Provider Demographics
NPI:1750613345
Name:GORIO, KARLA D (PA-C)
Entity type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:D
Last Name:GORIO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:KARLA
Other - Middle Name:D
Other - Last Name:BARRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 1207
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:LA
Mailing Address - Zip Code:70441-1207
Mailing Address - Country:US
Mailing Address - Phone:225-222-6059
Mailing Address - Fax:225-222-6543
Practice Address - Street 1:490 SITMAN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:LA
Practice Address - Zip Code:70441-1207
Practice Address - Country:US
Practice Address - Phone:225-222-6059
Practice Address - Fax:225-222-6543
Is Sole Proprietor?:No
Enumeration Date:2010-02-05
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPA.200301363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2101129Medicaid
LA5C822PC90Medicare PIN
LA5DE56PD49Medicare PIN