MAXIMINO MARTELL


Address: 80 Gardenia Dr, Covington, LA 70433-9194
Phone: 9858715900

MAXIMINO MARTELL (NPI# 1598049785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598049785
Entity Type Individual
Full Name MAXIMINO MARTELL
Credential APRN, CCNS, RN, MSN
Practice Address 80 Gardenia Dr
Covington
LA 70433-9194
Mailing Address Po Box 54482
New Orleans
LA 70154-4482
Practice Telephone 9858715900
Mailing Telephone 9858715900
Enumeration Date 2011-10-05
Last Update Date 2017-03-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SC0200X Clinical Nurse Specialist
Specialization: Critical Care Medicine
AP07268 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 2330314 05

Office Location

Street Address 80 GARDENIA DR
City COVINGTON
State LA
Zip Code 70433-9194

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609870013 Joseph R. Bobrowski Internal Medicine 80 Gardenia Dr, Suite B, Covington, LA 70433-9168 2005-06-13
1285111583 Francesca R Roy Physician Assistant 80 Gardenia Dr, Covington, LA 70433 2018-07-19
1083793582 St Tammany Parish Hospital Service District No 1 Internal Medicine 80 Gardenia Dr, Suite B, Covington, LA 70433-9168 2006-11-03

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1780153874 Nga Endoscopy Center LLC Clinic/Center 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 2018-11-19
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Taxonomy Information

Taxonomy Code 364SC0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Competitor

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City COVINGTON
Zip Code 70433

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Dataset Information

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.

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