Individual provider Active NPI

Ronald F Martin, MD

  • Surgery Physician
  • Pullman, WA
National Provider Identifier
1194826925
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD61187283 Issued in WA
Practice address
825 SE Bishop Blvd Ste 130
Pullman, WA 99163-5517
Phone
(509) 338-0632
NPI assigned
Sep 26, 2006
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD61187283 WA Primary
Surgery Physician 208600000X MD13072 ME
Surgery Physician 208600000X 47612 WI

Addresses

Primary practice location

825 SE Bishop Blvd Ste 130
Pullman, WA 99163-5517

Mailing address

15 Hospital Dr
York, ME 03909-1011
Phone (207) 361-3633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050720000860 ME Practitioner - General Surgery 5890732531 Reassigns benefits to 1 organization
I20210825001827 WA Practitioner - General Surgery 5890732531 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13072MEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Pathology Inc Current Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Aug 9, 2023 Accepting new patients
York Hospital Surgery CurrentSince Nov 2, 2015 Accepting new patients
Public Hospital District #1-a of Whitman County Surgery CurrentSince Aug 9, 2023 Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

16 Hospital Dr
Ste A
York, ME 03909
Phone (207) 363-3700

825 SE Bishop Blvd
Ste 130
Pullman, WA 99163
Phone (509) 338-0632

825 SE Bishop Blvd
Ste 140
Pullman, WA 99163
Phone (509) 334-4498

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1194826925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-361-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 130",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-338-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RONALD",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61187283",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD13072",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "47612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.