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

Individual provider Physician Assistant · NPI 1841218484

John Alanson Fudickar, PA is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 1998, 28 years ago. Practices with Lake Urgent Care Ascension LLC, a 23-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
28
Licensed in
LA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12525 Perkins Rd Ste B
Baton Rouge, LA 70810-1907
Phone: (225) 819-8857
Fax: (225) 767-6822
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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.A10367.RX (LA)

Record details

NPI number1841218484
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESMarch 13, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Lake Urgent Care Ascension Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations20 on file with Medicare

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