Provider Demographics
NPI:1740407915
Name:MEDICAL ONCOLOGY, L.L.C.
Entity Type:Organization
Organization Name:MEDICAL ONCOLOGY, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:STAGG
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:225-757-0343
Mailing Address - Street 1:8119 PICARDY AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3515
Mailing Address - Country:US
Mailing Address - Phone:225-757-0343
Mailing Address - Fax:225-757-8354
Practice Address - Street 1:8119 PICARDY AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3515
Practice Address - Country:US
Practice Address - Phone:225-757-0343
Practice Address - Fax:225-757-8354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4255630001Medicare NSC
LA5C382Medicare ID - Type Unspecified