Paul Wayne Piccione, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA.A10419.RX Issued in LA

Practice address

16777 Medical Center Dr
Suite 300
Baton Rouge, LA 70816-3254

Phone

(225) 751-6666

Fax

(225) 751-6680

NPI assigned

Jan 17, 2007

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922150309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16777 MEDICAL CENTER DR",
            "address_2": "SUITE 300",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163254",
            "telephone_number": "225-751-6666",
            "fax_number": "225-751-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16777 MEDICAL CENTER DR",
            "address_2": "SUITE 300",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708163254",
            "telephone_number": "225-751-6666",
            "fax_number": "225-751-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIONE",
        "first_name": "PAUL",
        "middle_name": "WAYNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "PA.A10419.RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "33774",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Picardy Kids & Family Cosmetic Dentist
• Picardy Surgical Assist II, L.L.C.
• Picardy Surgical Assist, L.L.C.
• Elizabeth Ann Picciola, MD
• Emily Camille Picciola, MD
• John W Pickering, PH.D.
• Julianna Pickett
• Lisa Jean Pickett, LCSW
• Kamia Michelle Pickney
• Janet G Pickstock, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.