Active NPI
Mahlon Paul Poche Jr., MD
- Emergency Medicine Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD.021487
- Practice address
- 3131 North I-10 Service Road East
Suite 308
Metairie, LA 70002-0000 - Phone
- (504) 833-7770
- Fax
- (504) 833-7796
- NPI assigned
- Mar 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD.021487 | LA | Primary |
Addresses
Primary practice location
3131 North I-10 Service Road East
Suite 308
Metairie, LA 70002-0000
Mailing address
3131 North I-10 Service Road East
Suite 308
Metairie, LA 70002-0000
Phone (504) 833-7770
Other practice location 1
1310 W 7th St
Kaplan, LA 70548-2910
Phone (337) 643-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1929239 | Medicaid | LA |
Other names 1
- Dr. Mahlon Poche
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0121 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord North Texas, PLLC | Emergency Medicine | Current | Accepting new patients |
| South Central Physicians PLLC | Current | Accepting new patients | |
| Concord Medical Group PLLC | Emergency Medicine | Current | Accepting new patients |
| Lafourche Parish Hospital Service District No.1 | Emergency Medicine | Current | Accepting new patients |
| Thibodaux Emergency Physicians Group LLC | Emergency Medicine | Current | Accepting new patients |
| Lafourche Parish Hospital Service District No.1 | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Calcasieu Cameron Emergency Physician Group LLC | Emergency Medicine | Current | Accepting new patients |
| Sheridan Emergency Physician Services, Inc | Emergency Medicine | Past | Accepting new patients |
| C&M Medical Services-St Charles LLC | Past | Accepting new patients |
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
200 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9300
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
1700 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 281-2448
165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435
701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270
602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Sulphur, LA
- NPI 1699167478
-
- Emergency Medicine Physician
- Cut Off, LA
- NPI 1831260793
-
- Emergency Medicine Physician
- Thibodaux, LA
- NPI 1568910503
-
- Emergency Medical Services (Emergency Medicine) Physician
- Metairie, LA
- NPI 1710903059
-
- Medicare Defined Swing Bed Hospital Unit
- Cut Off, LA
- NPI 1043358120
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medical Services (Emergency Medicine) Physician
- Luling, LA
- NPI 1407148133
-
- Emergency Medicine Physician
- Ocala, FL
- NPI 1528206992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1992772263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 NORTH I-10 SERVICE ROAD EAST",
"address_2": "SUITE 308",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700020000",
"telephone_number": "504-833-7770",
"fax_number": "504-833-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 NORTH I-10 SERVICE ROAD EAST",
"address_2": "SUITE 308",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700020000",
"telephone_number": "504-833-7770",
"fax_number": "504-833-7796"
}
],
"practiceLocations": [
{
"address_1": "1310 W 7th St",
"address_purpose": "LOCATION",
"city": "Kaplan",
"state": "LA",
"postal_code": "705482910",
"country_code": "US",
"telephone_number": "337-643-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POCHE",
"first_name": "MAHLON",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-04",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "MD.021487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1929239",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAHLON",
"last_name": "POCHE",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.