MR. MARK FREDERICK BROWN (NPI# 1689672032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689672032 |
| Entity Type | Individual |
| Full Name | MR. MARK FREDERICK BROWN |
| Credential | M.D. |
| Practice Address |
One Saint Mary Place Shreveport LA 71101-4343 |
| Mailing Address |
939 Delaware St Shreveport LA 71106 |
| Practice Telephone | 3186816174 |
| Practice Fax Number | 3186816162 |
| Mailing Telephone | 3186816174 |
| Mailing Fax Number | 3186817695 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2013-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD.018087 | LA | Allopathic & Osteopathic Physicians |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
018087 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1971961 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891260618 | Mark M Brown | Driver | 184 Barberry Ter, Rochester, NY 14621-4104 | 2018-10-08 |
| 1346601929 | Mark Stephen Brown | Physician Assistant | 4332 Teeter Totter Cir, Colorado Springs, CO 80917-2937 | 2016-03-10 |
| 1134459605 | Mark Curtis Brown | Counselor | 1708 Meadow Run Dr, Moore, OK 73160-0804 | 2010-01-06 |
| 1316274822 | Mark Gregory Brown | Marriage & Family Therapist | 27 1/2 W Main St, Suite 212, Walla Walla, WA 99362-2815 | 2009-11-05 |
| 1932334661 | Mark Brown | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4865 Broadway Apt 4w, New York, NY 10034-3104 | 2009-05-26 |
| 1215062625 | Mark C Brown | Psychologist | 9781 Whisperwood Circle, Chagrin Falls, OH 44023 | 2007-02-23 |
| 1407931348 | Mark William Brown | Dentist | 111 West Mojave Dr., Big Bear City, CA 92314-0209 | 2006-10-26 |
| 1154425486 | Mark A Brown | Chiropractor | 5211 S Fletcher Ave, Suite 250, Fernandina Beach, FL 32034-5370 | 2006-09-08 |
| 1710907712 | Mark Brown | Chiropractor | 1306 Cottman Ave, Phila, PA 19111-3606 | 2006-07-20 |
| 1043239726 | Mark Alan Brown | Physician Assistant | 121 Fawn Haven Ct, Martinsburg, WV 25401-5285 | 2006-07-19 |
| Street Address |
ONE SAINT MARY PLACE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632745 | Peyman Roohani | Internal Medicine | One Saint Mary Place, Shreveport, LA 71101-0000 | 2005-07-08 |
| 1215170527 | Heith Edward Pumphrey | Nurse Practitioner | One Saint Mary Place, Shreveport, LA 71101-0000 | 2009-04-16 |
| 1700086063 | Stephen Royce Maxwell | Internal Medicine | One Saint Mary Place, Shreveport, LA 71101-0000 | 2007-07-24 |
| 1225258809 | Radiation Oncology St Mary Place LLC | Radiology | One Saint Mary Place, Cancer Treatment Center, Shreveport, LA 71101-4343 | 2007-04-26 |
| 1558469734 | Keith Eliot Strain | Pediatrics | One Saint Mary Place, Shreveport, LA 71101-4343 | 2006-09-20 |
| 1710909163 | Kevin Neal Boykin | Surgery | One Saint Mary Place, Shreveport, LA 71101-4343 | 2006-07-24 |
| 1760461875 | Kelly Morgan Carlisle | Internal Medicine | One Saint Mary Place, Shreveport, LA 71101-0000 | 2006-01-17 |
| 1487652970 | Thomas Steen Trawick Jr. | Internal Medicine | One Saint Mary Place, Shreveport, LA 71101-0000 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672172 | Donald Lynn Sorrells Jr. | Surgery | 2508 Bert Kouns Industrial Loop, Shreveport, LA 71118-3133 | 2005-07-08 |
| 1316386436 | Wk Pediatric Surgical Associates | Surgery | 2508 Bert Kouns Loop, Shreveport, LA 71118-3133 | 2013-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251884 | A'drianne Dorsey | Surgery | 2742 S Roth Ave, Gonzales, LA 70737-4823 | 2020-06-30 |
| 1427080738 | Kenneth W Falterman | Surgery | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2006-07-07 |
| 1518923317 | John B Lopoo Jr. | Surgery | 8200 Constantin Blvd Ste 220, Baton Rouge, LA 70809-3481 | 2006-04-21 |
| 1386943579 | Jessica Aya Zagory | Surgery | 1542 Tulane Ave, Rm 734a, New Orleans, LA 70112-2865 | 2011-03-28 |
| 1720247364 | Fabienne Lee Gray | Surgery | 200 Henry Clay Ave, Office of Pediatric Surgery, New Orleans, LA 70118 | 2008-06-09 |
| 1487863627 | Shawn J Stafford | Surgery | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2007-05-22 |
| 1548309156 | Pediatric Surgery of Louisiana, LLC | Surgery | 7777 Hennessy Blvd, Suite 212, Baton Rouge, LA 70808 | 2007-02-06 |
| 1902975543 | Benjamin B. Peeler | Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-11-07 |
| 1801976238 | Mary Brandt | Surgery | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2006-10-17 |
| 1144322421 | Timothy William Pettitt | Surgery | 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-09-05 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MR. MARK FREDERICK BROWN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.