MR. BRYANT ANTHONY ACOSTA (NPI# 1952445249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952445249 |
Entity Type | Individual |
Full Name | MR. BRYANT ANTHONY ACOSTA |
Credential | PA-C |
Practice Address |
609 W Court St Ste B Winnfield LA 71483-2686 |
Mailing Address |
431 W Lafayette St Winnfield LA 71483-3463 |
Practice Telephone | 3182094646 |
Practice Fax Number | 3182094649 |
Mailing Telephone | (318) 648-0375 |
Mailing Fax Number | 3186480378 |
Enumeration Date | 2007-02-19 |
Last Update Date | 2017-06-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 146L00000X | Emergency Medical Technician, Paramedic | PO835285 | LA | Emergency Medical Service Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.A10303.RX | LA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1452602 | 05 |
Street Address |
609 W COURT ST STE B |
City | WINNFIELD |
State | LA |
Zip Code | 71483-2686 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811436058 | Clhg-winn, LLC | Clinic/Center | 609 W Court St Ste B, Winnfield, LA 71483-2686 | 2017-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871732487 | Rosalie Cascabel Buraga | Physical Therapist | 915 1st Street, Therapy Dept. Winnfield Nursing and Rehab. Center, Winnfield, LA 71483 | 2009-02-05 |
1568614311 | Winn Association for Retarded Citizens | Day Training, Developmentally Disabled Services | 1006 South Jones St., Winnfield, LA 71483 | 2008-10-10 |
1245402619 | Jerry W Williams Od | Durable Medical Equipment & Medical Supplies | 1605 West Court St, Winnfield, LA 71483 | 2008-03-26 |
1295926418 | Gentle Care Sitting Service | Home Health | 1701 West Court St, Winnfield, LA 71483 | 2007-08-05 |
1427253046 | Winn Association for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 1006 S Jones St, Winnfield, LA 71483 | 2007-06-15 |
1548386162 | Central Management Company, LLC | Skilled Nursing Facility | 9258 Highway 84 West, Winnfield, LA 71483 | 2007-03-22 |
1386796944 | Hope Hospice, Inc | Hospice Care, Community Based | 100 South Magnolia Street, Winnfield, LA 71483 | 2007-01-16 |
1356413025 | Mco of Louisiana Inc | Durable Medical Equipment & Medical Supplies | 430 West South Street, Winnfield, LA 71483 | 2006-11-15 |
1942397666 | Court House Pharmacy | Pharmacy | 104 S Jones St, Winnfield, LA 71483 | 2006-10-06 |
1386746733 | Randolph Layne Williams | Family Medicine | 1405 W Court St, Winnfield, LA 71483 | 2006-09-05 |
Find all providers in zip 71483 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174120307 | Olivia Hockenjos | Physician Assistant | 1000 Chinaberry Dr Ste 1200, Bossier City, LA 71111-2463 | 2020-10-01 |
1053928622 | Kennedy Poole | Physician Assistant | 1643 Carter St Ste 1, Vidalia, LA 71373-3157 | 2020-09-28 |
1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
1972118776 | Emma W Bollich | Physician Assistant | 6703 Ambassador Caffery Pkwy Ste 2, Broussard, LA 70518-5283 | 2020-09-09 |
1316595937 | Antonia Colombo | Physician Assistant | 2705 Fable St, Meraux, LA 70075-2372 | 2019-08-27 |
1861058752 | Christina Daigle | Physician Assistant | 1057 Paul Maillard Rd Ste 2210, Luling, LA 70070-4349 | 2019-05-15 |
1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
1912448036 | Christy Stoltz | Physician Assistant | 120 N Pinaud St, Saint Martinville, LA 70582-4732 | 2017-03-09 |
1790228013 | Brian Keith Fontenot | Physician Assistant | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2016-11-18 |
1932658002 | Taylor Christensen Mahtook | Physician Assistant | 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 | 2016-09-29 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.