Organization Active NPI

Jorge Martinez-Leyva, MD

  • Neurological Surgery Physician
  • Shreveport, AL
National Provider Identifier
1053403659
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
JORGE MARTINEZ-LEYVA, MD
Practice address
8001 Youree Drive
Suite 850
Shreveport, AL 71115
Phone
(318) 424-2623
Fax
(318) 227-1357
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jorge Martinez
Title
MD
Phone
(318) 424-2623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

8001 Youree Drive
Suite 850
Shreveport, AL 71115

Mailing address

PO Box 52119
Shreveport, LA 71135-2119
Phone (318) 424-2623

National Provider Directory

National Provider Directory

Locations

8001 Youree Dr
Ste 850
Shreveport, LA 71115
Phone (318) 424-2623

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1053403659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52119",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711352119",
            "telephone_number": "318-424-2623",
            "fax_number": "318-227-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DRIVE",
            "address_2": "SUITE 850",
            "city": "SHREVEPORT",
            "state": "AL",
            "postal_code": "71115",
            "telephone_number": "318-424-2623",
            "fax_number": "318-227-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE MARTINEZ-LEYVA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "318-424-2623"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.