Organization Active NPI

Bernardo D. Martinez MD Facs Inc

  • Vascular Surgery Physician
  • Toledo, OH
National Provider Identifier
1013398676
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35039917 Issued in OH
Legal business name
BERNARDO D. MARTINEZ MD FACS INC
Practice address
5122 Heatherdowns Blvd
Ste. 105
Toledo, OH 43614-2182
Phone
(567) 868-4056
Fax
(419) 382-9427
NPI assigned
Jun 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Bernardo D Martinez, M.D.
Title
Owner
Phone
(419) 382-9427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 35039917 OH Primary

Addresses

Primary practice location

5122 Heatherdowns Blvd
Ste. 105
Toledo, OH 43614-2182

Mailing address

5122 Heatherdowns Blvd
Toledo, OH 43614-2182
Phone (567) 868-4056

Other identifiers 1

IdentifierTypeStateIssuer
00341OtherOHPARAMOUNT PIN

National Provider Directory

National Provider Directory

Locations

5122 Heatherdowns Blvd
Ste 105
Toledo, OH 43614
Phone (567) 868-4056

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1013398676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 HEATHERDOWNS BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142182",
            "telephone_number": "567-868-4056",
            "fax_number": "419-382-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 HEATHERDOWNS BLVD",
            "address_2": "STE. 105",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142182",
            "telephone_number": "567-868-4056",
            "fax_number": "419-382-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARDO D. MARTINEZ MD FACS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-382-9427",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35039917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT PIN",
            "identifier": "00341",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.