Individual provider Active NPI

Mark A. St. Cyr, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Lafayette, LA
National Provider Identifier
1184678997
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
018991 Issued in LA
Practice address
2100 Jefferson St
Lafayette, LA 70501-8556
Phone
(337) 261-0734
NPI assigned
May 19, 2006
Last updated
Apr 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 018991 LA Primary

Addresses

Primary practice location

2100 Jefferson St
Lafayette, LA 70501-8556

Mailing address

2100 Jefferson St
Lafayette, LA 70501-8556
Phone (337) 261-0734

Other identifiers 1

IdentifierTypeStateIssuer
1365963MedicaidLA

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
I20050112000006 LA Practitioner - Internal Medicine 9335197748 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 1986
Medicare assignment
May accept Medicare assignment
Group practices
East Carroll Parish HospitalGroup PAC ID 1153216619, 36 clinicians
Derussy Emergency Group LLCGroup PAC ID 3870834641, 14 clinicians

Practice addresses (Care Compare)

1635 Marvel St
Coushatta, LA 71019-9022
Phone (318) 932-2199

336 N Hood St
Lake Providence, LA 71254-2140
Phone (318) 559-4023

4231 Hwy 1192
Marksville, LA 71351-4711
Phone (318) 240-6045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018991LAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Helena Parish Hospital CurrentSince Jun 1, 2019 Accepting new patients
St Helena Parish Hospital Current Accepting new patients
Correct Care, Inc. CurrentSince May 20, 2011 Accepting new patients
Evangeline Clinical Services, Inc. Emergency Medical Services CurrentSince Nov 22, 2016 Accepting new patients
Cotton Emergency Group, LLC CurrentSince Jan 13, 2020 Accepting new patients
Derussy Emergency Group, LLC CurrentSince Dec 23, 2019 Accepting new patients
Homer Memorial Hospital CurrentSince Apr 1, 2019 Accepting new patients
Christus Health Central Louisiana CurrentSince Feb 1, 2021 Accepting new patients
East Carroll Parish Hospital CurrentSince Jan 25, 2019 Accepting new patients
Acadia-St. Landry Hospital Service District CurrentSince Feb 4, 2017 Accepting new patients
St. Helena Parish Hospital CurrentSince Jun 1, 2019 Accepting new patients
Homer Memorial Hospital CurrentSince Apr 1, 2019 Accepting new patients
Christus Health Central Louisiana CurrentSince Feb 1, 2021 Accepting new patients
Savoy Medical Management Group, Inc. CurrentSince Jun 1, 2013 Accepting new patients
Savoy Medical Management Group, Inc. CurrentSince Jun 1, 2013 Accepting new patients
Acadia-St. Landry Hospital Service District CurrentSince Feb 4, 2017 Accepting new patients
East Carroll Parish Hospital CurrentSince Jan 25, 2019 Accepting new patients
Our Lady of Lourdes Regional Medical Center Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients

Locations

1175 Pine St
Ste 200
Arcadia, LA 71001
Phone (318) 263-4700

810 S Broadway St
Church Point, LA 70525
Phone (337) 684-4281

1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

110 W 4th St
Dequincy, LA 70633
Phone (337) 363-9470

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

1700 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 281-2448

16874 Highway 43
Greensburg, LA 70441
Phone (225) 222-6111

620 E College St
Homer, LA 71040
Phone (318) 927-2024

340 N Hood St
Lake Providence, LA 71254
Phone (318) 559-2404

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

336 N Hood St
Lk Providence, LA 71254
Phone (318) 559-4023

801 Poinciana Ave
Mamou, LA 70554
Phone (337) 457-5740

4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000

616 Court St
Oberlin, LA 70655
Phone (337) 639-2067

900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241

1013 W Lincoln Rd
Ville Platte, LA 70586
Phone (337) 363-0075

Interoperability endpoints

  • Direct secure messaging: avhmstcyr@yourcarecommunity.org
  • Direct secure messaging: mark.st.cyr.1@11988.direct.athenahealth.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1208217600000",
    "number": "1184678997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 JEFFERSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018556",
            "telephone_number": "337-261-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 JEFFERSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705018556",
            "telephone_number": "337-261-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. CYR",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "LA",
            "license": "018991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1365963",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.