Active NPI
Dale J Morvant, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Baton Rouge, LA
National Provider Identifier
1336249168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 014777
- Practice address
- 8212 Kelwood Ave
Baton Rouge, LA 70806 - Phone
- (225) 929-7210
- Fax
- (225) 930-7524
- NPI assigned
- Sep 22, 2006
- 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 |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 014777 | LA | Primary |
Addresses
Primary practice location
8212 Kelwood Ave
Baton Rouge, LA 70806
Mailing address
100 Medical Center Blvd
Slidell, LA 70461
Phone (225) 929-7210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1335576 | 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 |
|---|---|---|---|
| 014777 | LA | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Anesthesiology Group, L.L.C. | Past | Accepting new patients | |
| Professional Radiology Services | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1902957103
-
- Diagnostic Radiology Physician
- Baton Rouge, LA
- NPI 1669571709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1336249168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "70461",
"telephone_number": "225-929-7210",
"fax_number": "225-930-7524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8212 KELWOOD AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70806",
"telephone_number": "225-929-7210",
"fax_number": "225-930-7524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORVANT",
"first_name": "DALE",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "LA",
"license": "014777",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1335576",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.