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MARIO J. MORENO M.D.
NPI 1639229560
Specialist in Baton Rouge, LA

Active since January 11, 2007
16777 MEDICAL CENTER DR, STE 400, BATON ROUGE, LA 70816(225) 926-7200(225) 952-8502 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mario J. Moreno M.d. NPPES

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

MARIO J. MORENO M.D. (NPI 1639229560) is an individual specialist in Baton Rouge, Louisiana, licensed in Louisiana (MD.06121R) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1639229560
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARIO J. MORENOCredential: M.D.
Location Address16777 MEDICAL CENTER DR, STE 400Baton Rouge, LA 70816-3254
Mailing Address16777 Medical Center DrBaton Rouge, LA 70816-3254 · (225) 926-7200 · Fax (225) 952-8502
Phone(225) 926-7200
Fax(225) 952-8502
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateJanuary 22, 2014
✔ NPI 1639229560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · MD.06121R
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
16777 MEDICAL CENTER DR, Baton Rouge, LA 70816
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Other Identifiers 3

Medicaid1330752LA
Medicare ID-Type Unspecified54121
Medicare UPINB89685

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.

DR. LINDA MAUTERER MCCAULEY M.D.
Internal Medicine
16777 MEDICAL CENTER DR, STE 400
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 926-7200
MACI BREAUX PETITE APRN, FNP-C
Nurse Practitioner (Family)
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 761-5200
YASMIN NICHOLE BENNIE FNP-C
Nurse Practitioner (Family)
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 761-5200
JAMIE MCDONALD C.N.M.
Midwife
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 761-5239
MRS. PAMELA HAYWARD
Pharmacy Technician
16777 MEDICAL CENTER DR, SUITE 400
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 952-8708
STANOCOLA EMPLOYEES MEDICAL & HOSPITAL ASSOCIATION, INC
Pharmacy (Clinic Pharmacy)
16777 MEDICAL CENTER DR, SUITE 400
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 926-7200
COURTNEY ERICKA WILLIAMS FNP
Nurse Practitioner (Family)
16777 MEDICAL CENTER DR
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 761-5200
KIM KUCHLER DUPRE' R.N.,BSN,CNOR
Registered Nurse
16777 MEDICAL CENTER DR, STE 400
BATON ROUGE, LA 70816
East Baton Rouge Parish (225) 926-7200

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 Mario Moreno's NPI number?

The NPI number for Mario Moreno is 1639229560. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Mario Moreno located?

Mario Moreno practices at 16777 Medical Center Dr Ste 400, Baton Rouge, LA 70816. The listed phone number is (225) 926-7200.

What is Mario Moreno's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mario Moreno was last updated on January 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.