Charles Franklin Martin I, MD, FACEP

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

036087693 Issued in IL

Practice address

9501 W 144TH PL
Suite 304
Orland Park, IL 60462-2561

Phone

(708) 873-3450

Fax

(708) 873-2791

NPI assigned

Mar 24, 2006

Last updated

Jul 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmartinmd154787@carlehiedirect.net

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.

• Hoopeston Community Memorial Hospital

  dba Hoopeston Physician Group

  • Internal Medicine Physician
  • Hoopeston, IL
  • NPI 1043683014
  Medicare reassignment NPD
• Hoopeston Emergency Medicine Specialists, LTD.

  • Emergency Medicine Physician
  • Hoopeston, IL
  • NPI 1316965197
  Medicare reassignment NPD
• Hoopeston Community Memorial Hospital

  • Critical Access Hospital
  • Hoopeston, IL
  • NPI 1366480873
  NPD
• Hoopeston Community Memorial Hospital

  dba Charlotte Ann Russell Medical Center

  • Rural Health Clinic/Center
  • Hoopeston, IL
  • NPI 1578504544
  NPD
• Illinois Phlebology Associates SC

  • Surgery Physician
  • Orland Park, IL
  • NPI 1154378040

  Phlebology

  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1083674170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 BUTTERFIELD RD",
            "address_2": "SUITE 220",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605157915",
            "telephone_number": "630-725-2700",
            "fax_number": "847-407-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 W 144TH PL",
            "address_2": "SUITE 304",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622561",
            "telephone_number": "708-873-3450",
            "fax_number": "708-873-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHARLES",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "MD, FACEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036087693",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036087693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert K Marshall, PH.D.
• Robert Q Marshall, DDS
• Roseann Martarano, LCSW
• Martie Ryan Lukanich Psy D PC
• Amanda Martin, OTR/L
• Helen Gartner Martin, M.M.
• Jasmine Martin
• Nya Martin, LCSW
• Guillermo Martinez
• Michael Martinez, PTA

• Vascular Surgery Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Vascular Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.