Individual provider Active NPI

James D. Martin, M.D.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Anacortes, WA
National Provider Identifier
1144260787
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
00039308 Issued in WA
Practice address
1015 25TH St
Medical Arts Pavillion
Anacortes, WA 98221-2703
Phone
(360) 899-4600
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD00039308 WA
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X 00039308 WA Primary

Addresses

Primary practice location

1015 25TH St
Medical Arts Pavillion
Anacortes, WA 98221-2703

Mailing address

1415 E. Kincaid Street
Mount Vernon, WA 98274-4126
Phone (360) 424-4111

Other identifiers 9

IdentifierTypeStateIssuer
8272528MedicaidWA
041428015OtherORBSOR
8472029MedicaidWA
1210MAOtherWABSWA
278667MedicaidOR
000010150615OtherIDBSID
3079MAOtherWABSWA
807175600MedicaidID
4434MAOtherWABSWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20180725002279 AL Practitioner - Emergency Medicine 3173414893 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00039308WAMDEmergency Medicine Physician
00039308WAMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Emergency Physicians, P.C.. Emergency Medicine CurrentSince Dec 1, 2018 Accepting new patients
Cherokee County Physicians, LLC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Ballard Emergency Physicians, P.S. Emergency Medicine Past Accepting new patients
Scheuber Road Emergency Physicians Emergency Medicine Past Accepting new patients
Public Hospital Dist No 1 Skagit Emergency Medicine Past Accepting new patients
Puget Sound Physicians PLLC Emergency Medicine Past Accepting new patients
North Sound Emergency Medicine PC Emergency Medicine PastSince Feb 8, 2023 Accepting new patients

Locations

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1144260787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E. KINCAID STREET",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744126",
            "telephone_number": "360-424-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 25TH ST",
            "address_2": "MEDICAL ARTS PAVILLION",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212703",
            "telephone_number": "360-899-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00039308",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "WA",
            "license": "00039308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8272528",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSOR",
            "identifier": "041428015",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8472029",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "1210MA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278667",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSID",
            "identifier": "000010150615",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "3079MA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807175600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "4434MA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.