Individual provider Active NPI

Joshua Michael Tardo, PA-C

  • Physician Assistant
  • Thibodaux, LA
National Provider Identifier
1982221602
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
323411 Issued in LA
Practice address
726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5051
Phone
(985) 625-2200
Fax
(985) 625-2206
NPI assigned
Jun 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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 323411 LA Primary

Addresses

Primary practice location

726 N Acadia Rd Ste 1000
Thibodaux, LA 70301-5051

Mailing address

PO Box 28
Thibodaux, LA 70302-0028
Phone (985) 625-2200

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
I20200707002598 LA Practitioner - Physician Assistant 1759704992 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thibodaux Regional Urgent Care LLCGroup PAC ID 4486042553, 13 clinicians
Orthopaedic Sports Specialists of Louisiana LLCGroup PAC ID 5991893869, 25 clinicians

Practice addresses (Care Compare)

1411 Saint Charles St
Houma, LA 70360-3964
Phone (985) 709-0136

2031 Audubon Ave
Thibodaux, LA 70301-5073
Phone (985) 280-3838

602 N Acadia Rd
Thibodaux, LA 70301-5073

726 N Acadia Rd
Suite 1000
Thibodaux, LA 70301-5051
Phone (985) 625-2200

Merit-based Incentive Payment System (MIPS)

Final score
79.49 of 100Reported as group
Quality
53.82
Promoting interoperability
99
Improvement activities
40
Cost
78.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323411LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Sports Specialists of Louisiana, LLC CurrentSince Jul 6, 2020 Accepting new patients
Hospital Service District No. 1 of the Parish of St. Mary CurrentSince Dec 9, 2020 Accepting new patients
Thibodaux Regional Urgent Care LLC CurrentSince Dec 20, 2022 Accepting new patients

Locations

1029 Northwest Blvd
Franklin, LA 70538
Phone (337) 366-6004

200 Medical Dr
Ste C
Franklin, LA 70538
Phone (337) 907-6102

180 Corporate Dr
Houma, LA 70360
Phone (985) 853-1390

4560 Highway 1
Ste 3
Raceland, LA 70394
Phone (985) 251-4250

726 N Acadia Rd
Ste 1000
Thibodaux, LA 70301

Interoperability endpoints

  • Direct secure messaging: joshua.tardo.1@25352.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25352/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1982221602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703020028",
            "telephone_number": "985-625-2200",
            "fax_number": "985-625-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N ACADIA RD STE 1000",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015051",
            "telephone_number": "985-625-2200",
            "fax_number": "985-625-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDO",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "323411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.