Active NPI
Marcus L. Black, MD
- Hematology & Oncology Physician
- Metairie, LA
National Provider Identifier
1396700613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 05701R
- Practice address
- 519 Metairie Rd
Metairie, LA 70005-4311 - Phone
- (504) 324-9024
- Fax
- (504) 373-6807
- NPI assigned
- Apr 19, 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 05701R | LA | Primary |
Addresses
Primary practice location
519 Metairie Rd
Metairie, LA 70005-4311
Mailing address
3600 Prytania St
Ste 35
New Orleans, LA 70115-3628
Phone (504) 897-8315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326313 | 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 |
|---|---|---|---|
| 05701R | LA | MD | Hematology & Oncology Physician |
| 012863 | LA | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1396700613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 PRYTANIA ST",
"address_2": "STE 35",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701153628",
"telephone_number": "504-897-8315",
"fax_number": "504-891-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 METAIRIE RD",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700054311",
"telephone_number": "504-324-9024",
"fax_number": "504-373-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "MARCUS",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "LA",
"license": "05701R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326313",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.