Individual provider Active NPI

John Edward Lemoine, M.D.

  • Family Medicine Physician
  • Marksville, LA
National Provider Identifier
1447555420
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD010381 Issued in LA
Practice address
597 Tunica Dr W
Marksville, LA 71351-2628
Phone
(318) 253-0677
Fax
(318) 253-0679
NPI assigned
Jan 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD010381 LA Primary

Addresses

Primary practice location

597 Tunica Dr W
Marksville, LA 71351-2628

Mailing address

597 Tunica Dr W
Marksville, LA 71351-2628
Phone (318) 253-0677

Other identifiers 1

IdentifierTypeStateIssuer
1106411MedicaidLA

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

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Avoyelles LLC CurrentSince Feb 15, 2019 Accepting new patients
CLHG-Avoyelles LLC Family Medicine CurrentSince Feb 15, 2019 Accepting new patients

Locations

597 Tunica Dr W
Marksville, LA 71351
Phone (318) 253-0677

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16696/brand/5/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1447555420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 TUNICA DR W",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512628",
            "telephone_number": "318-253-0677",
            "fax_number": "318-253-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 TUNICA DR W",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512628",
            "telephone_number": "318-253-0677",
            "fax_number": "318-253-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOINE",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-21",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD010381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106411",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.