Individual provider Active NPI

Marya Jancinta Porter, M.D.

  • Obstetrics & Gynecology Physician
  • Hammond, LA
National Provider Identifier
1700988508
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
14501R Issued in LA
Practice address
15813 Paul Vega MD Dr Ste 200
Hammond, LA 70403-1431
Phone
(985) 230-7650
Fax
(985) 230-7655
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 14501R LA Primary

Addresses

Primary practice location

15813 Paul Vega MD Dr Ste 200
Hammond, LA 70403-1431

Mailing address

PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-7650

Other identifiers 1

IdentifierTypeStateIssuer
1123668MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/ North Oaks Physician Group, LLC

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
I20040318000894 LA Practitioner - Obstetrics/Gynecology 9638069008 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15813 Paul Vega MD Dr
Suite 200
Hammond, LA 70403-1431
Phone (985) 230-7650

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Louisiana, LLC Obstetrics & Gynecology CurrentSince Jul 15, 2020 Accepting new patients
Baton Rouge General Medical Center CurrentSince Dec 19, 2023 Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince Feb 13, 2023 Accepting new patients
Baton Rouge General Medical Center CurrentSince Dec 19, 2023 Accepting new patients
North Oaks Physician Group, LLC CurrentSince Aug 11, 2012 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Feb 13, 2023 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince Feb 1, 2024 Accepting new patients
Baton Rouge General Medical Center Current Accepting new patients
North Oaks Medical Center, LLC CurrentSince Dec 14, 2022 Accepting new patients
James C. Bellina, MD & Susan R. Hemelt, MD Apmc Obstetrics & Gynecology Past Accepting new patients
Metairie Physician Services Inc. Obstetrics & Gynecology Past Accepting new patients
Total Health Care for Women Past Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients
Pendleton Methodist Hospital, L.L.C. Past Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

15813 Paul Vega Md Dr
Ste 400
Hammond, LA 70403
Phone (985) 230-1835

15770 Paul Vega Md Dr
Ste 100
Hammond, LA 70403
Phone (985) 230-3937

15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

1902 S Morrison Blvd
Hammond, LA 70403
Phone (985) 230-5800

15813 Paul Vega Md Dr
Hammond, LA 70403

17199 Spring Ranch Rd
Ste 210G
Livingston, LA 70754
Phone (225) 686-4960

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4200 Houma Blvd
Fl 4
Metairie, LA 70006
Phone (504) 503-4900

4228 Houma Blvd
Ste 410
Metairie, LA 70006
Phone (504) 454-0606

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1700988508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2668",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042668",
            "telephone_number": "985-230-7650",
            "fax_number": "985-230-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 PAUL VEGA MD DR STE 200",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031431",
            "telephone_number": "985-230-7650",
            "fax_number": "985-230-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MARYA",
        "middle_name": "JANCINTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "14501R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1123668",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/",
            "affiliation": "Y",
            "affiliationName": "North Oaks Physician Group, LLC",
            "address_1": "15813 Paul Vega Md Dr Ste 200",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704031431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.