Individual provider Active NPI

David Allen Martin, M.D.

  • Gynecologic Oncology Physician
  • Knoxville, TN
National Provider Identifier
1245225424
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD26883 Issued in TN
Practice address
9711 Sherrill Blvd Ste 200
Knoxville, TN 37932-3330
Phone
(865) 373-5050
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X MD26883 TN Primary

Addresses

Primary practice location

9711 Sherrill Blvd Ste 200
Knoxville, TN 37932-3330

Mailing address

9711 Sherrill Blvd Ste 200
Knoxville, TN 37932-3330
Phone (865) 373-5050

Other practice location 1

10810 Parkside Dr Ste 200
Knoxville, TN 37934-1983
Phone (865) 218-6000

Other identifiers 1

IdentifierTypeStateIssuer
Q020272MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address martin.david@cernerdirect.covenanthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090310000648 TN Practitioner - Gynecological Oncology 7113083635 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD26883TNMDGynecologic Oncology Physician
26883TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Oncology Group CurrentSince Nov 25, 2020 Accepting new patients

Locations

Dept 888078
Knoxville, TN 37995

9711 Sherrill Blvd
Knoxville, TN 37932
Phone (865) 373-5000

9711 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 373-5050

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1245225424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 SHERRILL BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323330",
            "telephone_number": "865-373-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 SHERRILL BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323330",
            "telephone_number": "865-373-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10810 Parkside Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379341983",
            "country_code": "US",
            "telephone_number": "865-218-6000",
            "fax_number": "865-218-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TN",
            "license": "MD26883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020272",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martin.david@cernerdirect.covenanthealth.com",
            "affiliation": "N",
            "address_1": "9711 Sherrill Blvd Ste 200",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379323330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.