Individual provider Active NPI

Adriane Martin, D.O.

  • Surgery Physician
  • Hot Springs, AR
National Provider Identifier
1932179991
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E5726 Issued in AR
Practice address
1900 Malvern Ave
Suite 302
Hot Springs, AR 71901-7759
Phone
(501) 623-9300
Fax
(501) 623-9305
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L1380 TX
Surgery Physician 208600000X E5726 AR Primary

Addresses

Primary practice location

1900 Malvern Ave
Suite 302
Hot Springs, AR 71901-7759

Mailing address

1900 Malvern Ave
Suite 302
Hot Springs, AR 71901-7759
Phone (501) 623-9300

Other identifiers 2

IdentifierTypeStateIssuer
166235502MedicaidTX
178197003MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E5726ARMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs National Park Hospital Holdings 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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1932179991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MALVERN AVE",
            "address_2": "SUITE 302",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017759",
            "telephone_number": "501-623-9300",
            "fax_number": "501-623-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MALVERN AVE",
            "address_2": "SUITE 302",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017759",
            "telephone_number": "501-623-9300",
            "fax_number": "501-623-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ADRIANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L1380",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E5726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166235502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178197003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.