Individual provider Active NPI

Aaron James Blanchard, PA

  • Physician Assistant
  • Opelousas, LA
National Provider Identifier
1962453365
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200013 Issued in LA
Practice address
1233 Wayne Gilmore Circle
Stuite 250 B
Opelousas, LA 70570
Phone
(337) 948-4362
Fax
(337) 948-6523
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200013 LA Primary

Addresses

Primary practice location

1233 Wayne Gilmore Circle
Stuite 250 B
Opelousas, LA 70570

Mailing address

1233 Wayne Gilmore Circle
Stuite 250 B
Opelousas, LA 70570
Phone (337) 948-4362

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070215000210 LA Practitioner - Physician Assistant 9436102175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Orthopaedic Specialists LLC 71 clinicians

Practice addresses (Care Compare)

108 Rue Louis Xiv
Lafayette, LA 70508-5739
Phone (337) 235-8007

Hospital & facility affiliations

  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Park Place Surgical Hospital Hospital, Lafayette, LA, CCN 190255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.200013LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kerry T. Thibodeaux MD Apmc PastSince Jan 1, 1990 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1962453365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 WAYNE GILMORE CIRCLE",
            "address_2": "STUITE 250 B",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-948-4362",
            "fax_number": "337-948-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 WAYNE GILMORE CIRCLE",
            "address_2": "STUITE 250 B",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "70570",
            "telephone_number": "337-948-4362",
            "fax_number": "337-948-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "AARON",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.