M V John MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD.202152 Issued in LA

Legal business name

M V JOHN MD LLC

Practice address

4021 We Heck CT Ste M1
Baton Rouge, LA 70816-0405

Phone

(225) 263-0600

NPI assigned

Nov 13, 2013

Organization subpart

No

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

Authorized official

Name

Markus Vattakattil John, MDNPI 1417167750

Title

Owner

Phone

(225) 263-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Interventional Spine and Rehabilitation of Louisiana2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• M V John M D LLC

  • Non-Pharmacy Dispensing Site
  • Baton Rouge, LA
  • NPI 1376054726
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Markus Vattakattil John, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Baton Rouge, LA
  • NPI 1417167750
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1437589447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 WE HECK CT STE M1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160405",
            "telephone_number": "225-263-0600",
            "fax_number": "225-231-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 WE HECK CT STE M1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160405",
            "telephone_number": "225-263-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M V JOHN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "MARKUS",
        "authorized_official_middle_name": "VATTAKATTIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-263-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD.202152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lyons
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• Aungelle Michelle Lytell, NP
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• M V John M D LLC
• M. Flasch Homebound Assistance, Inc.
• M. Giles Fort, M.D. ( a.P.M.C.)
• M. Giles Fort, M.D. a P M C
• M.Flasch Homebound Assistance, Inc
• Ma Counseling

• Specialist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.