Mary E Martin Diabetes Center of Excellence, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MARY E MARTIN DIABETES CENTER OF EXCELLENCE, INC

Practice address

101 Town and Country Lane
Suite 105
Hazard, KY 41701-9524

Phone

(606) 435-7681

Fax

(606) 435-7524

NPI assigned

Jan 22, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Barry K. Martin

Title

Ceo

Phone

(606) 435-7658

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1245794403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1528",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417021528",
            "telephone_number": "606-435-7519",
            "fax_number": "606-435-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWN AND COUNTRY LANE",
            "address_2": "SUITE 105",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019524",
            "telephone_number": "606-435-7681",
            "fax_number": "606-435-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY E MARTIN DIABETES CENTER OF EXCELLENCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-435-7658",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Martin
• Christina Ruth Martin, APRN
• Faith Martin
• Judy Martin
• Crystal Martinez
• Amanda Mason
• Bonnie Mathews
• Cathy L Mayes
• Carlie Maynard
• Brandi Michelle McCoy, MSN, APRN, FNP-C

• Clinic/Center in Hazard, KY
• Providers in Hazard, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.