Thomas Patrick Martin, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

M-7514 Issued in ID

Practice address

1221 W Ironwood Dr Ste 102
Coeur D Alene, ID 83814-1402

Phone

(208) 773-7731

Fax

(208) 773-7721

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Providence Health & Services - Washington

  • Community Based Hospice Care Agency
  • Spokane Valley, WA
  • NPI 1588374276

  W-2 Managing Employee

  CMS ownership

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.

• Providence Health & Services - Washington

  • Home Health Agency
  • Spokane Valley, WA
  • NPI 1215189808
  NPD
• Providence Health & Services - Washington

  • Community Based Hospice Care Agency
  • Spokane Valley, WA
  • NPI 1588374276

  Hospice and Palliative Medicine

  NPD
• North Idaho Day Surgery LLC

  • Multi-Specialty Clinic/Center
  • Coeur D Alene, ID
  • NPI 1932023983
  NPD (past)
• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1023128493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W IRONWOOD DR STE 102",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141402",
            "telephone_number": "208-773-7731",
            "fax_number": "208-773-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W IRONWOOD DR STE 102",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141402",
            "telephone_number": "208-773-7731",
            "fax_number": "208-773-7721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Dalton Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838158600",
            "country_code": "US",
            "telephone_number": "208-209-2060",
            "fax_number": "208-209-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "THOMAS",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-7514",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "ID",
            "license": "M-7514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill E Marshall, DIETITIAN
• Marston T Westbrook , DDS, LLC
• Beth Ann Martin, MD
• Joy A Martin
• Lindsay Martin
• Mark Christopher Martindale, PA-C
• Albert Jose Martinez, MD
• Bonnie Sunshine Martinez, MFTRI
• Nuria M Martinez, CRNA
• Sara Joelle Martinez

• Hospice and Palliative Medicine (Family Medicine) Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.