Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Mark Douglas Ganey, PA-C

Individual provider Physician Assistant · NPI 1063785681

Mr. Mark Douglas Ganey, PA-C is a Physician Assistant in Ruston, Louisiana. Works from 2 locations. Licensed in Louisiana and Texas.

Licensed in
LA, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

310 W Mississippi Ave
Ruston, LA 71270-4202
Phone: (318) 513-1212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 — (318) 456-6324

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 312368 (LA)
Physician Assistant Taxonomy 363A00000X · Licence PA09803 (TX)

Record details

NPI number1063785681
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 13, 2012
Last updated in NPPESSeptember 10, 2021
Certification dateSeptember 10, 2021

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