Active NPI
Matthew Stephen Latiolais, P.A.
- Physician Assistant
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.200141
- Practice address
- 12525 Perkins Rd
Baton Rouge, LA 70810-1907 - Phone
- (225) 819-8857
- Fax
- (225) 767-6822
- NPI assigned
- Dec 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.200141 | LA | Primary |
Addresses
Primary practice location
12525 Perkins Rd
Baton Rouge, LA 70810-1907
Mailing address
7777 Hennessy Blvd
Suite 1004-154
Baton Rouge, LA 70808-4300
Phone (225) 214-9352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027839 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1216 Camellia Blvd
Lafayette, LA 70508-6667
Phone (337) 769-0069
2810 Bonin Rd
Youngsville, LA 70592-5600
Phone (337) 857-5765
409 W Pont Des Mouton Rd C
Couret Farms Urgent Care
Lafayette, LA 70507-3271
Phone (337) 886-6455
4402 U S Hwy 167
Maurice, LA 70555-3708
Phone (337) 516-3117
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc. | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc | Past | Accepting new patients | |
| Our Lady of the Lake Hospital Inc | Past | Accepting new patients | |
| Lake Charles Primary Care and Wellness | Past | Accepting new patients |
Locations
12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857
31985 LA Highway 16
Denham Springs, LA 70726
Phone (225) 485-3521
1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
115 Audubon Blvd
Lafayette, LA 70503
Phone (337) 289-8933
409 W Pont des Mouton Rd
Ste B
Lafayette, LA 70507
Phone (337) 806-1525
409 W Pont des Mouton Rd
Ste C
Lafayette, LA 70507
Phone (337) 886-6455
4402 U S Highway 167
Ste A
Maurice, LA 70555
Phone (337) 516-3110
2810 Bonin Rd
Youngsville, LA 70592
Phone (337) 857-5765
18989 Old Scenic Hwy
Zachary, LA 70791
Phone (225) 654-6140
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1164422630
-
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1306135892
-
- Urgent Care Clinic/Center
- Sulphur, LA
- NPI 1932655784
-
- Urgent Care Clinic/Center
- Hammond, LA
- NPI 1225119225
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1972818250
-
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1831780394
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1467687186
-
- Family Medicine Physician
- Lake Charles, LA
- NPI 1083306815
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1275577603
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1992989941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 HENNESSY BLVD",
"address_2": "SUITE 1004-154",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084300",
"telephone_number": "225-214-9352",
"fax_number": "225-214-9349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12525 PERKINS RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708101907",
"telephone_number": "225-819-8857",
"fax_number": "225-767-6822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATIOLAIS",
"first_name": "MATTHEW",
"middle_name": "STEPHEN",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-27",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.200141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027839",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.