Steve Martin

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

23D2179512 Issued in MI

Practice address

5575 Conner St Ste a
Detroit, MI 48213-6400

Phone

(888) 688-4311

Fax

(888) 681-4311

NPI assigned

Apr 4, 2020

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585958400000",
    "number": "1033748728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 CONNER ST STE 201",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482136401",
            "telephone_number": "888-688-4311",
            "fax_number": "888-688-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 CONNER ST STE A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482136400",
            "telephone_number": "888-688-4311",
            "fax_number": "888-681-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STEVE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-04",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MI",
            "license": "23D2179512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "23D2179512",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23D2179512",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond C. Martin, MA LMSW
• Sachelle Martin, DO
• Salaya Marlynn Martin
• Silver Melody Martin, DO
• Stephene Martin
• Theadore Alger Martin, CACM,CSOTS
• William Martin, M.D.
• Ysahai Honor-Marie Martin, MA, CCC-SLP
• Rebeca Martinez Archer, M.D.
• Katherine Martinez Carmona, MD

• Clinical Pathology/Laboratory Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Pathology/Laboratory Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2020; 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.