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

Individual provider Physician Assistant · NPI 1366336372

Joshua Paul Anzalone, PA-C is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2025, 1 year 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
1
Licensed in
LA
In the registry since
2025
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

7777 Hennessy Blvd Ste 103
Baton Rouge, LA 70808-4363
Phone: (225) 215-0250
Fax: (225) 215-1688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7777 Hennessy Blvd Ste 105, Baton Rouge, LA 70808-4363 — (225) 215-0250

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 347944 (LA)

Record details

NPI number1366336372
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 4, 2025
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 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

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