Paul Cary Aguillard, M.D.
Individual provider Active NPI Pediatrics Physician · Gonzales, LA
NPI 1871591982 · NPPES record last updated Nov 16, 2010
Key facts
- NPI
- 1871591982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 09731R (LA)
- Practice address
- 1702 N Burnside Ave
Gonzales, LA 70737-2141 - Phone
- (225) 647-8319
- Fax
- (225) 644-5213
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Pediatric 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
- Our Lady of the Lake Physician Group LLC
Practice addresses (Care Compare)
1702 N Burnside Ave
Suite a
Gonzales, LA 70737-2141
Phone (225) 765-5500
Hospital & facility affiliations
- Feliciana Home Health South
- Allegiance Home Health of Southeast Louisiana
- Vitalcaring Group
- Our Lady of the Lake Regional Medical Center
- Womans Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050705000697 | LA | Practitioner - Pediatric Medicine |
6305882945 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09731R | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pointe Coupee Parish Health Services District Number One | Current |
Accepting new patients | |
| Our Lady of the Lake Physician Group, LLC | Current |
Accepting new patients | |
| Our Lady of Lake Ascension, LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Internal Medicine | Current | Accepting new patients |
| Pointe Coupee Parish Health Services District Number One | Current |
Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Current |
Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Past | Accepting new patients | |
| Medical Associates of Pinellas LLC | Internal Medicine | Past | Accepting new patients |
| Ascension Surgical Associates, LLC | Past | Accepting new patients |
Locations
8415 Goodwood Blvd
Ste 105
Baton Rouge, LA 70806
Phone (225) 765-4226
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
1024 E Ascension Complex Blvd
Gonzales, LA 70737
Phone (225) 644-2616
1937 S Burnside Ave
Gonzales, LA 70737
Phone (225) 647-1947
1702 N Burnside Ave
#B
Gonzales, LA 70737
Phone (225) 647-8319
1702 N Burnside Ave
#A
Gonzales, LA 70737
Phone (225) 647-8319
2647 S Saint Elizabeth Blvd
Ste 125
Gonzales, LA 70737
Phone (225) 647-9675
2647 S Saint Elizabeth Blvd
Ste 100
Gonzales, LA 70737
Phone (225) 743-2707
1710 N Airline Hwy
Gonzales, LA 70737
Phone (225) 644-6547
2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702
17609 Old Jefferson Hwy
Ste A
Prairieville, LA 70769
Interoperability endpoints
- paguillard3373@direct.casso.us.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 09731R | LA | |
| Pediatrics Physician | 208000000X | 09731R | LA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1984329 | Medicaid | LA |
Other providers in Gonzales, LA
- Trineqa Adams
- Adult Medicine and Diagnostic Center
- Adult Medicine Institute & Diagnostic Center
- Adv Services, LLC
- Advanced Rehabilitation of Gonzales
- Brittany B Aldridge
- Jeffrey Anthony Aldridge
- Jillian Alexander
- Arthur Alford
- Align Healthcare Services, LLC.
All providers in Gonzales, LA · Pediatrics Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.