MRS. MICHELLE ANNE BURGOYNE PA
NPI 1669623971
Physician Assistant in Shreveport, LA

Active since October 06, 2008
7045 YOUREE DR, SHREVEPORT, LA 71105(318) 798-3763(318) 798-2267 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Michelle Anne Burgoyne Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE ANNE BURGOYNE PA (NPI 1669623971) is an individual physician assistant in Shreveport, Louisiana, licensed in Louisiana (PA200211) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1669623971
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MICHELLE ANNE BURGOYNECredential: PA
Location Address7045 YOUREE DRShreveport, LA 71105-5108
Mailing Address7045 Youree DrShreveport, LA 71105-5108 · (318) 798-3763 · Fax (318) 798-2267
Fax(318) 798-2267
Sole ProprietorNo
Enumeration DateOctober 6, 2008
Last NPPES UpdateFebruary 28, 2013
NPI 1669623971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in LA · PA200211
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

7045 YOUREE DR, Shreveport, LA 71105

Other Identifiers 2

Medicaid1325619LA
Medicare PIN57561PG14LA

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
7045 YOUREE DR
SHREVEPORT, LA 71105
Emergency Medicine
7045 YOUREE DR
SHREVEPORT, LA 71105
Pediatrics
7045 YOUREE DR
SHREVEPORT, LA 71105
Physician Assistant
7045 YOUREE DR
SHREVEPORT, LA 71105
Clinic/Center (Urgent Care)
7045 YOUREE DR
SHREVEPORT, LA 71105
Physician Assistant
7045 YOUREE DR
SHREVEPORT, LA 71105
Physician Assistant (Medical)
7045 YOUREE DR
SHREVEPORT, LA 71105
Durable Medical Equipment & Medical Supplies
7045 YOUREE DR
SHREVEPORT, LA 71105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669623971, enumerated as an "individual" on October 06, 2008.

The provider is located at 7045 YOUREE DR SHREVEPORT, LA 71105 and the phone number is (318) 798-3763.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.