NPIMap

Organization Active NPI

Scot a. Martin, M.D. LLC

  • Specialist
  • Las Cruces, NM
National Provider Identifier
1275722589
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2002-0069 Issued in NM
Legal business name
SCOT A. MARTIN, M.D. LLC
Doing business as
Scot A. Martin, M.D. LLC
Practice address
141 S Roadrunner Pkwy
Suite 129
Las Cruces, NM 88011-2006
Phone
(575) 521-7111
Fax
(575) 521-0563
NPI assigned
Oct 23, 2007
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. Scot A Martin, M.D.NPI 1013029776
Title
Owner
Phone
(575) 521-7111

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
Specialist 174400000X 2002-0069 NM Primary

Addresses

Primary practice location

141 S Roadrunner Pkwy
Suite 129
Las Cruces, NM 88011-2006

Mailing address

141 S Roadrunner Pkwy
Suite 129
Las Cruces, NM 88011-2006
Phone (575) 521-7111

Other names 1

  • Scot A. Martin, M.D. LLC Doing business as

National Provider Directory

National Provider Directory

Locations

141 N Roadrunner Pkwy
Ste 129
Las Cruces, NM 88011
Phone (575) 521-7111

Practitioners & affiliated clinicians

Practitioners 1

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": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1275722589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 S ROADRUNNER PKWY",
            "address_2": "SUITE 129",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880112006",
            "telephone_number": "575-521-7111",
            "fax_number": "575-521-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S ROADRUNNER PKWY",
            "address_2": "SUITE 129",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880112006",
            "telephone_number": "575-521-7111",
            "fax_number": "575-521-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOT A. MARTIN, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-521-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "2002-0069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scot A. Martin, M.D. LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.