Active NPI
James Tinsley Martin III, CRNA
- Certified Registered Nurse Anesthetist
- Shreveport, LA
National Provider Identifier
1619942497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP04869
- Practice address
- 2600 Greenwood Rd
Shreveport, LA 71103-3908 - Phone
- (318) 212-4000
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP04869 | LA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | CO2643 | AR |
Addresses
Primary practice location
2600 Greenwood Rd
Shreveport, LA 71103-3908
Mailing address
192 Fountain VW
Shreveport, LA 71118-2942
Phone (318) 688-8637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2302 College Ave
Conway, AR 72034-6297
Phone (501) 327-6665
Hospital & facility affiliations
- Conway Regional Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.14 of 100
- Quality
- 83.98
- Improvement activities
- 40
- Cost
- 76.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO2643 | AR | MD | Certified Registered Nurse Anesthetist |
| AP04869 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Anesthesiology Consultants, P.a. | Current | Accepting new patients |
Locations
2302 College Ave
Conway, AR 72034
Phone (501) 329-3831
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Conway, AR
- NPI 1568423820
-
- Emergency Care Clinic/Center
- Clinton, AR
- NPI 1043305501
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
-
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619942497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 FOUNTAIN VW",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711182942",
"telephone_number": "318-688-8637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GREENWOOD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033908",
"telephone_number": "318-212-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JAMES",
"middle_name": "TINSLEY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP04869",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "CO2643",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- 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.
- 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.