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

Mark Joseph Ardoin

Individual provider Physician Assistant · NPI 1114454659

Mark Joseph Ardoin is a Physician Assistant in Shreveport, Louisiana. Qualified in 2017, 9 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
9
Licensed in
LA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1900 Pine St, Abilene, TX 79601-2432 — (325) 670-2000
  • 1900 Pine St, Abilene, TX 79601-2432 — (325) 670-2000
  • 4225 Woods Pl, Abilene, TX 79602-7991 — (325) 690-0030

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA321486 (LA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1114454659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2017
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address1512 W Kirby Pl, Shreveport, LA 71103-3822

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Shreveport