NPIMap

Individual provider Active NPI

Martina Abena Tamakloe, MD

  • Internal Medicine Physician
  • Ruston, LA
National Provider Identifier
1396770566
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.201853 Issued in LA
Practice address
401 E Vaughn Ave
Ruston, LA 71270-5950
Phone
(318) 254-2100
NPI assigned
Jul 12, 2006
Last updated
Nov 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-11439 AR
Internal Medicine Physician 207R00000X 35190 LA
Internal Medicine Physician 207R00000X MD.201853 LA Primary

Addresses

Primary practice location

401 E Vaughn Ave
Ruston, LA 71270-5950

Mailing address

327 Jefferson Oaks Dr
Ruston, LA 71270-7080
Phone (318) 254-3001

Other identifiers 1

IdentifierTypeStateIssuer
1331767MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, AR, KY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080402000097 LA Practitioner - Internal Medicine 3678586054 Reassigns benefits to 4 organizations
I20181101000464 AR Practitioner - Internal Medicine 3678586054 Reassigns benefits to 2 organizations
I20260421001305 KY Practitioner - Internal Medicine 3678586054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

1 Saint Joseph Dr
Lexington, KY 40504-3742
Phone (859) 313-1000

150 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 967-5000

401 E Vaughn Ave
Hospitalist Services
Ruston, LA 71270-5950
Phone (318) 254-2100

700 W Grove St
El Dorado, AR 71730-4416
Phone (888) 264-0330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-11439ARMDInternal Medicine Physician
35190LAMDInternal Medicine Physician
MD.201853LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC of El Dorado LLC CurrentSince Nov 10, 2022 Accepting new patients
Concord Medical Group PLLC CurrentSince Jul 19, 2024 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Oct 1, 2021 Accepting new patients
Minden Physician Practices LLC Current Accepting new patients
Minden Physician Practices LLC CurrentSince Oct 2, 2017 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Oct 1, 2021 Accepting new patients
Minden Physician Practices LLC CurrentSince Oct 2, 2017 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jul 19, 2024 Accepting new patients
Hsa Louisiana Physician Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Farmerville Nursing and Rehabilitation Center, LLC Past Accepting new patients
Korle Bu Medical Group Internal Medicine Past Accepting new patients
Professional Hospice Care, L.L.C. Past Accepting new patients
Home Physicians PC PastSince Jan 1, 2008 Accepting new patients
Lakeside at Farmerville LLC Past Accepting new patients
CLHG-Ruston LLC Past Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

2 Medical Plaza Pl
Minden, LA 71055
Phone (318) 377-6500

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

Interoperability endpoints

  • Direct secure messaging: martina.tamakloe.1@3681.direct.athenahealth.com
  • Direct secure messaging: martina.tamakloe.2@3681.direct.athenahealth.com
  • Direct secure messaging: tamakloe_dr_martina@yourcarecommunity.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1396770566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 JEFFERSON OAKS DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712707080",
            "telephone_number": "318-254-3001",
            "fax_number": "318-254-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705950",
            "telephone_number": "318-254-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAKLOE",
        "first_name": "MARTINA",
        "middle_name": "ABENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-11439",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "35190",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.201853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1331767",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.