Enos Daniel Martin, M.D.

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

015988E Issued in PA

Practice address

3940 Locust LN
Harrisburg, PA 17109-4023

Phone

(717) 545-5787

Fax

(717) 545-5491

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225241045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 OLD HERSHEY RD",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229494",
            "telephone_number": "717-367-2628",
            "fax_number": "717-361-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 LOCUST LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094023",
            "telephone_number": "717-545-5787",
            "fax_number": "717-545-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ENOS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "PA",
            "license": "015988E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majorie Theresa Marshalleck, CERTIFIED NURSES AS
• Michelina Marsico-Fellman, MA, ATR-BC, LPC
• Kimberly Sue Marsico, M.S., LPC
• Daniel McInerney Martin, LSW
• Ed Martin
• Jack T. Martin, MD
• Jessamine Martin, PSY.D.
• Jessica Martin, MSW, LSW
• Karen S Martin, RN, CRNI
• Kellie Martin

• Psychosomatic Medicine Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Psychosomatic Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.