Organization Active NPI

Martha St. John, M.D., P.a.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1134220650
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L9500 Issued in TX
Legal business name
MARTHA ST. JOHN, M.D., P.A.
Practice address
11767 Katy Fwy
Suite 364
Houston, TX 77079-1716
Phone
(281) 497-3500
Fax
(281) 497-3512
NPI assigned
Sep 26, 2006
Last updated
Jul 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Dr. Martha Wolfram St. John, MDNPI 1073534921
Title
Owner
Phone
(281) 497-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L9500 TX Primary

Addresses

Primary practice location

11767 Katy Fwy
Suite 364
Houston, TX 77079-1716

Mailing address

11767 Katy Fwy
Suite 364
Houston, TX 77079-1716
Phone (281) 497-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000160 TX Part B Supplier - Clinic/Group Practice 6002918273 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

11757 Katy Fwy
Ste 380
Houston, TX 77079
Phone (281) 497-3500

11767 Katy Fwy
Ste 364
Houston, TX 77079
Phone (281) 497-3500

14811 Saint Marys Ln
Ste 270
Houston, TX 77079
Phone (281) 497-3500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1134220650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11767 KATY FWY",
            "address_2": "SUITE 364",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791716",
            "telephone_number": "281-497-3500",
            "fax_number": "281-497-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11767 KATY FWY",
            "address_2": "SUITE 364",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791716",
            "telephone_number": "281-497-3500",
            "fax_number": "281-497-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA ST. JOHN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "ST. JOHN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "WOLFRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-497-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L9500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.