Individual provider Active NPI

Mark Martina

  • Audiologist
  • Fort Myers, FL
National Provider Identifier
1003028853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY103 Issued in FL
Practice address
15271 McGregor Blvd Ste 17
Fort Myers, FL 33908-1900
Phone
(239) 433-2060
Fax
(239) 433-0925
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY103 FL Primary

Addresses

Primary practice location

15271 McGregor Blvd Ste 17
Fort Myers, FL 33908-1900

Mailing address

15271 McGregor Blvd Ste 17
Fort Myers, FL 33908-1900
Phone (239) 433-2060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AY103FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Martina Audiology and Hearing Services, LLC Past Accepting new patients

Networks

  • AL HMO D-SNP
  • FL HMO C-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • AL HMO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003028853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15271 MCGREGOR BLVD STE 17",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081900",
            "telephone_number": "239-433-2060",
            "fax_number": "239-433-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15271 MCGREGOR BLVD STE 17",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081900",
            "telephone_number": "239-433-2060",
            "fax_number": "239-433-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINA",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.