Individual provider Active NPI

Charles Raymond Parsiola, M.D.

  • Family Medicine Physician
  • Charenton, LA
National Provider Identifier
1841281490
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12053R Issued in LA
Practice address
3231 Chitimacha Trail
Charenton, LA 70523
Phone
(337) 923-9955
Fax
(337) 923-7791
NPI assigned
Nov 2, 2005
Last updated
Jun 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12053R LA Primary

Addresses

Primary practice location

3231 Chitimacha Trail
Charenton, LA 70523

Mailing address

PO Box 640
Charenton, LA 70523-0640
Phone (337) 923-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120531000402 TX Practitioner - Family Practice 2365434248 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12053RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chitimacha Tribe of Louisiana CurrentSince Apr 15, 2012 Accepting new patients
Beacon Medical Group, Inc. Family Medicine Past Accepting new patients
Bourgeois Medical Clinic Family Medicine Past Accepting new patients

Organizations & group practices 3

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1841281490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "CHARENTON",
            "state": "LA",
            "postal_code": "705230640",
            "telephone_number": "337-923-9955",
            "fax_number": "337-923-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 CHITIMACHA TRAIL",
            "city": "CHARENTON",
            "state": "LA",
            "postal_code": "70523",
            "telephone_number": "337-923-9955",
            "fax_number": "337-923-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSIOLA",
        "first_name": "CHARLES",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "12053R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charenton, LA

Sources for this page

Verify at the official NPI Registry.