Provider Demographics
NPI:1780607549
Name:BAYE, ROBERT (PA-C)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:BAYE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 E. BERT KOUNS
Mailing Address - Street 2:HIGHLAND CLINIC, APMC
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105
Mailing Address - Country:US
Mailing Address - Phone:318-798-4573
Mailing Address - Fax:318-798-4561
Practice Address - Street 1:1455 E. BERT KOUNS
Practice Address - Street 2:HIGHLAND CLINIC, APMC
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105
Practice Address - Country:US
Practice Address - Phone:318-795-4744
Practice Address - Fax:318-795-4748
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA01649363A00000X
ARPA-281363AM0700X
LAPA.200184363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2305085Medicaid
TX8N8631OtherBLUECROSS BLUESHIELD
LA2305085Medicaid
TX8D5245Medicare PIN