SCOT A MARTIN (NPI# 1013029776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013029776 |
| Entity Type | Individual |
| Full Name | SCOT A MARTIN |
| Credential | MD |
| Practice Address |
141 S Roadrunner Pkwy Suite 129 Las Cruces NM 88011-2006 |
| Practice Telephone | 5055217111 |
| Practice Fax Number | 5055210563 |
| Mailing Telephone | 5055217111 |
| Mailing Fax Number | 5055210563 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 20020069 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PRESBYTERIAN | 772805 | 01 |
| NM | BCBS NM | 00NM019760 | 01 |
| NM | MOLINA CIMARRON | 753046022001 | 01 |
| NM | 57836370 | 05 |
| Street Address |
141 S ROADRUNNER PKWY SUITE 129 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275722589 | Scot A. Martin, M.d. LLC | Specialist | 141 S Roadrunner Pkwy, Suite 129, Las Cruces, NM 88011-2006 | 2007-10-23 |
| 1124233713 | Ventana Therapy Center Limited Partnership | Durable Medical Equipment & Medical Supplies | 141 S Roadrunner Pkwy, Suite 111, Las Cruces, NM 88011-2006 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881780955 | Daniel Allan | Plastic Surgery | 4351 E Lohman Ave Ste 208, Las Cruces, NM 88011-8260 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285964445 | Morton H Goldstein | Plastic Surgery | 23 Calimo Cir, Santa Fe, NM 87505-8917 | 2010-01-10 |
| 1255536686 | Jason Phillip Adams | Plastic Surgery | 2300 E. 30th Bldg. B # 103, Farmington, NM 87401 | 2007-06-16 |
| 1184763195 | Jennifer Chan | Plastic Surgery | Sandia Plastic Surgery, 1020 Tijeras Ave. Ne, Albuquerque, NM 87106-4749 | 2007-02-06 |
| 1518045657 | New Mexico Plastic | Plastic Surgery | 1020 Tijeras Ave Ne Ste 16, Albuquerque, NM 87106-4749 | 2006-11-02 |
| 1336226075 | Miguel Lorenzo Gallegos | Plastic Surgery | 8004 Constitution Pl Ne, Albuquerque, NM 87110-7628 | 2006-11-01 |
| 1497842512 | William Dougherty | Plastic Surgery | 1631 Hospital Drive, Suite 240, Santa Fe, NM 87505-7601 | 2006-10-09 |
| 1376650002 | James Green | Plastic Surgery | 1631 Hospital Dr # 150, Santa Fe, NM 87505 | 2006-08-25 |
| 1124033600 | Cesar Luis Cuadros | Plastic Surgery | 8232 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-2429 | 2006-07-30 |
| 1720011315 | Aaron J Mayberry | Plastic Surgery | 7115 Prospect Pl Ne, Albuquerque, NM 87110-4313 | 2006-07-08 |
| 1871931386 | Garrett Daniel Wegerif | Plastic Surgery | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2013-06-06 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.