Mark Shoptaugh Jr. MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MARK SHOPTAUGH JR. MD LLC

Practice address

4363 Convention St
Baton Rouge, LA 70806-3906

Phone

(225) 522-4076

NPI assigned

Oct 19, 2018

Last updated

Oct 19, 2018By 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 Charles Shoptaugh Jr., MD

Title

Owner

Phone

(225) 603-5935

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1700352499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 GRAND WAY AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100422",
            "telephone_number": "225-603-5935",
            "fax_number": "225-928-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4363 CONVENTION ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708063906",
            "telephone_number": "225-522-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SHOPTAUGH JR. MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "SHOPTAUGH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-603-5935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107615",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Marino, P.T.
• Cherez Kailynn Marioneaux, LMT
• Patti Zeringue Marionneaux, RN
• Mark a Tallis DDS Apdc
• Mark H. Zielinski, MD, LLC (Mark H Zielinski, MD)
• Mark Shoptaugh, Jr., M.D., Psychiatry, L.L.C.
• Erica Mark
• Amy Kyger Markerson, PA-C
• Courtney Marks, SLP
• Emily Clare Marks, PT, DPT

• Psychiatry Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.