Organization Active NPI

Mark F. Dollar, M.D. Inc.

  • Family Medicine Physician
  • West Monroe, LA
National Provider Identifier
1043456098
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
022240 Issued in LA
Legal business name
MARK F. DOLLAR, M.D. INC.
Practice address
122 Professional Dr
West Monroe, LA 71291-5332
Phone
(318) 322-0058
Fax
(318) 362-0081
NPI assigned
Dec 22, 2008
Last updated
May 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Authorized official

Name
Mark Freeman Dollar, M.D.
Title
President
Phone
(318) 322-0058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 022240 LA Primary

Addresses

Primary practice location

122 Professional Dr
West Monroe, LA 71291-5332

Mailing address

122 Professional Dr
West Monroe, LA 71291-5332
Phone (318) 322-0058

Other identifiers 1

IdentifierTypeStateIssuer
1672912MedicaidLA

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1043456098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 PROFESSIONAL DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915332",
            "telephone_number": "318-322-0058",
            "fax_number": "318-362-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PROFESSIONAL DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915332",
            "telephone_number": "318-322-0058",
            "fax_number": "318-362-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK F. DOLLAR, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "DOLLAR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "FREEMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-322-0058",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "022240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1672912",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.