Active NPI
Mark Juneau Jr., M.D.
- Orthopaedic Surgery Physician
- Marrero, LA
National Provider Identifier
1669421533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 12292
- Practice address
- 920 Avenue B
Marrero, LA 70072-3112 - Phone
- (504) 349-6804
- Fax
- (504) 349-6844
- NPI assigned
- May 9, 2006
- Last updated
- Aug 9, 2012
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 12292 | LA | Primary |
Addresses
Primary practice location
920 Avenue B
Marrero, LA 70072-3112
Mailing address
920 Avenue B
Marrero, LA 70072-3112
Phone (504) 349-6804
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5B353 | Other | LA | MEDICARE GROUP |
| 1181218 | Medicaid | LA | |
| 200009061 | Other | LA | RR MEDICARE INDIVIDUAL |
| 1792217 | Other | LA | MEDICAID GROUP |
| CK4990 | Other | LA | RAILROAD MEDICARE GROUP |
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 |
|---|---|---|---|
| 12292 | LA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Hospice of New Orleans LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Heart of Hospice
- Community Based Hospice Care Agency
- Marrero, LA
- NPI 1083820484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1669421533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 AVENUE B",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723112",
"telephone_number": "504-349-6804",
"fax_number": "504-349-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 AVENUE B",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723112",
"telephone_number": "504-349-6804",
"fax_number": "504-349-6844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNEAU",
"first_name": "MARK",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "12292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "5B353",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1181218",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE INDIVIDUAL",
"identifier": "200009061",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "1792217",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CK4990",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.