Martha Damron Wickett, MD

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

010966 Issued in LA

Practice address

5001 Westbank Expy
Marrero, LA 70072

Phone

(504) 349-8708

Fax

(504) 329-8703

NPI assigned

Jul 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Capital Area Human Services District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1174681852
  NPD
• Capital Area Human Services District

  • Recovery Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1508144502
  NPD
• Capital Area Human Services District

  • Adult Medicine Physician
  • Baton Rouge, LA
  • NPI 1609609023
  NPD
• Capital Area Human Services District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1710047980
  NPD
• Capital Area Human Services District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gonzales, LA
  • NPI 1730104654
  NPD
• Jefferson Parish Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jefferson, LA
  • NPI 1194252478
  NPD (past)
• Jefferson Parish Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marrero, LA
  • NPI 1821039983
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295749513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W ESPLANADE AVE",
            "address_2": "SUITE 213",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70002",
            "telephone_number": "504-838-5716",
            "fax_number": "504-838-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-349-8708",
            "fax_number": "504-329-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKETT",
        "first_name": "MARTHA",
        "middle_name": "DAMRON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "LA",
            "license": "010966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1696374",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Westside Optical Dispensary
• Anna Wetzel, PA-C
• Darren E Whitcomb, MD
• Derron White, HAIR LOSS SPECIALIST
• Lane Whitsell
• Jeffrey Paul Wilhite, O.D.
• Cheryl Wiliams
• Aftyn Williams
• Anitra Williams
• Cleanelle Williams

• Public Health or Welfare Agency in Marrero, LA
• Providers in Marrero, LA by specialty
• Public Health or Welfare Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.