Mary Bird Perkins Cancer Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MARY BIRD PERKINS CANCER CENTER

Practice address

4950 Essen LN
Baton Rouge, LA 70809-3738

Phone

(225) 767-0847

Fax

(225) 767-1335

NPI assigned

Nov 8, 2024

Last updated

Jul 21, 2025By 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

Jacob Kraft

Title

Decision Support Manager

Phone

(225) 215-1281

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mary Bird Perkins Cancer4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mary Bird Perkins Cancer Center

  • Therapeutic Radiology Physician
  • Baton Rouge, LA
  • NPI 1225274483
  NPD tax ID
• Mary Bird Perkins Cancer Center

  • Community/Retail Pharmacy
  • Covington, LA
  • NPI 1386341923
  NPD tax ID
• Mary Bird Perkins Cancer Center

  dba Mary Bird Perkins Pharmacy Minden

  • Community/Retail Pharmacy
  • Minden, LA
  • NPI 1407492184
  NPD tax ID

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1861216772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 ESSEN LN STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093543",
            "telephone_number": "225-215-1281",
            "fax_number": "225-215-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093738",
            "telephone_number": "225-767-0847",
            "fax_number": "225-767-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY BIRD PERKINS CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DECISION SUPPORT MANAGER",
        "authorized_official_telephone_number": "225-215-1281"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2683900",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Marvel
• Daryl S Marx, MD
• Barbara Marxer
• Mary Bird Perkins Cancer Center
• Mary Bird Perkins Cancer Center
• Mary Elizabeth Christian MD, PMC
• Mary's Hands Network
• Maryelizabeth Leboeuf PHD, LLC
• Jaylen Maryland
• Marys Ministry Transportation

• Multi-Specialty Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.