Martin Cleary, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

64855-20 Issued in WI

Practice address

731 Clay St
Darlington, WI 53530

Phone

(608) 776-4497

NPI assigned

Feb 14, 2006

Last updated

Nov 16, 2018By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Family Health of Lafayette County

  • Family Medicine Physician
  • Shullsburg, WI
  • NPI 1902982671
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1104890482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 CLAY ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301225",
            "telephone_number": "608-776-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 CLAY ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "53530",
            "telephone_number": "608-776-4497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 Tisdell Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "IL",
            "postal_code": "610879741",
            "country_code": "US",
            "telephone_number": "815-756-2644",
            "fax_number": "815-745-2546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-066997",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "64855-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debasish Bhattacharyya, M.D.
• Kathryn E Bliss, CSW BS
• McKenzie Burkholder, MSW
• Heidi A Byrnes, MA, CAPSW
• Angela Hayun Catalani, M.D.
• Community Health Systems, Inc. (Darlington Area Community Health Center)
• Tara Cook, BS
• Laura Coulthard
• Darlington Community School District
• Davis Bus Lines

• Family Medicine Physician in Darlington, WI
• Providers in Darlington, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.