NPIMap

Organization Active NPI

Melinda M. Martin, M.D., P.L.L.C.

  • Obstetrics Physician
  • Prescott, AZ
National Provider Identifier
1053525063
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
21893 Issued in AZ
Legal business name
MELINDA M. MARTIN, M.D., P.L.L.C.
Practice address
907 Ainsworth Drive
Prescott, AZ 86305-1607
Phone
(928) 777-0070
Fax
(928) 445-7163
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Ms. Melinda Marie Martin, M.D.
Title
President-Owner of Practice
Phone
(928) 777-0070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X 21893 AZ
Obstetrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VX0000X 21893 AZ Primary

Addresses

Primary practice location

907 Ainsworth Drive
Prescott, AZ 86305-1607

Mailing address

907 Ainsworth Drive
Prescott, AZ 86305-1607
Phone (928) 777-0070

Other identifiers 2

IdentifierTypeStateIssuer
151259MedicaidAZ
151259001MedicaidAZ

Other names 1

  • Melinda M Martin-Guess, M.D. P.L.L.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

907 Ainsworth Dr
Prescott, AZ 86305
Phone (928) 777-0070

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1053525063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 AINSWORTH DRIVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051607",
            "telephone_number": "928-777-0070",
            "fax_number": "928-445-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 AINSWORTH DRIVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051607",
            "telephone_number": "928-777-0070",
            "fax_number": "928-445-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINDA M. MARTIN, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT-OWNER OF PRACTICE",
        "authorized_official_telephone_number": "928-777-0070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AZ",
            "license": "21893",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AZ",
            "license": "21893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151259",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151259001",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melinda M Martin-Guess, M.D. P.L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.