Active NPI
Anthony Martin MDMS PC
- Internal Medicine Physician
- Southfield, MI
National Provider Identifier
1104849330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301061359
- Legal business name
- ANTHONY MARTIN MDMS PC
- Practice address
- 16001 W 9 Mile Rd
Providence Hospital
Southfield, MI 48075-4818 - Phone
- (313) 971-3698
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Martin, MD
- Title
- Owner/President
- Phone
- (734) 792-0441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301061359 | MI | Primary |
Addresses
Primary practice location
16001 W 9 Mile Rd
Providence Hospital
Southfield, MI 48075-4818
Mailing address
10096 Hart Ave
Huntington Woods, MI 48070-1126
Phone (248) 655-0337
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE6518 | Other | PALMETTO GBA RAILROAD MR | |
| 4616478 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
20202 Farmington Rd
Livonia, MI 48152
Phone (248) 426-0110
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1952345225
-
- Internal Medicine Physician
- Lathrup Village, MI
- NPI 1447514237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456704000000",
"number": "1104849330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10096 HART AVE",
"city": "HUNTINGTON WOODS",
"state": "MI",
"postal_code": "480701126",
"telephone_number": "248-655-0337",
"fax_number": "248-655-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16001 W 9 MILE RD",
"address_2": "PROVIDENCE HOSPITAL",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "313-971-3698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY MARTIN MDMS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2016-02-29",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "734-792-0441",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301061359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RAILROAD MR",
"identifier": "DE6518",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4616478",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.