Richard Allan Martin, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

R8494 Issued in MO

Practice address

150 South Mount Auburn Road
Suite 420
Cape Girardeau, MO 63703

Phone

(573) 335-4448

Fax

(573) 335-4466

NPI assigned

Sep 7, 2005

Last updated

Apr 5, 2010By 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 3

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.

• Audiology Associates of Missouri LLC

  • Audiologist
  • Cape Girardeau, MO
  • NPI 1467704734
  NPD (past)
• Semo Otolaryngology Head & Neck Surgery Inc

  • Otolaryngology Physician
  • Cape Girardeau, MO
  • NPI 1720095466
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1225022106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SOUTH MOUNT AUBURN ROAD",
            "address_2": "SUITE 420",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "573-335-4448",
            "fax_number": "573-335-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SOUTH MOUNT AUBURN ROAD",
            "address_2": "SUITE 420",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "573-335-4448",
            "fax_number": "573-335-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RICHARD",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "R8494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200764918",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "211029",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "27666",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas W Marsh, M.D.
• Martin Ear Nose & Throat Clinic
• Amanda Dee Martin, ATC, LAT
• Ann Catherine Martin, DDS
• Johna Martin, RBT
• Alicia Arnzen Martinec, LPC
• Evan Mason
• Sierra Masters, FNP
• Halle Matecki
• Brian T Matysik, HIS

• Otolaryngology Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.