Mark C Shoptaugh Jr. (NPI# 1417272253, PAC ID# 6608093026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1417272253 |
| PAC ID by PECOS | 6608093026 |
| Professional Enrollment ID | I20140808000725 |
| Full Name | Mark C Shoptaugh Jr. |
| Address |
7865 Jefferson Hwy Suite D Baton Rouge LA 70809-1384 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2010 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190020 | LANE REGIONAL MEDICAL CENTER |
| 190064 | OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4040 N Boulevard, Baton Rouge, LA 70806-3829 | 2253008470 | OGLETHORP OF BATON ROUGE LLC |
| 4363 Convention St, Baton Rouge, LA 70806-3906 | 2255224076 | SEASIDE HEALTH SYSTEM LLC |
| 7865 Jefferson Hwy, Suite D, Baton Rouge, LA 70809-1384 |
| Street Address |
7865 JEFFERSON HWY SUITE D |
| City | BATON ROUGE |
| State | LA |
| Zip | 70809-1384 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Dupre | General Surgery | 8595 Picardy Ave, Suite 235, Baton Rouge, LA 70809-0610 | |
| Shaban Faruqui | Gastroenterology | Baton Rouge General Medical Center | 8595 Picardy Ave, Suite 235, Baton Rouge, LA 70809-0610 |
| Jill H Fruge | Internal Medicine | Our Lady of The Lake Physician Group LLC | 7855 Jefferson Hwy, Baton Rouge, LA 70809-1206 |
| David E Thomas | Sleep Medicine | 2355 Drusilla Ln, Baton Rouge, LA 70809-1443 | |
| Richard Gaynor | Internal Medicine | 2320 Drusilla Ln, Suite B, Baton Rouge, LA 70809-1495 | |
| Betty Armstrong | Clinical Social Worker | 8017 Jefferson Hwy B1, Baton Rouge, LA 70809-1681 | |
| Steven K Bordelon | Clinical Social Worker | 8017 Jefferson Hwy, Suite B4, Baton Rouge, LA 70809-1681 | |
| Patricia A Godfrey | Clinical Social Worker | 8017 Jefferson Hwy, Suite B1, Baton Rouge, LA 70809-1681 | |
| Adrian A Agosta | Clinical Social Worker | 7940 Wrenwood Blvd, Apt G, Baton Rouge, LA 70809-1766 | |
| Virginia Diane Garrett | Psychologist, Clinical | 7916 Wrenwood Blvd, Suite C, Baton Rouge, LA 70809-1782 | |
| Find all physicians in zip 70809 | |||
| City | BATON ROUGE |
| Zip Code | 70809 |
| Specialty | PSYCHIATRY |
| City + Specialty | BATON ROUGE + PSYCHIATRY |
Please comment or provide details below to improve the information on Mark C Shoptaugh Jr..
| 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.