Claiborne & Associates LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

101799 Issued in LA

Legal business name

CLAIBORNE & ASSOCIATES LLC

Practice address

1477 Louisiana Ave
Ste 100
New Orleans, LA 70115

Phone

(504) 895-4339

Fax

(504) 895-3326

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Martin D Claiborne III, M.D.NPI 1699770214

Title

Sole Owner

Phone

(504) 895-4339

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Koretzky & Claiborne LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Martin D. Claiborne III, MD

  • Dermatology Physician
  • New Orleans, LA
  • NPI 1699770214
  Medicare reassignment Care Compare group NPD Authorized official
• William Charles Cole Claiborne, M.D., M.P.H.

  • Dermatology Physician
  • New Orleans, LA
  • NPI 1518266402
  Medicare reassignment Care Compare group NPD
• Kelly McCune Vogel

  • Dermatology Physician
  • New Orleans, LA
  • NPI 1902309792

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Emil D. Koretzky, MD

  • Dermatology Physician
  • Rochester, MN
  • NPI 1316942931
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1275538803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 LOUISIANA AVE",
            "address_2": "STE 100",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "504-895-4339",
            "fax_number": "504-895-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 LOUISIANA AVE",
            "address_2": "STE 100",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "504-895-4339",
            "fax_number": "504-895-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIBORNE & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "CLAIBORNE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "504-895-4339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "LA",
            "license": "101799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1793361",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koretzky & Claiborne LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Karin Civello, LMT
• Cla Care of la II, LLC
• Cla Care of la III, LLC
• Cla Care of la, LLC
• Veronica Lee Claborn, LPC
• Claiborne Discount Pharmacy, LLC
• Annette Claiborne, BS CSS
• Brenda Claiborne
• Martin D. Claiborne III, MD
• Morgan Simmons Claiborne, PA-C

• Dermatology Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.