John Kyle Roppolo, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA.200049 Issued in LA

Practice address

7777 Hennessy Blvd.
Suite 208
Baton Rouge, LA 70808-4300

Phone

(225) 765-7163

NPI assigned

Feb 21, 2006

Last updated

Feb 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Our Lady of the Lake Hospital Inc

  dba Pediatric Specialty Clinic

  • Pediatric Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1952355125
  NPD (past)
• Longview Emergency Medicine Associates PLLC

  • Emergency Medicine Physician
  • Marshall, TX
  • NPI 1902930589
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1992770333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11271 FLORIDA BLVD.",
            "address_2": "APT. 213",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708152061",
            "telephone_number": "225-278-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD.",
            "address_2": "SUITE 208",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPPOLO",
        "first_name": "JOHN",
        "middle_name": "KYLE",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "PA.200049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1581721",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo Vicente Romero, MD
• Destiny Lynn Rooks, APRN, FNP-C
• Kelsey Caitlin Rooney, MD
• Tyler James Rooney, MD
• Mathew Root
• Michael Wayne Roppolo, MD
• Rebecca Claire Roques-Davis, M.D.
• Jamie M Roques, APRN-C
• Molly Johanna Rosario
• Christina Rosaya

• 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 Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.