Individual provider Active NPI

Paul Cary Aguillard, M.D.

  • Pediatrics Physician
  • Gonzales, LA
National Provider Identifier
1871591982
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
09731R Issued in LA
Practice address
1702 N Burnside Ave
Gonzales, LA 70737-2141
Phone
(225) 647-8319
Fax
(225) 644-5213
NPI assigned
Jul 12, 2005
Last updated
Nov 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 09731R LA
Pediatrics Physician 208000000X 09731R LA Primary

Addresses

Primary practice location

1702 N Burnside Ave
Gonzales, LA 70737-2141

Mailing address

1702 N Burnside Ave
Gonzales, LA 70737-2141
Phone (225) 647-8319

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
I20050705000697 LA Practitioner - Pediatric MedicinePractitioner - Internal Medicine 6305882945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1702 N Burnside Ave
Suite a
Gonzales, LA 70737-2141
Phone (225) 765-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09731RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Internal Medicine Current Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Mar 1, 2019 Accepting new patients
Our Lady of Lake Ascension, LLC Current Accepting new patients
Pointe Coupee Parish Health Services District Number One CurrentSince Apr 6, 2005 Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Mar 1, 2019 Accepting new patients
Pointe Coupee Parish Health Services District Number One CurrentSince Apr 6, 2005 Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients
Ascension Surgical Associates, LLC Past Accepting new patients
Medical Associates of Pinellas LLC Internal Medicine Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

8415 Goodwood Blvd
Ste 105
Baton Rouge, LA 70806
Phone (225) 765-4226

1024 E Ascension Complex Blvd
Gonzales, LA 70737
Phone (225) 644-2616

1702 N Burnside Ave
#A
Gonzales, LA 70737
Phone (225) 647-8319

1702 N Burnside Ave
#B
Gonzales, LA 70737
Phone (225) 647-8319

1710 N Airline Hwy
Gonzales, LA 70737
Phone (225) 644-6547

1937 S Burnside Ave
Gonzales, LA 70737
Phone (225) 647-1947

2647 S Saint Elizabeth Blvd
Ste 100
Gonzales, LA 70737
Phone (225) 743-2707

2647 S Saint Elizabeth Blvd
Ste 125
Gonzales, LA 70737
Phone (225) 647-9675

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

17609 Old Jefferson Hwy
Ste A
Prairieville, LA 70769

Interoperability endpoints

  • Direct secure messaging: paguillard3373@direct.casso.us.com

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.

Hospital & facility affiliations 5

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1871591982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 N BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372141",
            "telephone_number": "225-647-8319",
            "fax_number": "225-644-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 N BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707372141",
            "telephone_number": "225-647-8319",
            "fax_number": "225-644-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILLARD",
        "first_name": "PAUL",
        "middle_name": "CARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "09731R",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "09731R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.