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Dr. Jamel Alphonso Martin, M.D.

Pediatrics in Baton Rouge, LA. Individual provider (NPI-1).

NPI number1700869740
StatusActive
Last updated in NPPESOct 22, 2013

Details

NPI
1700869740
Entity type
Individual (NPI-1)
Name
Dr. Jamel Alphonso Martin
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 23, 2005
Last updated
Oct 22, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PEDIATRIC MEDICINE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsMD.024319LAYes

Practice location

8415 Goodwood Blvd
Suite 104
Baton Rouge, LA 70806-7851

Phone 225-925-9797 · Fax 225-925-9787

Mailing address

8415 Goodwood Blvd
Suite 104
Baton Rouge, LA 70806-7851

Phone 225-925-9797 · Fax 225-925-9787

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