Active NPI
Keith C. Martin MD PC
- Obstetrics & Gynecology Physician
- Montgomery, AL
National Provider Identifier
1013690601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- KEITH C. MARTIN MD PC
- Practice address
- 7065 Sydney Curv
Montgomery, AL 36117-3509 - Phone
- (334) 647-1007
- Fax
- (334) 647-1117
- NPI assigned
- Aug 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith C Martin, MD
- Title
- Physician Owner
- Phone
- (334) 398-1636
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
7065 Sydney Curv
Montgomery, AL 36117-3509
Mailing address
69 Ava LN
Wetumpka, AL 36093-3457
Phone (334) 647-1007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Montgomery, AL
- NPI 1356358808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691539200000",
"number": "1013690601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 AVA LN",
"city": "WETUMPKA",
"state": "AL",
"postal_code": "360933457",
"telephone_number": "334-647-1007",
"fax_number": "334-647-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7065 SYDNEY CURV",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361173509",
"telephone_number": "334-647-1007",
"fax_number": "334-647-1117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEITH C. MARTIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-09",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "334-398-1636",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.