Mary Maitland Deland, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

05746R Issued in LA

Practice address

1507 Alice Dr
Lafayette, LA 70503-5083

Phone

(337) 989-0812

Fax

(337) 284-3799

NPI assigned

Jul 25, 2006

Last updated

Aug 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Oncologics, Inc.

  • Radiation Oncology Physician
  • Lafayette, LA
  • NPI 1144256736
  NPD
• E Plus Oncologics Louisiana LLC

  • Radiation Oncology Physician
  • Lafayette, LA
  • NPI 1427323187
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1114940046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 ALICE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035083",
            "telephone_number": "337-989-0812",
            "fax_number": "337-284-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 ALICE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035083",
            "telephone_number": "337-989-0812",
            "fax_number": "337-284-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELAND",
        "first_name": "MARY",
        "middle_name": "MAITLAND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "05746R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00475837",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1319236",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M. MAITLAND DELAND MEDICARE PTAN EFFECTIVE 05/19/2012",
            "identifier": "5L616DX68",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONCOLOGICS LLC GROUP PTAN EFFECTIVE 05/19/2012",
            "identifier": "5DX68",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Federico Del Toro, M.D.
• Celeste Delafosse, LCSW
• Jason Delahoussaye, M.S., LPC
• Katherine Delahoussaye
• Lauren B Delahoussaye, LCSW
• Cory Lynn Delaney
• Stephen J. Delatte, MD
• Dominique Marie Delcambre, LCSW
• Antoinette Watson Delhomme
• Tracy Delhomme, ANP-BC

• Radiation Oncology Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Radiation Oncology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.