TYLER NICHOLAS CARRUTH (NPI# 1649423278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649423278 |
| Entity Type | Individual |
| Full Name | TYLER NICHOLAS CARRUTH |
| Credential | P.A. |
| Practice Address |
8742 Goodwood Blvd Baton Rouge LA 70806-7915 |
| Mailing Address |
Po Box 44158 Baton Rouge LA 70804-4158 |
| Practice Telephone | 2258930810 |
| Mailing Telephone | 2817874362 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA03418 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA.A10424 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8742 GOODWOOD BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-7915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548253016 | Jimmy Nooe Guidry | General Practice | 8742 Goodwood Blvd, Baton Rouge, LA 70806-7915 | 2005-08-30 |
| 1053796565 | Healthremede Enterprises, LLC | Clinic/Center | 8742 Goodwood Blvd, Baton Rouge, LA 70806-7915 | 2015-07-26 |
| 1659771616 | Amanda Easley | Registered Nurse | 8742 Goodwood Blvd, Baton Rouge, LA 70806-7915 | 2014-08-27 |
| 1316115678 | Gwf Investments, LLC. | General Practice | 8742 Goodwood Blvd, Baton Rouge, LA 70806-7915 | 2008-02-20 |
| 1164619193 | Aim Medical | Clinic/Center | 8742 Goodwood Blvd, Baton Rouge, LA 70806-7915 | 2007-10-03 |
| 1356301865 | John J. Knight Jr. | Physician Assistant | 8742 Goodwood Blvd, Baton Rouge, LA 70806-7915 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508474958 | Katherine Whittington | Physician Assistant | 778 Albert Hart Dr, Baton Rouge, LA 70808-5805 | 2020-07-21 |
| 1881213254 | Sana Badat | Physician Assistant | 18406 Cedar Line Dr, Baton Rouge, LA 70817-4263 | 2020-04-15 |
| 1770116022 | Auxilio Surgical Solutions Ras, LLC | Physician Assistant | 140 Valhalla Blvd, Baton Rouge, LA 70810-3649 | 2020-02-14 |
| 1861025116 | Auxilio Surgical Solutions Crb, LLC | Physician Assistant | 2621 Cedar Lodge Dr, Baton Rouge, LA 70809-1058 | 2020-02-14 |
| 1154988186 | Michael Chafin Dugas | Physician Assistant | 17000 Medical Center Dr # 70816, Baton Rouge, LA 70816-3246 | 2019-05-24 |
| 1700399037 | Louisana Em-i Medical Services A Medical Corporation | Physician Assistant | 501 Louisiana Ave, Baton Rouge, LA 70802-5921 | 2017-11-08 |
| 1376052514 | Shanna Evans | Physician Assistant | 18303 Perkins Rd E Ste 304, Baton Rouge, LA 70810-3939 | 2017-09-20 |
| 1336668425 | Gregory Scott Miller | Physician Assistant | 8751 Sullivan Rd, Baton Rouge, LA 70818-6014 | 2017-09-11 |
| 1982121141 | Matthew Stephen Chappellie | Physician Assistant | 8585 Picardy Ave Ste 518, Baton Rouge, LA 70809-3748 | 2017-08-28 |
| 1245751569 | Megan Stabiler Schmitt | Physician Assistant | 12525 Perkins Rd Ste B, Baton Rouge, LA 70810-1907 | 2017-06-28 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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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.