Individual provider Active NPI

Marshall Vashon Sanson, M.D.

  • Family Medicine Physician
  • West Monroe, LA
National Provider Identifier
1013983592
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
026093 Issued in LA
Practice address
2309 Arkansas Rd
West Monroe, LA 71291-7820
Phone
(318) 397-7000
Fax
(318) 737-7203
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 026093 LA Primary

Addresses

Primary practice location

2309 Arkansas Rd
West Monroe, LA 71291-7820

Mailing address

2309 Arkansas Rd
West Monroe, LA 71291-7820
Phone (318) 397-7000

Other identifiers 1

IdentifierTypeStateIssuer
31875OtherLASCS

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
I20050915000631 LA Practitioner - Family Practice 4486687837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sansons Family Medicine IncGroup PAC ID 4486713898, 3 clinicians

Practice addresses (Care Compare)

2309 Arkansas Rd
West Monroe, LA 71291-7820
Phone (318) 397-7000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026093LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sansons Family Medicine Inc Family Medicine CurrentSince Sep 22, 2008 Accepting new patients

Locations

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

122 Professional Dr
West Monroe, LA 71291
Phone (318) 322-0058

2309 Arkansas Rd
West Monroe, LA 71291
Phone (318) 397-1574

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013983592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917820",
            "telephone_number": "318-397-7000",
            "fax_number": "318-737-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 ARKANSAS RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917820",
            "telephone_number": "318-397-7000",
            "fax_number": "318-737-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSON",
        "first_name": "MARSHALL",
        "middle_name": "VASHON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "026093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCS",
            "identifier": "31875",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.