Individual provider Active NPI

Marta HF Robertson, MD

  • Family Medicine Physician
  • Donaldsonville, LA
National Provider Identifier
1487845285
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
203765 Issued in LA
Practice address
214 Clinic Dr
Donaldsonville, LA 70346-4309
Phone
(225) 473-8151
Fax
(225) 644-5213
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 203765 LA Primary

Addresses

Primary practice location

214 Clinic Dr
Donaldsonville, LA 70346-4309

Mailing address

214 Clinic Dr
Donaldsonville, LA 70346-4309
Phone (225) 473-8151

Other identifiers 1

IdentifierTypeStateIssuer
1006912MedicaidLA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000851 LA Practitioner - Family Practice 2264556422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203765LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Surgical Associates, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1487845285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CLINIC DR",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703464309",
            "telephone_number": "225-473-8151",
            "fax_number": "225-644-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CLINIC DR",
            "city": "DONALDSONVILLE",
            "state": "LA",
            "postal_code": "703464309",
            "telephone_number": "225-473-8151",
            "fax_number": "225-644-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MARTA",
        "middle_name": "HF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "203765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006912",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Donaldsonville, LA

Sources for this page

Verify at the official NPI Registry.