Active NPI
Edward J Martin III, M.D.
- Anatomic Pathology Physician
- Gretna, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 018796
- Practice address
- 1141 Whitney Ave
Gretna, LA 70056-5011 - Phone
- (504) 361-3757
- Fax
- (504) 361-3132
- NPI assigned
- Jun 23, 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 |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | 018796 | LA | Primary |
Addresses
Primary practice location
1141 Whitney Ave
Gretna, LA 70056-5011
Mailing address
PO Box 731280
Dallas, TX 75373-1280
Phone (318) 841-9526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922099 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Tulane University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800
Hospital & facility affiliations
- East Jefferson General Hospital
- University Medical Center New Orleans
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018796 | LA | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Southern Pathology, a Professional Medical Corporation | Past | Accepting new patients | |
| Prytania Pathology Associates LLC | Past | Accepting new patients | |
| Southern Pathology a Professional Medical Corporation | Past | Accepting new patients |
Locations
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300
2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287
1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800
Organizations & group practices 6
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
- New Orleans, LA
- NPI 1528014164
-
- Anatomic Pathology & Clinical Pathology Physician
- Shreveport, LA
- NPI 1548258973
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Anatomic Pathology & Clinical Pathology Physician
- New Orleans, LA
- NPI 1649300955
-
- Clinical Medical Laboratory
- Covington, LA
- NPI 1275812448
-
- Anatomic Pathology & Clinical Pathology Physician
- Covington, LA
- NPI 1972634715
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1568403111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1255367132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 731280",
"city": "DALLAS",
"state": "TX",
"postal_code": "753731280",
"telephone_number": "318-841-9526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 WHITNEY AVE",
"city": "GRETNA",
"state": "LA",
"postal_code": "700565011",
"telephone_number": "504-361-3757",
"fax_number": "504-361-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "EDWARD",
"middle_name": "J",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "LA",
"license": "018796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922099",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.