Individual provider Active NPI

Mark Andrew Sicard, MD

  • Surgery Physician
  • Opelousas, LA
National Provider Identifier
1013209329
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
302879 Issued in LA
Practice address
703 E Prudhomme St
Opelousas, LA 70570-6494
Phone
(337) 942-7192
NPI assigned
May 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 302879 LA Primary

Addresses

Primary practice location

703 E Prudhomme St
Opelousas, LA 70570-6494

Mailing address

PO Box 2118
Opelousas, LA 70571-2118
Phone (337) 942-7192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161129001379 LA Practitioner - General Surgery 2769788793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Opelousas General Health System Physician PracticesGroup PAC ID 9830340694, 62 clinicians

Practice addresses (Care Compare)

3975 I-49 S Services Rd
Suite 200
Opelousas, LA 70570-0775
Phone (337) 594-3980

539 E Prudhomme St
Opelousas, LA 70570-6499

Hospital & facility affiliations

  • St Landry Homecare Home health agency, Opelousas, LA, CCN 197136
  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux39
Melanoma (skin cancer) excision1-10
Removal of tissue13
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
302879LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Opelousas General Health System Surgery CurrentSince Sep 1, 2016 Accepting new patients
Opelousas General Health System Physician Practices Surgery CurrentSince Sep 1, 2016 Accepting new patients
Opelousas General Health System Physician Practices Past Accepting new patients

Locations

3935 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 594-6002

3975 I 49 S Service Rd
Ste 105
Opelousas, LA 70570
Phone (337) 597-0750

1233 Wayne Gilmore Cir
Ste 250B
Opelousas, LA 70570
Phone (337) 407-1955

3975 I 49 S Service Rd
Ste 200
Opelousas, LA 70570
Phone (337) 594-0750

1270 Attakapas Dr
Ste 501
Opelousas, LA 70570
Phone (337) 942-1151

703 E Prudhomme St
Opelousas, LA 70570
Phone (337) 942-7192

Networks

  • MS PPO C-SNP
  • TX HMO D-SNP
  • TX HMO
  • MS PPO
  • MS PPO D-SNP

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGIFBD/Endpoint/EGIFBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGIFBD
  • Direct secure messaging: msicard1658257@direct.ochsner.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1013209329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2118",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705712118",
            "telephone_number": "337-942-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706494",
            "telephone_number": "337-942-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICARD",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "302879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.