Mark Mainous (NPI# 1427088079, PAC ID# 1557442530) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1427088079 |
PAC ID by PECOS | 1557442530 |
Professional Enrollment ID | I20080116000065 |
Full Name | Mark Mainous |
Address |
8001 Youree Dr Suite 840 Shreveport LA 71115-2349 |
Gender | M |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1986 |
Primary Specialty | GENERAL SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190111 | WILLIS KNIGHTON MEDICAL CENTER |
190041 | CHRISTUS HEALTH SHREVEPORT - BOSSIER |
Address | Phone | Organization |
---|---|---|
8001 Youree Dr, Suite 840, Shreveport, LA 71115-2349 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_358_overall | Patient-Centered Surgical Risk Assessment and Communication | 100% |
Street Address |
8001 YOUREE DR SUITE 840 |
City | SHREVEPORT |
State | LA |
Zip | 71115-2349 |
Name | Specialty | Organization | Address |
---|---|---|---|
Robert Hernandez | Internal Medicine | Wk Moller Cassiere Clinic | 8001 Youree Dr, Suite 400, Shreveport, LA 71115-2340 |
Antonio R Pizarro | Obstetrics/gynecology | 8001 Youree Dr, Suite 370, Shreveport, LA 71115-2339 | |
Holly Johnson | Nurse Practitioner | Wk Pierremont Ob-gyn Specialists | 8001 Youree Dr, Suite 600, Shreveport, LA 71115-2345 |
Jorge Martinez-leyva | Emergency Medicine | 8001 Youree Dr, Suite 850, Shreveport, LA 71115-2327 | |
Sarah A Lafield | Physician Assistant | Dr. Wen Liu Inc. | 8001 Youree Dr, Suite 880, Shreveport, LA 71115-2331 |
Jason S Mook | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Hector Brunet Rodriguez | Infectious Disease | Wk Shreveport Infectious Disease | 8001 Youree Dr, Suite 750, Shreveport, LA 71115-2346 |
Darrell Sandifer | Obstetrics/gynecology | Wk Pierremont Ob-gyn Specialists | 8001 Youree Dr, Suite 600, Shreveport, LA 71115-2345 |
Guillermo O Padilla-pineda | Infectious Disease | Wk Shreveport Infectious Disease | 8001 Youree Dr, Suite 750, Shreveport, LA 71115-2346 |
Leocardy Pierre | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jordan Austin Brice | Anesthesiology | Pierremont Anesthesia Consultants | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Carmell Lenert-williams | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
John Netterville | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Ganesh S Dhoble | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
Eustace Edwards | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Wen Liu | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
Kamlesh Jani | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
Michael J Lewis | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 8001 Youree Dr, Shreveport, LA 71115-2302 |
Jennifer Thomas Prime | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
Diane Elizabeth Jamison-blair | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
Find all physicians in zip 71115 |
City | SHREVEPORT |
Zip Code | 71115 |
Specialty | GENERAL SURGERY |
City + Specialty | SHREVEPORT + GENERAL SURGERY |
Please comment or provide details below to improve the information on Mark Mainous.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.