John V. Marymont in Shreveport - Foot And Ankle Surgery
John V. Marymont - NPI 1801976212
John V. Marymont is a Foot And Ankle Surgery in Shreveport, Louisiana. John V. Marymont practices all healthcare services and medical treatments related to Foot And Ankle Surgery. The NPI Number for John V. Marymont is 1801976212. The last update date is 2012-07-26.
John V. Marymont's current location address is 1512 W Kirby Pl, Shreveport, Louisiana. You can contact this provider via phone number 3186757636. The mailing address for John V. Marymont is 1512 W Kirby Pl, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John V. Marymont |
|---|---|
| Address | 1512 W Kirby Pl, Shreveport, Louisiana |
| Phone Number | 3186757636 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1801976212 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2012-07-26 |
Provider Mailing Address Detail
| Address | 1512 W Kirby Pl |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711033822 |
| Phone Number | 3186757636 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Foot And Ankle Surgery |
|---|---|
| Taxonomy | 207Xx0004X |
| Licence No | 203714 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and ch |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2110080 | LA | -- | |
| 4P025F600 | LA | MEDICARE - PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to John V. Marymont by the Centers for Medicare & Medicaid Services?
The John V. Marymont has been assigned the NPI (National Provider Identifier) 1801976212. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where John V. Marymont is geographically located?
The John V. Marymont is physically situated at the following location: 1512 W Kirby Pl, Shreveport, LA, 711033822.
What is the John V. Marymont's specialty and taxonomy code?
The John V. Marymont's specialty is Foot And Ankle Surgery, and the corresponding taxonomy code is 207Xx0004X.
On what date did John V. Marymont receive its 1801976212 assignment from the Centers for Medicare & Medicaid Services?
The John V. Marymont was assigned its 1801976212 on 2006-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John V. Marymont most recently updated or revised?
The details related to John V. Marymont, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-26.