Active NPI
Paul Martin, DO
- Family Medicine Physician
- Broadview Heights, OH
National Provider Identifier
1043273303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34002480
- Practice address
- 2001 E Royalton Rd
Broadview Heights, OH 44147-2811 - Phone
- (440) 717-5800
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 34002480 | OH | |
| Family Medicine Physician | 207Q00000X | 34002480 | OH | Primary |
Addresses
Primary practice location
2001 E Royalton Rd
Broadview Heights, OH 44147-2811
Mailing address
7585 Hunters Hollow TRL
Novelty, OH 44072-9541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002480 | OH | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MMS Emergency Physicians Inc | Emergency Medical Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Broadview Heights, OH
- NPI 1982643755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043273303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7585 HUNTERS HOLLOW TRL",
"city": "NOVELTY",
"state": "OH",
"postal_code": "440729541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 E ROYALTON RD",
"city": "BROADVIEW HEIGHTS",
"state": "OH",
"postal_code": "441472811",
"telephone_number": "440-717-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "PAUL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "OH",
"license": "34002480",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34002480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broadview Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.