Active NPI
Robert W Martin, MD
- Internal Medicine Physician
- Lancaster, PA
National Provider Identifier
1114921186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 008117E
- Practice address
- 2301 Columbia Ave
Lancaster, PA 17603-4154 - Phone
- (717) 397-2738
- Fax
- (717) 397-7634
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 008117E | PA | Primary |
Addresses
Primary practice location
2301 Columbia Ave
Lancaster, PA 17603-4154
Mailing address
2301 Columbia Ave
Lancaster, PA 17603-4154
Phone (717) 397-2738
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0527871001 | Other | PA | CIGNA PROVIDER NUMBER |
| 859628 | Other | PA | BLUE SHIELD PROVIDER # |
| 30813 | Other | PA | GEISINGER HEALTHPLAN PROV |
| 01031901 | Other | PA | CAPITAL BLUE CROSS PROV# |
| 695233 | Other | PA | AETNA US HEALTHCARE PROVI |
| 0007399160001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008117E | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1114921186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 COLUMBIA AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176034154",
"telephone_number": "717-397-2738",
"fax_number": "717-397-7634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 COLUMBIA AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176034154",
"telephone_number": "717-397-2738",
"fax_number": "717-397-7634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "008117E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "0527871001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROVIDER #",
"identifier": "859628",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTHPLAN PROV",
"identifier": "30813",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS PROV#",
"identifier": "01031901",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE PROVI",
"identifier": "695233",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007399160001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.