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

Individual provider Physician Assistant · NPI 1093440695

Daniel Christopher Boudreaux, PA-C is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2022, 4 years ago. Practices with Red Stick Emergency Group LLC, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
4
Licensed in
LA
In the registry since
2022
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

10101 Park Rowe Ave Ste 200
Baton Rouge, LA 70810-1685
Phone: (225) 769-2200
Fax: (225) 768-2185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 — (225) 761-5200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 332587 (LA)

Record details

NPI number1093440695
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2022
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Red Stick Emergency Group Llc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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