Provider Demographics
NPI:1336288752
Name:L THOMAS CASHIO MD & MARK JUNEAU JR MD,PC
Entity Type:Organization
Organization Name:L THOMAS CASHIO MD & MARK JUNEAU JR MD,PC
Other - Org Name:JEFFERSON ORTHOPEDIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNEAU
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:504-349-6804
Mailing Address - Street 1:920 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-3112
Mailing Address - Country:US
Mailing Address - Phone:504-349-6804
Mailing Address - Fax:
Practice Address - Street 1:920 AVENUE B
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3112
Practice Address - Country:US
Practice Address - Phone:504-349-6804
Practice Address - Fax:504-349-6844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2024-01-02
Deactivation Date:2023-09-26
Deactivation Code:
Reactivation Date:2023-10-24
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LACK4990OtherRAILROAD MEDICARE GROUP
LA1792217Medicaid
LA0418960001Medicare NSC
LA1792217Medicaid