DR. MARK TRAHAN (NPI# 1679872568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679872568 |
| Entity Type | Individual |
| Full Name | DR. MARK TRAHAN |
| Credential | M.D. |
| Practice Address |
1800 Ryan St Ste 105 Lake Charles LA 70601-6078 |
| Practice Telephone | 3374394706 |
| Mailing Telephone | 3374394706 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2017-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
304164 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518171818 | Mark Trahan | Social Worker | 17555 El Camino Real, Houston, TX 77058-3031 | 2007-05-09 |
| Street Address |
1800 RYAN ST STE 105 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-6078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821279845 | Denny James Dartez | Radiology | 1800 Ryan St Ste 105, Lake Charles, LA 70601-6078 | 2007-11-19 |
| 1700171329 | Kevin Gabriel Garrett Jr. | Radiology | 1800 Ryan St Ste 105, Lake Charles, LA 70601-6078 | 2011-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| 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 |
|---|---|---|---|---|
| 1447726518 | Avail Lc Radiology LLC | Radiology | 3730 Nelson Rd, Lake Charles, LA 70605-2412 | 2018-10-16 |
| 1881942837 | Imperial Health LLP | Radiology | 1747 Imperial Blvd Ste B, Lake Charles, LA 70605-5362 | 2012-08-23 |
| 1043396831 | Col Management LLC | Radiology | 3114 Lake Street, Lake Charles, LA 70601 | 2006-10-27 |
| 1376649061 | South Ryan Mri, LLC | Radiology | 1601 Country Club Rd, Lake Charles, LA 70605-5325 | 2006-09-16 |
| 1053310698 | Open Air Mri of Lake Charles LLC | Radiology | 3114 Lake St, Lake Charles, LA 70601 | 2005-07-15 |
| 1902302193 | Amd Healthcare Lc, LLC | Radiology | 3730 Nelson Road, Lake Charles, LA 70605 | 2018-04-05 |
| 1700171329 | Kevin Gabriel Garrett Jr. | Radiology | 1800 Ryan St Ste 105, Lake Charles, LA 70601-6078 | 2011-06-10 |
| 1285894196 | Jeremy M Rau | Radiology | 1800 Ryan St, Suite 105, Lake Charles, LA 70601-6078 | 2008-06-13 |
| 1336348549 | Jason J. Braud | Radiology | 1800 Ryan St, Suite 105, Lake Charles, LA 70601-6078 | 2007-07-17 |
| 1033215710 | Radiology Associates of Southwest Louisiana | Radiology | 1800 Ryan St, Suite 105, Lake Charles, LA 70601-6078 | 2006-09-16 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.