Provider Demographics
NPI:1891737284
Name:CAGE, JOHN MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MICHAEL
Last Name:CAGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:711 SAINT JOHN ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-8435
Mailing Address - Country:US
Mailing Address - Phone:318-387-9420
Mailing Address - Fax:318-323-8216
Practice Address - Street 1:312 GRAMMONT ST STE 411
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-7403
Practice Address - Country:US
Practice Address - Phone:318-966-6622
Practice Address - Fax:318-966-6621
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA009037208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1084875Medicaid
LAE38984Medicare UPIN
LA0821080001Medicare NSC
LA5O937Medicare PIN