NPIMap

Organization Active NPI

Martin Memorial Medical Center Inc

  • General Practice Physician
  • Port St Lucie, FL
National Provider Identifier
1235068644
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MARTIN MEMORIAL MEDICAL CENTER INC
Doing business as
Cleveland Clinic Martin North, South, Tradition Hospitals
Practice address
1095 NW Saint Lucie West Blvd Ste 200
Port St Lucie, FL 34986-1719
Phone
(772) 785-5588
NPI assigned
May 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1095 NW Saint Lucie West Blvd Ste 200
Port St Lucie, FL 34986-1719

Mailing address

6801 Brecksville Rd
Ste 20, Attn: DPC RK2-7
Independence, OH 44131-5062

Other names 1

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

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
10D2316147Martin Memorial Medical Center Inc1095 NW Saint Lucie West Blvd Suite 200, Port Saint Lucie, FL 34986Certificate of waiverDec 29, 2026

National Provider Directory

National Provider Directory
Tax ID family
Martin Memorial Medical Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1235068644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "STE 20, ATTN: DPC RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 NW SAINT LUCIE WEST BLVD STE 200",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861719",
            "telephone_number": "772-785-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN MEMORIAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "216-445-1343"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Clinic Martin North, South, Tradition Hospitals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.