Active NPI
Scot A Martin, MD. PC.
- Plastic Surgery Physician
- Las Cruces, NM
National Provider Identifier
1013029776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 20020069
- Practice address
- 141 S Roadrunner Pkwy
Suite 129
Las Cruces, NM 88011-2006 - Phone
- (505) 521-7111
- Fax
- (505) 521-0563
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 20020069 | NM | Primary |
Addresses
Primary practice location
141 S Roadrunner Pkwy
Suite 129
Las Cruces, NM 88011-2006
Mailing address
141 S Roadrunner Pkwy
Suite 129
Las Cruces, NM 88011-2006
Phone (505) 521-7111
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00NM019760 | Other | NM | BCBS NM |
| 57836370 | Medicaid | NM | |
| 753046022001 | Other | NM | MOLINA CIMARRON |
| 772805 | Other | NM | PRESBYTERIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scot a. Martin, M.D. LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Las Cruces, NM
- NPI 1275722589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1013029776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 S ROADRUNNER PKWY",
"address_2": "SUITE 129",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880112006",
"telephone_number": "505-521-7111",
"fax_number": "505-521-0563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 S ROADRUNNER PKWY",
"address_2": "SUITE 129",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880112006",
"telephone_number": "505-521-7111",
"fax_number": "505-521-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "SCOT",
"middle_name": "A",
"credential": "MD. PC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NM",
"license": "20020069",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NM",
"identifier": "00NM019760",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57836370",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA CIMARRON",
"identifier": "753046022001",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN",
"identifier": "772805",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.