NPIMap

Organization Active NPI

Martin Memorial Medical Center Inc

Doing business as Cleveland Clinic Martin North, South, Tradition Hospitals

  • General Acute Care Hospital
  • Stuart, FL
National Provider Identifier
1194790055
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MARTIN MEMORIAL MEDICAL CENTER INC
Doing business as
Cleveland Clinic Martin North, South, Tradition Hospitals
Practice address
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone
(772) 287-5200
NPI assigned
Feb 22, 2006
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Dennis Laraway
Title
Executive VP Chief Finance Officer
Phone
(216) 445-1343

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
General Practice Physician 208D00000X NU
Clinic/Center 261Q00000X NU
Multi-Specialty Clinic/Center 261QM1300X NU
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

200 SE Hospital Ave
Stuart, FL 34994-2346

Mailing address

6801 Brecksville Rd
Ste 20, DPC RK2-7
Independence, OH 44131-5062
Phone (216) 442-5724

Other identifiers 2

IdentifierTypeStateIssuer
010118400MedicaidFL
206OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • CLEVELAND CLINIC MARTIN NORTH, SOUTH, TRADITION HOSPITALS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031222000241 FL Part B Supplier - Clinic/Group Practice 2961300611 Receives reassigned benefits from 644 practitioners
1 other NPI on this enrollment
Practice locations: Stuart, FL; Vero Beach, FL; Wellington, FL; West Palm Beach, FL; Weston, FL; Hobe Sound, FL; Jensen Beach, FL; Palm Beach Gardens, FL…
O20080425000069 FL Part A Provider - Hospital 2961300611 Practice locations: Stuart, FL; West Palm Beach, FL; Port St Lucie, FL; Port Saint Lucie, FL; Palm City, FL; Hobe Sound, FL; Palm Beach Gardens, FL; Jensen Beach, FL
O20230713003930 OH Part B Supplier - Clinic/Group Practice 2961300611 Receives reassigned benefits from 27 practitioners
Practice locations: Avon, OH; Cleveland, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194790055. Details of each certification follow.

Hospital certification: CCN 100044

Legal name
MARTIN MEMORIAL MEDICAL CENTER INC
Doing business as
CLEVELAND CLINIC MARTIN NORTH, SOUTH, TRADITION HOSPITALS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 6, 1994
Beds
521
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 17, 1967 in FL
Enrollment address
200 SE Hospital Ave
Stuart, FL 34994-2346
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Cleveland Clinic Martin North HospitalCCN 100044 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0299704Cleveland Clinic Martin North Hospital200 SE Hospital Avenue, Stuart, FL 34994AccreditationFeb 8, 2027
10D2298682Cleveland Clinic Martin North Hospital200 SE Hospital Ave, Stuart, FL 34994Certificate of waiverFeb 6, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3496 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 223-4916

3496 NW Federal Hwy
Ste D
Jensen Beach, FL 34957
Phone (772) 223-5619

3496 NW Federal Hwy
Ste G
Jensen Beach, FL 34957
Phone (772) 223-5677

3066 SW Martin Downs Blvd
Ste E
Palm City, FL 34990
Phone (772) 781-2735

1095 NW Saint Lucie West Blvd
Ste 104
Port St Lucie, FL 34986
Phone (772) 785-5511

3801 S Kanner Hwy
Fl 2
Stuart, FL 34994
Phone (772) 223-4999

3801 S Kanner Hwy
Ste 200
Stuart, FL 34994
Phone (772) 223-4978

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Ownership & related parties

All disclosed owners & managing parties 30

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cleveland Clinic Florida Regional Health System Nonprofit Corporation Organization, Weston, FL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2019
Patrick T Ryan Individual Corporate DirectorDirector - Board of Directors Sep 13, 2021
Amanda Parina Individual W-2 Managing Employee Sep 1, 2021
Beth Mooney Individual Corporate DirectorDirector - Board of Directors Jan 1, 2019
Sarah a Vogler Individual Corporate DirectorDirector - Board of Directors Aug 1, 2024
The Cleveland Clinic Foundation Organization, Cleveland, OH Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2019 100%
Dennis L Laraway Individual Corporate OfficerCfo, CCF and Treasurer Mar 13, 2023
David Cato Individual Corporate OfficerChief of Operations Feb 28, 2022
William Lichtenberger Individual Corporate DirectorBoard Member Jan 1, 2019
Theora Webb Individual Corporate DirectorBoard Member Jan 1, 2019
Robert Rich Individual Corporate DirectorBoard Member Jan 1, 2019
Tomislav Mihaljevic Individual Corporate DirectorBoard Member Jan 1, 2019
Michael Petras Individual Corporate DirectorDirector - Board of Directors Jan 1, 2019
Conor P Delaney Individual Corporate DirectorDirector - Board of Directors Oct 5, 2020
Chirag Choudhary Individual Corporate OfficerPresident Oct 1, 2025
Robert C. Weber Individual Corporate DirectorDirector - Board of Directors Jan 1, 2019
Sean Lang Individual Corporate DirectorDirector - Board of Directors Sep 13, 2021
Glenn a Zirbser Individual Corporate OfficerChief Financial Officer Jun 1, 2025
Frederic Salerno Individual Corporate DirectorBoard Member Jan 1, 2019
Harold L Scott Individual Corporate DirectorDirector - Board of Directors Jan 1, 2019
Heidi Sathre Individual W-2 Managing EmployeeDepartment Supervisor III Aug 1, 2019
Michael E. Maroone Individual Corporate DirectorDirector - Board of Directors Jan 1, 2019
William E Macdonald Individual Corporate DirectorDirector - Board of Directors Mar 13, 2023
Sharron Foster Individual W-2 Managing EmployeeDepartment Analyst II Aug 1, 2019
William Peacock Individual Corporate DirectorBoard Member Jan 1, 2019
Martin Memorial Health Systems, Inc. Organization, Stuart, FL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2019
Vincent Mattera Individual Corporate DirectorDirector - Board of Directors Feb 7, 2022
Barbara del Castillo Individual Corporate OfficerClo, Secretary Sep 13, 2021
Robert Oblander Individual Corporate OfficerOfficer Jan 1, 2019
Michael Hammes Individual Corporate DirectorDirector - Board of Directors Mar 3, 2022

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners & affiliated clinicians

Practitioners 686

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 686

Affiliated clinicians 1,670

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,670

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1194790055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "STE 20, DPC RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315062",
            "telephone_number": "216-442-5724",
            "fax_number": "216-636-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SE HOSPITAL AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942346",
            "telephone_number": "772-287-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN MEMORIAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "216-445-1343"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010118400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "206",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEVELAND CLINIC MARTIN NORTH, SOUTH, TRADITION HOSPITALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.