Active NPI
Mark A Parent, MD
- Family Medicine Physician
- Denham Springs, LA
National Provider Identifier
1245231091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17736
- Practice address
- 1585 S Range Ave
Denham Springs, LA 70726-5201 - Phone
- (225) 791-0002
- Fax
- (225) 791-0228
- NPI assigned
- Aug 2, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17736 | LA | Primary |
Addresses
Primary practice location
1585 S Range Ave
Denham Springs, LA 70726-5201
Mailing address
Dept 960139
Oklahoma City, OK 73196-0001
Phone (877) 485-4474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1360953 | 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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17736 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Urgent Care Ascension LLC | Past | Accepting new patients |
Interoperability endpoints
- mparent1670448@direct.ochsner.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Prairieville, LA
- NPI 1104162221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1245231091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 960139",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731960001",
"telephone_number": "877-485-4474",
"fax_number": "405-844-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 S RANGE AVE",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707265201",
"telephone_number": "225-791-0002",
"fax_number": "225-791-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARENT",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "17736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1360953",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.