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MASON DESHOTEL MD
NPI 1164369963
Student in an Organized Health Care Education/Training Program in Baton Rouge, LA

Active since April 30, 2026
8415 GOODWOOD BLVD STE 202, BATON ROUGE, LA 70806(225) 765-8013(225) 765-2033 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mason Deshotel Md NPPES

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

MASON DESHOTEL MD (NPI 1164369963) is an individual student in an organized health care education/training program in Baton Rouge, Louisiana and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1164369963
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMASON DESHOTELCredential: MD
Location Address8415 GOODWOOD BLVD STE 202Baton Rouge, LA 70806-7851
Mailing Address8300 Constantin Blvd Fl 2Baton Rouge, LA 70809-3489 · (225) 374-1317 · Fax (225) 374-1611
Phone(225) 765-8013
Fax(225) 765-2033
Sole ProprietorYes
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1164369963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

8415 GOODWOOD BLVD STE 202, Baton Rouge, LA 70806
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Other Providers at the Same Location NPPES 20

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

BERNICE KLENAM ARABA MENSAH
Student in an Organized Health Care Education/Training Program
8415 GOODWOOD BLVD STE 202
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 765-8013
SANDEEP BAINS MD
Student in an Organized Health Care Education/Training Program
8415 GOODWOOD BLVD STE 202
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 765-8013
RILEY HAGY MD
Student in an Organized Health Care Education/Training Program
8415 GOODWOOD BLVD STE 202
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 765-8013
KAITLIN FAY EVANS DO
Pediatrics
8415 GOODWOOD BLVD STE 202
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 765-8013
PATRICK ELIAS WHIPPLE DO
Student in an Organized Health Care Education/Training Program
8415 GOODWOOD BLVD STE 202
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 765-8013
CINQUA MARZETT
Student in an Organized Health Care Education/Training Program
8415 GOODWOOD BLVD STE 202
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 765-8013
DR. JULIA CLAIRE WILLIAMS DO
Student in an Organized Health Care Education/Training Program
8415 GOODWOOD BLVD STE 202
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 765-8013
NICOLETTE RUZICKA MARAK MD
Pediatrics
8415 GOODWOOD BLVD STE 202
BATON ROUGE, LA 70806
East Baton Rouge Parish (225) 765-8013

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 Mason Deshotel's NPI number?

The NPI number for Mason Deshotel is 1164369963. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Mason Deshotel located?

Mason Deshotel practices at 8415 Goodwood Blvd Ste 202, Baton Rouge, LA 70806. The listed phone number is (225) 765-8013.

What is Mason Deshotel's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mason Deshotel was last updated on April 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.