Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mitchell Lee Rodeheaver, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558998211

Dr. Mitchell Lee Rodeheaver, MD is a Psychiatry in Gonzales, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2020, 6 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
6
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1112 E Ascension Complex Blvd
Gonzales, LA 70737-4265
Phone: (225) 450-1016
Fax: (225) 450-1150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13535 Mosher Ct, Baton Rouge, LA 70810-5065 — (281) 387-1178

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 331055 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 322824 (LA)

Record details

NPI number1558998211
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address1112 E Ascension Complex Blvd # A, Gonzales, LA 70737-4265

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2020 (6 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 locations2 on file with Medicare

Other providers in Gonzales