Active NPI
Martin R. Curlik, M.D.
- Urology Physician
- Mount Vernon, WA
National Provider Identifier
1255376166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD61294285
- Practice address
- 1400 E Kincaid St
Mount Vernon, WA 98274-4127 - Phone
- (360) 814-6565
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MA43259 | NJ | |
| Urology Physician | 208800000X | MD61294285 | WA | Primary |
Addresses
Primary practice location
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Mailing address
50 Union St
Suite 1400
Ellsworth, ME 04605-1534
Phone (207) 664-5455
Other practice location 1
50 Union St
Suite 1400
Ellsworth, ME 04605-1534
Phone (207) 664-5455
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1565030 | Other | NJ | AMERIHEALTH PPO |
| 8219546 | Other | NJ | GHI |
| 0104669000 | Other | NJ | AMERIHEALTH HMO |
| 1121207 | Other | NJ | AETNA HMO |
| 4109260 | Other | NJ | AETNA |
| 061756559 | Other | NJ | BCBS OF NJ |
| P1082680 | Other | NJ | OXFORD |
| 1704605 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA43259 | NJ | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Desert Island Hospital | Past | Accepting new patients | |
| Martin R. Curlik M.D., PA | Past | Accepting new patients | |
| Mount Desert Island Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Organizations & group practices 3
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.
-
- Specialist
- Westfield, NJ
- NPI 1558324103
-
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
-
- Critical Access Hospital
- Bar Harbor, ME
- NPI 1790764512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1255376166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 UNION ST",
"address_2": "SUITE 1400",
"city": "ELLSWORTH",
"state": "ME",
"postal_code": "046051534",
"telephone_number": "207-664-5455",
"fax_number": "207-664-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"telephone_number": "360-814-6565"
}
],
"practiceLocations": [
{
"address_1": "50 Union St",
"address_2": "Suite 1400",
"address_purpose": "LOCATION",
"city": "Ellsworth",
"state": "ME",
"postal_code": "046051534",
"country_code": "US",
"telephone_number": "207-664-5455",
"fax_number": "207-664-5456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CURLIK",
"first_name": "MARTIN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "MA43259",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WA",
"license": "MD61294285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO",
"identifier": "1565030",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "8219546",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "0104669000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1121207",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4109260",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NJ",
"identifier": "061756559",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1082680",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1704605",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.