John Alanson Fudickar, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.A10367.RX Issued in LA

Practice address

12525 Perkins Rd
Suite B
Baton Rouge, LA 70810-1907

Phone

(225) 819-8857

Fax

(225) 767-6822

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, GA2 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

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Urgent Care Ascension LLCGroup PAC ID 0244479095, 22 clinicians

New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians

Convenient Care LLCGroup PAC ID 1153306816, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Convenient Care LLC

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1164422630
  Medicare reassignment Care Compare group
• Lake Urgent Care Ascension LLC

  • Urgent Care Clinic/Center
  • Prairieville, LA
  • NPI 1912243122
  Medicare reassignment Care Compare group
• New Orleans Physician Services Inc

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1396169678
  Medicare reassignment Care Compare group
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1649297730
  Medicare reassignment NPD
• Lake Charles Urgent Care

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1306135892
  Medicare reassignment
• LCMC Urgent Care LLC

  • Urgent Care Clinic/Center
  • New Orleans, LA
  • NPI 1184162877
  Medicare reassignment
• Lcuc Family Physicians Urgent Care LLC

  • Urgent Care Clinic/Center
  • Sulphur, LA
  • NPI 1932655784
  Medicare reassignment
• Rapides Healthcare System, LLC

  • Pediatric Pulmonology Physician
  • Alexandria, LA
  • NPI 1366618837
  Medicare reassignment
• St. Francis Urgent Care LLC

  • Urgent Care Clinic/Center
  • Monroe, LA
  • NPI 1194104513
  Medicare reassignment
• Total Urgent Care and Occupational Medicine

  • Urgent Care Clinic/Center
  • Cut Off, LA
  • NPI 1760871602
  Medicare reassignment
• Convenient Care LLC

  • Urgent Care Clinic/Center
  • Hammond, LA
  • NPI 1225119225
  NPD
• Convenient Care LLC

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1295986438
  NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1841218484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 1004-154",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-214-9352",
            "fax_number": "225-214-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 PERKINS RD",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101907",
            "telephone_number": "225-819-8857",
            "fax_number": "225-767-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUDICKAR",
        "first_name": "JOHN",
        "middle_name": "ALANSON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.A10367.RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1628565",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Thibodeaux Fruge, MD
• Erica Fruge', LOTR
• Jacob Fryoux, DPT
• Sarah Fryoux, PT DPT ATC LAT
• Jessica Fuchs, LMSW
• Blake Michael Fugler
• Amanda Hedges Fulenwider, P.T.
• Full Spectrum Community Outreach
• Austin Fulla
• Kayla Fuller, LPC

• Physician Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.