C. Kirk Demartino M.D. PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME85819 Issued in FL

Legal business name

C. KIRK DEMARTINO M.D. PA

Doing business as

Island Doctor

Practice address

950 N Collier Blvd
Suite 308
Marco Island, FL 34145-2725

Phone

(239) 642-5552

Fax

(239) 642-5565

NPI assigned

Dec 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ciro Kirk Demartino, M.D.NPI 1780687467

Title

Owner

Phone

(239) 642-5552

Specialties & licenses 1

Addresses

Other names 1

• Island Doctor Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ciro Kirk Demartino, M.D.

  • Family Medicine Physician
  • Marco Island, FL
  • NPI 1780687467
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1033455910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N COLLIER BLVD",
            "address_2": "SUITE 308",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452725",
            "telephone_number": "239-642-5552",
            "fax_number": "239-642-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N COLLIER BLVD",
            "address_2": "SUITE 308",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452725",
            "telephone_number": "239-642-5552",
            "fax_number": "239-642-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. KIRK DEMARTINO M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "DEMARTINO",
        "authorized_official_first_name": "CIRO",
        "authorized_official_middle_name": "KIRK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-642-5552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME85819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Doctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Brown
• Theresa Brown, LCSW
• Kimari Lanae Buford
• Marlia Burke, RPH
• Sadiya Elizabeth Burnett
• Cesar James Cabrera
• Sharon Cali
• John Daniel Campbell, MPT
• Jazlyn Canedos
• Diego A Cardona

• Family Medicine Physician in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.