Martin Aviles MD a Professional Medical Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

13567R Issued in LA

Legal business name

MARTIN AVILES MD A PROFESSIONAL MEDICAL CORPORATION

Doing business as

Natchitoches Women's Care

Practice address

627 Bienville Cir
Natchitoches, LA 71457-5744

Phone

(318) 352-9595

Fax

(318) 352-9818

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Martin Aviles, MDNPI 1417952102

Title

Owner Physician

Phone

(318) 352-9595

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Natchitoches Women's Care Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Aviles, M.D.

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
  • NPI 1417952102
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1679645071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 BIENVILLE CIR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575744",
            "telephone_number": "318-352-9595",
            "fax_number": "318-352-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 BIENVILLE CIR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575744",
            "telephone_number": "318-352-9595",
            "fax_number": "318-352-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN AVILES MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "318-352-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "13567R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI MEDICARE PIN/PTAN",
            "identifier": "5DF29",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP 'MEMBER' PIN/PTAN",
            "identifier": "5H631DF29",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI #",
            "identifier": "1417952102",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP PROVIDER ID",
            "identifier": "1529877",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DT5115",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Natchitoches Women's Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magnolia House LLC (Magnolia Belle Women's Addiction Wellness)
• Magnolia Meadows Nursing & Rehabilitation Center LLC
• Barbara Jane Mangrum, RN
• Markims Nephrology Network Inc
• Barbara W Marley, APRN BC CS
• Jeremy Martin
• Rolanda Martin
• Shelby Lynne Martin, LPC
• Mary Ingram Long a Professional Medical Corporation (Mary I Long)
• Phyllis Lynnette Mason, M.D.

• Medical Specialty Clinic/Center in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.