Active NPI
James D. Martin, M.D.
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Anacortes, WA
National Provider Identifier
1144260787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- 00039308
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8272528 | Medicaid | WA | |
| 041428015 | Other | OR | BSOR |
| 8472029 | Medicaid | WA | |
| 1210MA | Other | WA | BSWA |
| 278667 | Medicaid | OR | |
| 000010150615 | Other | ID | BSID |
| 3079MA | Other | WA | BSWA |
| 807175600 | Medicaid | ID | |
| 4434MA | Other | WA | BSWA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00039308 | WA | MD | Emergency Medicine Physician |
| 00039308 | WA | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Emergency Physicians, P.C.. | Emergency Medicine | Current | Accepting new patients |
| Cherokee County Physicians, LLC | Emergency Medicine | Current | 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 | Past | 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
- 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.
-
- Emergency Medicine Physician
- Fairhope, AL
- NPI 1154378271
-
- Emergency Medicine Physician
- Centre, AL
- NPI 1760958680
-
- Emergency Medicine Physician
- Seattle, WA
- NPI 1619909256
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1114937919
-
- Emergency Medicine Physician
- Bellevue, WA
- NPI 1801900501
-
- Emergency Medicine Physician
- Centralia, WA
- NPI 1851679856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.