Organization Active NPI

James H Martin Jr MD PSC

  • Surgery Physician
  • Ashland, KY
National Provider Identifier
1265688972
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JAMES H MARTIN JR MD PSC
Practice address
900 Saint Christopher Dr
Suite 202
Ashland, KY 41101-7090
Phone
(606) 836-3770
Fax
(866) 838-3770
NPI assigned
Aug 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Brenda R Martin
Title
Business Consultant
Phone
(606) 836-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

900 Saint Christopher Dr
Suite 202
Ashland, KY 41101-7090

Mailing address

900 Saint Christopher Dr
Suite 202
Ashland, KY 41101-7090
Phone (606) 836-3770

Other identifiers 3

IdentifierTypeStateIssuer
000000042823OtherKYBLUE CROSS
0866068MedicaidOH
DT5414OtherKYMEDICARE RR

National Provider Directory

National Provider Directory

Locations

900 Saint Christopher Dr
Ste 202
Ashland, KY 41101
Phone (606) 836-3770

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1265688972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 202",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017090",
            "telephone_number": "606-836-3770",
            "fax_number": "866-838-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SAINT CHRISTOPHER DR",
            "address_2": "SUITE 202",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017090",
            "telephone_number": "606-836-3770",
            "fax_number": "866-838-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H MARTIN JR MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS CONSULTANT",
        "authorized_official_telephone_number": "606-836-3770"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000042823",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0866068",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DT5414",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.