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

Mr. Clint M. Costanza, PA

Individual provider Surgical Physician Assistant · NPI 1619266954

Mr. Clint M. Costanza, PA is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2010, 16 years ago. Practices with Spine Specialists of Louisiana, LLC, a 3-clinician group. Licensed in Louisiana.

Years since qualifying
16
Licensed in
LA
In the registry since
2011
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

9001 Summa Ave
Baton Rouge, LA 70809-3726
Phone: (225) 761-5200
Fax: (225) 761-5702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.200436 (LA)

Record details

NPI number1619266954
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 6, 2011
Last updated in NPPESApril 9, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Spine Specialists Of Louisiana,Llc — 3 clinicians
Accepts Medicare assignment Not indicated

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