Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Calloway Rutherford, PA-C

Individual provider Physician Assistant · NPI 1518100908

Amanda Calloway Rutherford, PA-C is a Physician Assistant in Shreveport, Louisiana. Qualified in 1999, 27 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
27
Licensed in
LA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1501 Kings Hwy Dept OF Medicine
Shreveport, LA 71103-4228
Phone: (318) 813-1622
Fax: (318) 675-5907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.A10349.RX (LA)

Record details

NPI number1518100908
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 14, 2009
Last updated in NPPESMarch 15, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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