MARK DOUGLAS PORTA SR. (NPI# 1982724431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982724431 |
| Entity Type | Individual |
| Full Name | MARK DOUGLAS PORTA SR. |
| Credential | D.D.S. |
| Practice Address |
9533 Fenway Ave Baton Rouge LA 70809-1411 |
| Practice Telephone | 2259250951 |
| Mailing Telephone | 2259250951 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3728 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275890436 | Mark Douglas Porta Jr. | Internal Medicine | 1501 Kings Hwy, Lsuhsc Dept. of Gastroenterology, Shreveport, LA 71130 | 2012-04-12 |
| Street Address |
9533 FENWAY AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-1411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730101601 | Michael Scott Porta | Dentist | 9533 Fenway Ave, Baton Rouge, LA 70809-1411 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1508465899 | Exceptional Dental of Highland, LLC | Dentist | 7278 Highland Rd Ste C, Baton Rouge, LA 70808-6604 | 2020-10-19 |
| 1033733746 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 | 2020-05-29 |
| 1659992865 | Justin K Bonaventure Dental Offices, LLC | Dentist | 13702 Coursey Blvd, Bldg 10, Ste C, Baton Rouge, LA 70817-1370 | 2020-04-28 |
| 1639646995 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 554 Colonial Dr Ste B, Baton Rouge, LA 70806-6552 | 2018-10-25 |
| 1174009633 | Affordable Smiles of Baton Rouge, LLC | Dentist | 1962 Oneal Ln Ste A&b, Baton Rouge, LA 70816-3250 | 2018-07-17 |
| 1154814838 | Hollis Anne Clark | Dentist | 15420 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2933 | 2018-06-07 |
| 1033600804 | Kaitlyn Renee Hawkins | Dentist | 6860 Bluebonnet Blvd, Baton Rouge, LA 70810-1615 | 2018-05-28 |
| 1083136790 | Greesim Loy | Dentist | 13730 Millerville Greens Blvd Ste 1, Baton Rouge, LA 70816-1696 | 2017-07-13 |
| 1346760824 | Michael P Juban Dds and J Cody Cowen North LLC | Dentist | 3557 Monterrey Dr, Baton Rouge, LA 70814-2918 | 2017-06-26 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
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| 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.