Judson F Martin, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

103080 Issued in MO

Practice address

17050 Baxter Road
Chesterfield Surgery Center, LLC, Suite 110
Chesterfield, MO 63005

Phone

(636) 537-0122

Fax

(636) 537-0480

NPI assigned

Jun 16, 2005

Last updated

Jul 13, 2026By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Robert H and Teresita S Petty

  dba Crossroads Anesthesia

  • Anesthesiology Physician
  • Effingham, IL
  • NPI 1306913868
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184629032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 CONSORT DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114439",
            "telephone_number": "636-386-9224",
            "fax_number": "636-200-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 BAXTER ROAD",
            "address_2": "CHESTERFIELD SURGERY CENTER, LLC, SUITE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63005",
            "telephone_number": "636-537-0122",
            "fax_number": "636-537-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JUDSON",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "103080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206666117",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay P Marshall II, MD
• Loren H Marshall, MD
• Brooke Nicole Marten, RPH, PHARMD
• Courtney Martin, DPT
• Jodi Alise Martin
• Barbara M Martinez, APRN
• Stanley Martka, R.PH.
• Maryland Heights Health Services
• Maryland Medical Group LTD
• Mason Ridge Ambulatory Surgery Center LP (Gateway Endoscopy Center)

• Anesthesiology Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Anesthesiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.