Mark B. Charbonnet, MD Apmc

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

L023042 Issued in LA

Legal business name

MARK B. CHARBONNET, MD APMC

Practice address

602 N Lewis St
Suite 600
New Iberia, LA 70563-2093

Phone

(337) 560-5510

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Barton Charbonnet, MDNPI 1891718177

Title

Physician

Phone

(337) 560-5510

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Acadiana Oncology Doing business as

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

Practitioners 3

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

• Mark Barton Charbonnet, MD

  • Hematology & Oncology Physician
  • New Iberia, LA
  • NPI 1891718177

  Medical Oncology

  Medicare reassignment NPD Authorized official
• Venetia Marie Nicole Patout, MD

  • Dermatology Physician
  • New Iberia, LA
  • NPI 1104849579
  NPD (past)
• Jennifer Claire Waguespack-Labiche, MD

  • Dermatology Physician
  • Broussard, LA
  • NPI 1033146352
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1740317221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12109",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705622109",
            "telephone_number": "337-560-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N LEWIS ST",
            "address_2": "SUITE 600",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632093",
            "telephone_number": "337-560-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK B. CHARBONNET, MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "CHARBONNET",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-560-5510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "LA",
            "license": "L023042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490601",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadiana Oncology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acadiana Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Main Street Emergency Group LLC
• Main Street Physician Services LLC
• Joseph Malbrough
• Courtney L Mann, RDN
• Clayton Michael Maraist, M.D.
• Kathryn Markowich, P.T.
• Tammy G Marlin, MS, CCC-SLP
• Basheba Martin, R.N.
• Mary Toups, LPC, NCC, LLC
• Chris Mason

• Medical Oncology Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Medical Oncology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.