Jacob Salomon Martinez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301097527 Issued in MI

Practice address

200 E Russell Rd
Suite C
Tecumseh, MI 49286-2072

Phone

(517) 424-3040

Fax

(517) 423-0432

NPI assigned

May 25, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1124311014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE",
            "address_2": "SUITE 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "567-585-1969",
            "fax_number": "419-824-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E RUSSELL RD",
            "address_2": "SUITE C",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862072",
            "telephone_number": "517-424-3040",
            "fax_number": "517-423-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JACOB",
        "middle_name": "SALOMON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301097527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Noelle Lomonaco, D.C.
• David E Lowrance, MS, LLP
• Bradley Marchese, MD
• Devan Robert Marry, DC
• Carol Ann Martinez
• Allyson Jeanette Marvel, AT, ATC
• Clare Masson, O.D
• Masterpeace Center for Counseling & Development
• Masterpeace Center for Counseling & Development
• Dakota Jean Mattson

• All providers in Tecumseh, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.