Marc Pittman, III, MD, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD.014891 Issued in LA

Legal business name

MARC PITTMAN, III, MD, LLC

Practice address

2659 N Causeway Blvd
Mandeville, LA 70471-6435

Phone

(985) 898-0008

NPI assigned

Jan 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Marcus L. Pittman, III, M.D.NPI 1609924919

Title

Member and Managing Partner

Phone

(985) 892-3661

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marcus L. Pittman III, M.D.

  • Family Medicine Physician
  • Covington, LA
  • NPI 1609924919

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1861739153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S JEFFERSON AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333135",
            "telephone_number": "985-892-3661",
            "fax_number": "985-892-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716435",
            "telephone_number": "985-898-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC PITTMAN, III, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "PITTMAN,",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEMBER AND MANAGING PARTNER",
        "authorized_official_telephone_number": "985-892-3661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD.014891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandeville Dental Associates LLC
• Mandeville Dental Care, LLC
• Mandeville Pharmacy LLC
• Christopher Manguno
• Shelly Ann Mann, LCSW
• Gary David Marchand, D.D.S.
• Patricia Dantonio Marchand, RPH
• Rachael M Marchand, DDS
• Marine Medical Consultants,LLC
• Ada Wynne Marion

• General Practice Physician in Mandeville, LA
• Providers in Mandeville, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.