Healthcare Provider Details

I. General information

NPI: 1912540808
Provider Name (Legal Business Name): CLAIRE KEATON SCHMIDT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MADELEINE CLAIRE KEATON PA-C

II. Dates (important events)

Enumeration Date: 10/23/2019
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 CONSTANTIN BLVD
BATON ROUGE LA
70809-3489
US

IV. Provider business mailing address

5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US

V. Phone/Fax

Practice location:
  • Phone: 225-374-1528
  • Fax: 225-374-1611
Mailing address:
  • Phone: 225-493-4372
  • Fax: 225-765-9196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number321005
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number321005
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberPA13092
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA13092
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: