Active NPI
Michael V. St. Romain, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Marksville, LA
National Provider Identifier
1063465813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 018992
- Practice address
- 4231 Highway 1192
Marksville, LA 71351-4711 - Phone
- (318) 253-8611
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 018992 | LA | Primary |
Addresses
Primary practice location
4231 Highway 1192
Marksville, LA 71351-4711
Mailing address
PO Box 311
6300 Main Street
Zachary, LA 70791-0311
Phone (225) 247-6403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1373621 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018992 | LA | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1063465813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 311",
"address_2": "6300 MAIN STREET",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707910311",
"telephone_number": "225-247-6403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4231 HIGHWAY 1192",
"city": "MARKSVILLE",
"state": "LA",
"postal_code": "713514711",
"telephone_number": "318-253-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. ROMAIN",
"first_name": "MICHAEL",
"middle_name": "V.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "LA",
"license": "018992",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1373621",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marksville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.