Individual provider Active NPI

Anthony James Martinez, MD

  • Otolaryngology Physician
  • Baton Rouge, LA
National Provider Identifier
1578565073
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME 59010 Issued in FL
Practice address
3856 N Bluebonnet Rd
Baton Rouge, LA 70809-2653
Phone
(225) 663-6752
Fax
(225) 663-6752
NPI assigned
Aug 15, 2005
Last updated
Nov 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME 59010 FL Primary
Otolaryngology Physician 207Y00000X 014768 LA

Addresses

Primary practice location

3856 N Bluebonnet Rd
Baton Rouge, LA 70809-2653

Mailing address

3856 N Bluebonnet Rd
Baton Rouge, LA 70809-2653
Phone (225) 663-6752

Other identifiers 3

IdentifierTypeStateIssuer
052694100MedicaidFL
040017919OtherFLRAILROAD MEDICARE
1338150MedicaidLA

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 59010FLMDOtolaryngology Physician
014768LAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LCMC Urgent Care LLC CurrentSince Nov 14, 2017 Accepting new patients
Convenient Care LLC CurrentSince Oct 11, 2011 Accepting new patients
Convenient Care LLC Current Accepting new patients
Convenient Care LLC CurrentSince Oct 11, 2011 Accepting new patients

Locations

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

70340 Highway 21
#A
Covington, LA 70433
Phone (985) 809-8989

107 Maryland Dr
Luling, LA 70070
Phone (504) 349-6411

2600 Belle Chasse Hwy
Ste B2
Terrytown, LA 70056
Phone (504) 309-7108

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1578565073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3856 N BLUEBONNET RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092653",
            "telephone_number": "225-663-6752",
            "fax_number": "225-663-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3856 N BLUEBONNET RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092653",
            "telephone_number": "225-663-6752",
            "fax_number": "225-663-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "ANTHONY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME 59010",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "014768",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052694100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040017919",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1338150",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.