Mark Demanuelle, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

012990 Issued in LA

Practice address

301 Memorial Dr
Donaldsonville, LA 70346-4376

Phone

(225) 473-7931

NPI assigned

Jun 6, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Department of Health and Hospitals

  dba River Parishes Assessment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • La Place, LA
  • NPI 1497794887
  NPD (past)
• Professional Emergency Physician Associates, LLC

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1992758247
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063452530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "BELLE ROSE",
            "state": "LA",
            "postal_code": "703410224",
            "telephone_number": "225-715-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL DR",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703464376",
            "telephone_number": "225-473-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMANUELLE",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "012990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De'Anna A Dark, FNP-C
• Darrell Davis, FNP
• Mary Ellen Davis, SPEECH LANGUAGE PATH
• Joycelynn Dawson-Johnson
• Adele Delatte, MS, CCC,L- SLP
• Devjani Lahiri-Munir, a Professional Corporation
• Donaldsonville Aarc Inc
• Donaldsonville Aarc Inc
• Donaldsonville Aarc Inc
• Donaldsonville Aarc Inc

• Emergency Medicine Physician in Donaldsonville, LA
• Providers in Donaldsonville, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.