Solen Michael Austin, PA-C
Individual provider Active NPI Surgical Physician Assistant · Shreveport, LA
NPI 1902941099 · NPPES record last updated Oct 17, 2014
Key facts
- NPI
- 1902941099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA.A10596.RX (LA)
- Practice address
- 1455 E Bert Koun Loop
Suite #210
Shreveport, LA 71105-5634 - Phone
- (318) 798-4623
- Fax
- (318) 798-4646
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopaedic Clinic of Monroe
Practice addresses (Care Compare)
1501 Louisville Ave
Monroe, LA 71201-6025
Phone 31832384514310
707 S Vienna St
Ruston, LA 71270-5845
Phone (318) 255-4212
Hospital & facility affiliations
- Fmol Health St Francis
- Glenwood Regional Medical Center
- Monroe Surgical Hospital
- Richland Parish Hospital-Delhi
- Franklin Medical Center
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040724000291 | LA | Practitioner - Physician Assistant | 3274513601 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.A10596.RX | LA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr James Michael Smith Apmc | Current | Accepting new patients | |
| Hospital Service District No. 1 Caldwell Parish | Current |
Accepting new patients | |
| Franklin Parish Hospital Service Dist 1 | Current |
Accepting new patients | |
| Orthopaedic Clinic of Monroe | Current |
Accepting new patients | |
| Franklin Parish Hospital Service Dist 1 | Current |
Accepting new patients |
Locations
532 S Washington St
Bastrop, LA 71220
Phone (318) 281-5600
1501 Louisville Ave
Monroe, LA 71201
Phone 31832384514310
707 S Vienna St
Ruston, LA 71270
Phone (318) 224-3044
309 McMillan Rd
West Monroe, LA 71291
Phone (318) 362-4396
2104 Loop Rd
Ste C
Winnsboro, LA 71295
Phone (318) 435-4571
2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA.A10596.RX | LA | Yes |
Addresses
Primary practice location
1455 E Bert Koun Loop
Suite #210
Shreveport, LA 71105-5634
Mailing address
1455 E Bert Koun Loop
Suite #210
Shreveport, LA 71105-5634
Phone (318) 798-4623
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801526 | Medicaid | LA |
Other providers in Shreveport, LA
- Nathan James Aultman
- Than Aung
- Anne P Auschwitz
- David Neal Austin
- Royal Richard Austin
- Hannah Autin
- Britton Autrey
- Marjorie Autry
- Ya'Rhonda Autry
- Autumn Creek Health Solutions Inc
All providers in Shreveport, LA · Surgical Physician Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2014. 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.