DONALD GENE MACK JR. MD
NPI 1154498491
Pediatrics in Shreveport, LA

Active since November 30, 2006
1799 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105(318) 797-9000(318) 797-9250 Get Directions Write a Review

NPPES record last updated: December 17, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Donald Gene Mack Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD GENE MACK JR. MD (NPI 1154498491) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Louisiana (018958) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1154498491
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDONALD GENE MACK JR.Credential: MD
Location Address1799 E BERT KOUNS INDUSTRIAL LOOPShreveport, LA 71105-5561
Mailing Address1799 E Bert Kouns Industrial LoopShreveport, LA 71105-5561 · (318) 797-9000 · Fax (318) 797-9250
Fax(318) 797-9250
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateDecember 17, 2007
NPI 1154498491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in LA · 018958
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1799 E BERT KOUNS INDUSTRIAL LOOP, Shreveport, LA 71105

Other Identifiers 1

Medicaid1393304LA

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1799 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105
Pediatrics
1799 E BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Mack's NPI number?

The NPI number for Donald Mack is 1154498491. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Donald Mack located?

Donald Mack practices at 1799 E Bert Kouns Industrial Loop, Shreveport, LA 71105. The listed phone number is (318) 797-9000.

What is Donald Mack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Donald Mack accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Donald Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Donald Mack was last updated on December 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.