Philip Eugene Martin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0421167 Issued in KS

Practice address

6815 Hilltop Rd
Ste 100
Shawnee, KS 66226

Phone

(913) 632-9600

Fax

(913) 632-9695

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1245308329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 HILLTOP RD STE 100",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662263551",
            "telephone_number": "913-632-9600",
            "fax_number": "913-632-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 HILLTOP RD",
            "address_2": "STE 100",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "66226",
            "telephone_number": "913-632-9600",
            "fax_number": "913-632-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "PHILIP",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "0421167",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0421167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100135700B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Addicyn Martin
• Alan Jeffrey Martin, D.D.S.
• Annika Martin
• Cathy Martin
• Jeffrey Alan Martin, DDS
• Philip Harry Martin, D.D.S.
• Steven Kaye Martin, D.D.S.
• Tristin Martin
• Christopher Frank Martinez, M.A., BCBA, LBA
• Isabel Martinez

• Internal Medicine Physician in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Internal Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.