Ville Platte, LA 70586-5627

Mailing address

503 Jack Miller Rd
# A
Ville Platte, LA 70586-5627
Phone (337) 363-7474

Other identifiers 2

IdentifierTypeStateIssuer
50313OtherLAMEDICARE ID (UNSPECIFIED)
1188531MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050414000968 LA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Emergency Medicine 6305883992 Reassigns benefits to 2 organizations
Practice locations: Ville Platte, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13360LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Group of St Landry LLC CurrentSince Apr 1, 2005 Accepting new patients
CLHG-Ville Platte LLC CurrentSince Nov 23, 2019 Accepting new patients
Evangeline Diagnostic Center LLC PastSince May 6, 1987 Accepting new patients
Menavry LLC Past Accepting new patients

Locations

503 Jack Miller Rd
Ville Platte, LA 70586
Phone (337) 336-5040

503 Jack Miller Rd
Ste A
Ville Platte, LA 70586
Phone (337) 363-7474

800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684

Interoperability endpoints

  • Direct secure messaging: mrmcaswel@yourcarecommunity.org

Organizations & group practices 9

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1801842141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 JACK MILLER RD",
            "address_2": "# A",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865627",
            "telephone_number": "337-363-7474",
            "fax_number": "337-363-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 JACK MILLER RD",
            "address_2": "# A",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865627",
            "telephone_number": "337-363-7474",
            "fax_number": "337-363-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASWELL",
        "first_name": "CHARLES",
        "middle_name": "JESSE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "013360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID (UNSPECIFIED)",
            "identifier": "50313",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1188531",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.