John Mark Vitter, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

014693 Issued in LA

Practice address

1101 Medical Center Blvd
Radiology Dept
Marrero, LA 70072-3147

Phone

(504) 349-1461

Fax

(504) 349-1461

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Delta Imaging LLC

  • Radiology Clinic/Center
  • Slidell, LA
  • NPI 1972509982
  NPD (past)
• Diagnostic Imaging Services

  • Magnetic Resonance Imaging (MRI) Internal Medicine Physician
  • Metairie, LA
  • NPI 1699793166
  NPD (past)
• Louisiana Anesthesiology Group, L.L.C.

  • Anesthesiology Physician
  • Baton Rouge, LA
  • NPI 1902957103
  NPD (past)
• Regional Radiology, LLC

  • Diagnostic Radiology Physician
  • Covington, LA
  • NPI 1336192863

  Diagnostic Radiology

  NPD (past)
• St Tammany Parish Hospital Service District No 1

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1346297652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1339",
            "address_2": "5425 LAPALCO BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700731339",
            "telephone_number": "504-349-1461",
            "fax_number": "504-349-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL CENTER BLVD",
            "address_2": "RADIOLOGY DEPT",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723147",
            "telephone_number": "504-349-1461",
            "fax_number": "504-349-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITTER",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "014693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1333638",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05808322",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erianne M Vicks-North
• Kristina N Vidrine, P.A.
• Julie Villio, M.S. CCC-SLP
• Sharon Nance Vincent, RN
• Virgeaux Nutrition LLC
• Christina Vo
• Julie Diem Vo, D.D.S.
• Phuong T Vo, MD
• Michael A Volner, MD
• Harry S Vorhaben, MD

• All providers in Marrero, LA
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.