Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jefferson Kenneth Oberle, PA-C

Individual provider Physician Assistant · NPI 1215126891

Mr. Jefferson Kenneth Oberle, PA-C is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2005, 21 years ago. Practices with Belle Chasse Emergency Group LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
21
Licensed in
LA
In the registry since
2007
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

5000 Hennessy Blvd Olol ER
Baton Rouge, LA 70808-4375
Phone: (225) 765-8070
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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 200070RX (LA)

Record details

NPI number1215126891
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2007
Last updated in NPPESMay 15, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Belle Chasse Emergency Group Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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