Healthcare Provider Details

I. General information

NPI: 1609964881
Provider Name (Legal Business Name): SHAWN MCCANN MD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

424 N WASHINGTON ST STE C
MARKSVILLE LA
71351-2462
US

IV. Provider business mailing address

424 N WASHINGTON ST STE C
MARKSVILLE LA
71351-2462
US

V. Phone/Fax

Practice location:
  • Phone: 318-240-9503
  • Fax: 360-323-2345
Mailing address:
  • Phone: 318-240-9503
  • Fax: 360-323-2345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SHAWN ELLINGTON MCCANN
Title or Position: MD
Credential:
Phone: 337-806-9017