Provider Demographics
NPI:1407042856
Name:MARTIN J. NAUGHTON, M.D. LTD
Entity Type:Organization
Organization Name:MARTIN J. NAUGHTON, M.D. LTD
Other - Org Name:RENO GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:NAUGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-324-4477
Mailing Address - Street 1:3645 WARREN WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5241
Mailing Address - Country:US
Mailing Address - Phone:775-825-3838
Mailing Address - Fax:775-825-3890
Practice Address - Street 1:3645 WARREN WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5241
Practice Address - Country:US
Practice Address - Phone:775-825-3838
Practice Address - Fax:775-825-3890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV4265207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002016982Medicaid
NVV35165Medicare PIN
NVV101207Medicare PIN