Tom Martin MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TOM MARTIN MD SC

Practice address

1050 ML King Dr
Suite 104
Centralia, IL 62801-3060

Phone

(618) 532-6330

Fax

(618) 532-7227

NPI assigned

Feb 22, 2011

Organization subpart

No

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

Authorized official

Name

Tom D Martin, M.D.

Title

MD Internist

Phone

(618) 532-6330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1073810354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ML KING DR",
            "address_2": "SUITE 104",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013060",
            "telephone_number": "618-532-6330",
            "fax_number": "618-532-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ML KING DR",
            "address_2": "SUITE 104",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013060",
            "telephone_number": "618-532-6330",
            "fax_number": "618-532-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM MARTIN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD INTERNIST",
        "authorized_official_telephone_number": "618-532-6330",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark W Terry, DC
• Anisha Thole
• Thomas H. Nolen, D.P.M., P.C.
• Sonya Timlick
• Chad Tippit
• Travis Merrell Trone I
• Sara Trotter, MHP
• Lindsey Tucker, PHARMD
• Jana Tull, APN
• University Hematology Oncology Group Inc.

• Internal Medicine Physician in Centralia, IL
• Providers in Centralia, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.