Dimitri Nicholas Pagoulato, PAC
Dimitri Nicholas Pagoulato, PAC is a Physician Assistant in Baker, Louisiana. Qualified in 2008, 18 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 18
- Licensed in
- LA
- In the registry since
- 2008
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
6516 E Myrtle AveBaker, LA 70714-4348
Phone: (225) 774-7320
Fax: (225) 774-5432
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 12525 Perkins Rd, Baton Rouge, LA 70810-1907 — (225) 819-8857
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 200193 (LA) |
|---|
Record details
| NPI number | 1194988915 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | July 2, 2008 |
| Last updated in NPPES | March 14, 2025 |
| Certification date | March 14, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2008 (18 years in practice) |
| Group practice | Our Lady Of The Lake Physician Group Llc — 635 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Baker
-
Ballard Jackson Mann, PA
6516 E Myrtle Ave, Baker, LA 70714-4348 · (225) 774-7320
-
Thikra Muhsin
902 Main St, Baker, LA 70714-3444 · (225) 500-2504
-
Alice Catherine Powell, PA
6516 E Myrtle Ave, Baker, LA 70714-4348 · (225) 774-7320