DR. JOHN V. MARYMONT MD NPI 1801976212

NPI Information

NPI: 1801976212
Provider Name: DR. JOHN V. MARYMONT, MD
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Individual

Specialization: Foot and Ankle Surgery

Address:
1501 KINGS HWY
DEPARTMENT OF ORTHOPEDICS
SHREVEPORT, LA
ZIP 71103
Phone: (318) 675-5000
Get Directions

DR. John V. Marymont, MD is a foot and ankle surgery orthopaedic surgery in Shreveport, LA. The provider is 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 children's foot and ankle reconstructive surgery. DR. John V. Marymont, MD NPI is 1801976212. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1501 KINGS HWY
DEPARTMENT OF ORTHOPEDICS
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 675-5000

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207XX0004X	Orthopaedic Surgery	Foot and Ankle Surgery	203714	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4P025F600	OTHER	LOUISIANA	MEDICARE - PTAN
2	2110080	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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