Organization Active NPI

J.C. Martin, M.D., Inc.

  • Multi-Specialty Clinic/Center
  • Tulsa, OK
National Provider Identifier
1093847758
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
10534 Issued in OK
Legal business name
J.C. MARTIN, M.D., INC.
Doing business as
MARTIN MEDICAL CLINIC
Practice address
4100 E 51St St
Suite 110
Tulsa, OK 74135-3628
Phone
(918) 742-6700
Fax
(918) 742-6878
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jimmy Charles Martin, M.D.
Title
President
Phone
(918) 742-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 10534 OK Primary

Addresses

Primary practice location

4100 E 51St St
Suite 110
Tulsa, OK 74135-3628

Mailing address

4100 E 51St St
Suite 110
Tulsa, OK 74135-3628
Phone (918) 742-6700

Other names 1

  • MARTIN MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

4100 E 51st St
Ste 110
Tulsa, OK 74135
Phone (918) 744-0705

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093847758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E 51ST ST",
            "address_2": "SUITE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353628",
            "telephone_number": "918-742-6700",
            "fax_number": "918-742-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E 51ST ST",
            "address_2": "SUITE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353628",
            "telephone_number": "918-742-6700",
            "fax_number": "918-742-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.C. MARTIN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-742-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OK",
            "license": "10534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARTIN MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.