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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | MD.024319 | LA | Yes |
Practice location
8415 Goodwood BlvdSuite 104
Baton Rouge, LA 70806-7851
Phone 225-925-9797 · Fax 225-925-9787
Mailing address
8415 Goodwood BlvdSuite 104
Baton Rouge, LA 70806-7851
Phone 225-925-9797 · Fax 225-925-9787
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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