Healthcare Provider Details
I. General information
NPI: 1750613345
Provider Name (Legal Business Name): KARLA D GORIO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/05/2010
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7777 HENNESSY BLVD STE 1000
BATON ROUGE LA
70808-4370
US
IV. Provider business mailing address
5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US
V. Phone/Fax
- Phone: 225-767-9300
- Fax: 225-766-8886
- Phone: 225-767-3900
- Fax: 225-765-9196
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | PA.200301 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: