DR. MARVIN BARCO MATA (NPI# 1124281852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124281852 |
| Entity Type | Individual |
| Full Name | DR. MARVIN BARCO MATA |
| Credential | M.D. |
| Practice Address |
211 4th St Alexandria LA 71301-8421 |
| Mailing Address |
5445 Provine Place Apartment 1608 Alexandria LA 71303-3700 |
| Practice Telephone | 3154645800 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2013-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD203581 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2120336 | 05 | |
| LA | BLUE CROSS BLUE SHIELD | 1124281852 | 01 |
| Street Address |
211 4TH ST |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-8421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653804 | Stephanie J Blair | Internal Medicine | 211 4th St, Alexandria, LA 71301-8421 | 2005-07-18 |
| 1417583576 | Robert Alan Prater | Nurse Practitioner | 211 4th St, Alexandria, LA 71301-8421 | 2020-03-20 |
| 1336631704 | Michael Gene Melder II | Nurse Anesthetist, Certified Registered | 211 4th St, Alexandria, LA 71301-8421 | 2018-06-01 |
| 1437657434 | Kelly Hudspeth Spears | Nurse Practitioner | 211 4th St, Alexandria, LA 71301-8421 | 2018-01-25 |
| 1609390533 | Dov Ber Taber | Registered Nurse | 211 4th St, Alexandria, LA 71301-8421 | 2017-08-02 |
| 1578091682 | Teamhealth | Family Medicine | 211 4th St, Alexandria, LA 71301-8421 | 2017-06-02 |
| 1295287498 | Majesta Nicole Smith | Pharmacist | 211 4th St, Alexandria, LA 71301-8421 | 2016-11-04 |
| 1306395629 | Teamhealth | General Acute Care Hospital | 211 4th St, Alexandria, LA 71301-8421 | 2016-09-28 |
| 1396194221 | Matthew Scott King | Nurse Practitioner | 211 4th St, Alexandria, LA 71301-8421 | 2016-06-10 |
| 1780048298 | Christina Marie Pevey | Family Medicine | 211 4th St, Alexandria, LA 71301-8421 | 2016-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659540375 | Shafqat Mahmood Cheema | Pediatrics | 6511 Arden Oaks, Alexandria, LA 71301-2863 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235366626 | Kurt D. Piggott | Pediatrics | 200 Henry Clay Ave., Acc 3308, New Orleans, LA 70118 | 2009-06-12 |
| 1932256765 | Kelechi Nneoma Iheagwara | Pediatrics | 7777 Hennessy Blvd. Suite 103, Pediatric Intensivists of La, Baton Rouge, LA 70808 | 2007-01-04 |
| 1023074549 | Wk Pediatric Intensivist | Pediatrics | 2510 Bert Koun Loop Rm 4003, Shreveport, LA 71118-3119 | 2006-04-24 |
| 1326002841 | William Robert Pace | Pediatrics | 107 Montrose Ave, Suite D, Lafayette, LA 70503-3852 | 2006-04-13 |
| 1992792535 | Giao N Do | Pediatrics | 2510 Bert Koun Loop, Room 4003, Shreveport, LA 71118-3119 | 2005-09-29 |
| 1427570555 | Daniele Wilson | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2017-07-11 |
| 1215297957 | Ashley Loren Scheffer | Pediatrics | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2012-05-28 |
| 1326304338 | Hannah Bauer | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118 | 2012-04-03 |
| 1972879781 | Rachel Lynn Hansen | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2012-03-26 |
| 1639465180 | Melissa Dawn Crowder | Pediatrics | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2011-06-23 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
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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.