Eric Martin, MD P.C

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD18457 Issued in OR

Legal business name

ERIC MARTIN, MD P.C

Practice address

2900 Doctors Park Dr
Suite 100
Medford, OR 97504-8198

Phone

(541) 772-6600

Fax

(541) 779-1266

NPI assigned

May 8, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Eric Martin, M.D.

Title

Owner

Phone

(541) 772-6600

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1275767055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DOCTORS PARK DR",
            "address_2": "SUITE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048198",
            "telephone_number": "541-772-6600",
            "fax_number": "541-779-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DOCTORS PARK DR",
            "address_2": "SUITE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048198",
            "telephone_number": "541-772-6600",
            "fax_number": "541-779-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC MARTIN, MD P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-772-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "MD18457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056619",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "001930001",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Eplett, DENTURIST
• Joshua Edward Eplett, LICENCED DENTURIST
• Teresa Eplett, C.D.
• Melanie Brinn Epperson
• Equitable Social Solutions, LLC
• Bronwen Kaye Erickson, FNP-C
• Jessica Ruth Erickson
• Gretchen Leanne Ericson, LPC
• Erin K Steen PHD LLC
• Liesel Ernst

• Clinic/Center in Medford, OR
• Providers in Medford, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.