Scott Kenneth Martin, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.200388.RX Issued in LA

Practice address

1014 Saint Clair Blvd Ste 1020
Gonzales, LA 70737-5027

Phone

(225) 743-2000

Fax

(224) 743-2010

NPI assigned

Jun 9, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic and Sports ClinicGroup PAC ID 2365616943, 2 clinicians

Lake Urgent Care Ascension LLCGroup PAC ID 0244479095, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
• Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/Freedom_OSC

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopaedic & Sports Clinic

  • Orthopaedic Surgery Physician
  • Gonzales, LA
  • NPI 1992983092
  Medicare reassignment Care Compare group NPD
• Lake Urgent Care Ascension LLC

  dba Lake Urgent Care - Ascension

  • Urgent Care Clinic/Center
  • Prairieville, LA
  • NPI 1912243122
  Medicare reassignment Care Compare group
• Convenient Care LLC

  dba Lake After Hours Perkins

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1164422630
  Medicare reassignment
• Convenient Care LLC

  dba Lake After Hours Hammond

  • Urgent Care Clinic/Center
  • Hammond, LA
  • NPI 1225119225
  NPD
• Iberia Bone Joint & Foot Clinic AMC

  • Specialist
  • Baton Rouge, LA
  • NPI 1477700656
  NPD (past)
• Lake Urgent Care Ascension LLC

  dba Lake Urgent Care - Galvez

  • Urgent Care Clinic/Center
  • Prairieville, LA
  • NPI 1104162221
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Our Lady of the Lake Hospital Inc.

  dba Our Lady of the Lake Regional Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1366436123
  Care Compare affiliation
• Southwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • McComb, MS
  • NPI 1407805971
  Care Compare affiliation

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1366762676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 SAINT CLAIR BLVD STE 1020",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375027",
            "telephone_number": "225-743-2000",
            "fax_number": "225-743-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 SAINT CLAIR BLVD STE 1020",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707375027",
            "telephone_number": "225-743-2000",
            "fax_number": "224-743-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SCOTT",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200388.RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parissa L Majlesein, PT, DPT
• Stephen Bernard Manale, M.D.
• Michael Joseph Marchand Jr., RDN, LDN
• Kristin King Martin, NP
• Renee Diez Martin, PT
• Betye J Mashack, ED.D.
• Karippelil E. Mathew, M.D.
• Leyamma Mathew, M.D.
• Maturin Pediatric Dentistry LLC (Ascension Children's Dental)
• Tracy Rakelle McBride, DC

• Physician Assistant in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.

Verify at the official NPI Registry.