Patricia Martin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00030846 Issued in WA

Practice address

1407 116TH Ave NE
Suite 200
Bellevue, WA 98004-3819

Phone

(425) 454-5046

Fax

(425) 990-5261

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Overlake Internal Medicine Laboratory

  • Clinical Medical Laboratory
  • Bellevue, WA
  • NPI 1558422147
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1013091834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84088",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981248488",
            "telephone_number": "425-454-5281",
            "fax_number": "425-990-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 116TH AVE NE",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043819",
            "telephone_number": "425-454-5046",
            "fax_number": "425-990-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "00030846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00403553",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Edmund Martin, L.D.O.
• Janile Martin
• Julia Martin
• Kaitlyn Christine Martin, BA
• Makenna Martin
• Alicia Martinez
• Elena Maria Martinez, CBT
• James Martinez
• John Martinez, BA, CP
• Maria Belen Martinez, PSY.D.

• Internal Medicine Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.