Matthew Scott Martin, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

03558 Issued in KY

Practice address

125 Kingswood Dr
Campbellsville, KY 42718

Phone

(270) 789-1112

Fax

(270) 789-6175

NPI assigned

May 11, 2010

Last updated

Jun 28, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Arh Tug Valley Health Services, Inc.

  dba ARH Primary Care Paintsville

  • Multi-Specialty Clinic/Center
  • Paintsville, KY
  • NPI 1588328967
  Medicare reassignment NPD
• Taylor Regional Medical Group,LLC

  dba Taylor Regional Women for Women

  • Obstetrics & Gynecology Physician
  • Campbellsville, KY
  • NPI 1174697601
  Medicare reassignment NPD
• Arh Tug Valley Health Services, Inc.

  dba Paintsville ARH Hospital

  • Diagnostic Radiology Physician
  • Paintsville, KY
  • NPI 1811639297
  NPD
• Arh Tug Valley Health Services, Inc.

  dba ARH Surgical Associates - Paintsville

  • Multi-Specialty Clinic/Center
  • Paintsville, KY
  • NPI 1932863388
  NPD
• Taylor Regional Medical Group

  dba Taylor Regional Hospitalist

  • Hospitalist Physician
  • Campbellsville, KY
  • NPI 1649422759
  NPD
• Taylor Regional Medical Group LLC

  dba Taylor Regional Hospital Health Clinic

  • Rural Health Clinic/Center
  • Campbellsville, KY
  • NPI 1073370185
  NPD
• Taylor County Hospital District Health Facilities Corporation

  • General Acute Care Hospital
  • Campbellsville, KY
  • NPI 1689761942
  NPD (past)
• Taylor Regional Medical Group

  dba Taylor Regional Teleradiography Group

  • Diagnostic Radiology Physician
  • Campbellsville, KY
  • NPI 1306850052
  NPD (past)

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1134447410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 OLD LEBANON RD",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189662",
            "telephone_number": "270-789-6087",
            "fax_number": "270-789-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KINGSWOOD DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "42718",
            "telephone_number": "270-789-1112",
            "fax_number": "270-789-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "03558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgona Danielle Manning
• Kara L Marcum, MS, OTR/L
• Laura R Marcum, LPN
• Mark a Risen, DPM, (Central Ky Foot Specialists)
• Marlene K. Richardson, D.M.D, PSC
• Monte Edward Martin, M.D.
• Tiffany Mascoe, LPCA
• Brianna Mason
• Lila Lee Masterson, ST
• John Harold Matthews, O.D.

• Pediatrics Physician in Campbellsville, KY
• Providers in Campbellsville, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.