DR. JOHN MARK VITTER (NPI# 1346297652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346297652 |
| Entity Type | Individual |
| Full Name | DR. JOHN MARK VITTER |
| Credential | M.D. |
| Practice Address |
1101 Medical Center Blvd Radiology Dept Marrero LA 70072-3147 |
| Mailing Address |
Po Box 1339 5425 Lapalco Blvd Marrero LA 70073-1339 |
| Practice Telephone | 5043491461 |
| Practice Fax Number | 5043491461 |
| Mailing Telephone | 5043491461 |
| Mailing Fax Number | 5043491461 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
014693 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05808322 | 05 | |
| LA | 1333638 | 05 |
| Street Address |
1101 MEDICAL CENTER BLVD RADIOLOGY DEPT |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576318 | Raymond Clay Gould | Radiology | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2005-05-26 |
| 1497369052 | Tyra Branch | Nurse Practitioner | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-09-01 |
| 1811509771 | Tamara Lee | Nurse Practitioner | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-08-20 |
| 1679192983 | Eboni Brayell Payton | Nurse Practitioner | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-04-16 |
| 1316576408 | Lauren Eustis Mcmanamon | Student in an Organized Health Care Education/Training Program | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-04-02 |
| 1336788769 | Jennifer Le | Nurse Anesthetist, Certified Registered | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2020-01-02 |
| 1255991725 | Kristin Burnett | Physical Therapist | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2019-06-17 |
| 1568021186 | Alexander D Wong | Nurse Anesthetist, Certified Registered | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2019-06-07 |
| 1033649124 | Rosalie Marie Larson | Registered Nurse | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2017-06-13 |
| 1811425523 | Maria D Davis | Respiratory Therapist, Registered | 1101 Medical Center Blvd, Marrero, LA 70072-3147 | 2017-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104945930 | Jab Rad, LLC | Radiology | 5201 Westbank Expy, Suite 215, Marrero, LA 70072-2939 | 2007-03-29 |
| 1942314521 | Jefferson Physician Imaging Center LLC | Radiology | 4809 Wichers Dr, Marrero, LA 70072-3026 | 2006-08-19 |
| 1972561397 | Robert C. Dawson IIi | Radiology | 1111 Medical Center Boulevard, Suite S750, Marrero, LA 70072 | 2006-05-03 |
| 1568439776 | David Rex Hunter | Radiology | 5425 Lapalco Blvd, Marrero, LA 70072-4156 | 2006-03-07 |
| 1457786873 | Kevin Investments Incorporation | Radiology | 5001 Lapalco Blvd, Marrero, LA 70072-4235 | 2013-09-04 |
| 1518130756 | John Truitt Balart | Radiology | 1111 Medical Center Blvd, Suite N-108, Marrero, LA 70072-3151 | 2008-04-09 |
| 1821291915 | William Tanner Dawson | Radiology | 1111 Medical Center Blvd, Suite N-108, Marrero, LA 70072-3151 | 2007-06-07 |
| 1518014893 | Open Imaging of The South LLC | Radiology | 4809 Wichers Dr, Marrero, LA 70072-3026 | 2007-01-05 |
| 1508896564 | Jeremy B Nguyen | Radiology | 1111 Medical Center Blvd, Suite N-108, Marrero, LA 70072-3151 | 2006-07-04 |
| 1205865037 | Philip G Kogos | Radiology | 1101 Medical Center Blvd, Radiology Dept, Marrero, LA 70072-3147 | 2006-07-02 |
| Find all providers in MARRERO | ||||
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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.