Andrew Wayne Martin Sr., MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

010957 Issued in LA

Practice address

121 St. Charles CT.
Abita Springs, LA 70420

Phone

(985) 893-2408

Fax

(985) 893-2408

NPI assigned

Aug 31, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Houma Radiology Associates PC

  • Diagnostic Radiology Physician
  • Houma, LA
  • NPI 1669478889
  NPD (past)
• Terrebonne Parish Hospital Service District #1

  dba Terrebonne General Medical Center

  • Anesthesiology Physician
  • Houma, LA
  • NPI 1740248129
  NPD (past)

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1053660456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5399",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "704205399",
            "telephone_number": "985-893-2408",
            "fax_number": "985-893-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ST. CHARLES CT.",
            "city": "ABITA SPRINGS",
            "state": "LA",
            "postal_code": "70420",
            "telephone_number": "985-893-2408",
            "fax_number": "985-893-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ANDREW",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "010957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis P. Nogues, III, DDS, a Professional Corp.
• Louisiana Telerad LLC
• Ali Luchtman, PLPC
• Leslie M Magee, RPH
• Rachel Marquardt, M.A.,CCC-SLP
• Tiffany Mejia, RAC
• Eduardo Menendez, DDS
• Emily Elizabeth Meyers, LPC
• Thomas Jeffery Minarik II
• MRC Marketing (Healing Hope Behavioral Health Counseling Services)

• Diagnostic Radiology Physician in Abita Springs, LA
• Providers in Abita Springs, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.