Individual provider Active NPI

Mark Stephen Daunis, MD

  • Family Medicine Physician
  • Hammond, LA
National Provider Identifier
1215992813
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.020192 Issued in LA
Practice address
1900 S Morrison Blvd
Walk-in Clinic
Hammond, LA 70403
Phone
(985) 230-5726
Fax
(985) 230-5683
NPI assigned
Apr 18, 2006
Last updated
Jul 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.020192 LA Primary

Addresses

Primary practice location

1900 S Morrison Blvd
Walk-in Clinic
Hammond, LA 70403

Mailing address

PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-5726

Other practice location 1

15790 Paul Vega Md Dr
Hammond, LA 70403-1434
Phone (985) 230-5726

Other identifiers 1

IdentifierTypeStateIssuer
1979317MedicaidLA

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
I20041220000744 LA Practitioner - Family Practice 6608834890 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District 2 of the Parish of Tangipahoa State of la. CurrentSince Dec 3, 2020 Accepting new patients
Hospital Service District 2 of the Parish of Tangipahoa State of la. CurrentSince Dec 3, 2020 Accepting new patients

Locations

301 Walnut St
Amite, LA 70422
Phone (985) 748-7141

409 NW Central Ave
Amite, LA 70422
Phone (985) 748-7141

Interoperability endpoints

  • Direct secure messaging: mark.daunis.1@17916.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1215992813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2668",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042668",
            "telephone_number": "985-230-5726",
            "fax_number": "985-230-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S MORRISON BLVD",
            "address_2": "WALK-IN CLINIC",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-230-5726",
            "fax_number": "985-230-5683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15790 Paul Vega Md Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031434",
            "country_code": "US",
            "telephone_number": "985-230-5726",
            "fax_number": "985-230-6653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUNIS",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.020192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1979317",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.