MEDICARE: DR. ROBERT MARK SAYES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	019375	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225026529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MARK SAYES M.D.

Provider Business Mailing Address
First Line	:	159 LONGVIEW DR
Second Line	:	STE C
City	:	DESTREHAN
State	:	LA
Zip	:	70047-5076
Country	:	US
Telephone Number	:	225-237-1754
Fax Number	:	225-237-1722

Provider Business Practice Location Address
First Line	:	17520 OLD JEFFERSON HWY
Second Line	:	STE B
City	:	PRAIRIEVILLE
State	:	LA
Zip	:	70769-3929
Country	:	US
Telephone Number	:	225-673-8983
Fax Number	:	225-677-8983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	02/20/2017

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