Individual provider Active NPI

Marin Dawson, DO

  • Pediatrics Physician
  • Rayne, LA
National Provider Identifier
1356538276
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DO.000047 Issued in LA
Practice address
717 Curtis Dr Ste a
Rayne, LA 70578-8311
Phone
(337) 334-7554
Fax
(337) 334-7556
NPI assigned
Sep 25, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X DO.000047 LA Primary

Addresses

Primary practice location

717 Curtis Dr Ste a
Rayne, LA 70578-8311

Mailing address

717 Curtis Dr
Rayne, LA 70578-8311
Phone (337) 334-7551

Other identifiers 2

IdentifierTypeStateIssuer
1020460MedicaidLA
1-05824-1MedicaidLA

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
I20071029000094 LA Practitioner - Pediatric Medicine 7315034048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadiana Pediatrics, L.L.C.Group PAC ID 7113299066, 2 clinicians

Practice addresses (Care Compare)

717 Curtis Dr
Rayne, LA 70578-8311
Phone (337) 334-7554

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.000047LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Pediatrics, L.L.C. CurrentSince May 19, 2017 Accepting new patients
Acadiana Pediatrics, L.L.C. Pediatrics CurrentSince Oct 1, 2017 Accepting new patients
Our Lady of Lourdes Regional Medical Center, Inc Past Accepting new patients

Locations

717 Curtis Dr
Rayne, LA 70578
Phone (337) 334-7551

717 Curtis Dr
Ste A
Rayne, LA 70578
Phone (337) 334-7554

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Acadiana Pediatrics & Family MedicineRayne, LA, CCN 193940 Rural health clinic 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer
May 24, 2017
May 24, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356538276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 CURTIS DR",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705788311",
            "telephone_number": "337-334-7551",
            "fax_number": "337-334-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 CURTIS DR STE A",
            "city": "RAYNE",
            "state": "LA",
            "postal_code": "705788311",
            "telephone_number": "337-334-7554",
            "fax_number": "337-334-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "MARIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2023-03-07",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "DO.000047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020460",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1-05824-1",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayne, LA

Sources for this page

Verify at the official NPI Registry.