Mark E. Clawson M.D. P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

020456 Issued in LA

Legal business name

MARK E. CLAWSON M.D. P.C.

Practice address

805 State St
Jennings, LA 70546-4739

Phone

(337) 824-8099

Fax

(337) 824-8229

NPI assigned

Mar 26, 2008

Last updated

Mar 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Edward Clawson, M.D.NPI 1073600086

Title

President

Phone

(337) 824-8099

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Edward Clawson, MD PMC

  • Family Medicine Physician
  • Jennings, LA
  • NPI 1073600086
  Authorized official Same address or phone
• Yvonne H. Krielow, NP

  • Family Nurse Practitioner
  • Welsh, LA
  • NPI 1881692218
  NPD (past)

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1700058179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 STATE ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464739",
            "telephone_number": "337-824-8099",
            "fax_number": "337-824-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 STATE ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464739",
            "telephone_number": "337-824-8099",
            "fax_number": "337-824-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. CLAWSON M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "CLAWSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-824-8099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "020456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1900249",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christin C Manuel, MS, LAT, ATC
• Kayla Bruce Manuel, LOTR
• Rachel E Manuel, SLP
• Michael David Marceaux, C.R.N.A.
• Sadie K Marceaux, PTA
• Tassany Nicole Matthews
• Hollie Hundley McDaniel, LCSW
• Celest McGonagill
• Richard David McGregor, MD
• James Edward McNally, M.D.

• Medical Specialty Clinic/Center in Jennings, LA
• Providers in Jennings, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.