Individual provider Active NPI

Thomas Wesley Martin, M.D.

  • Obstetrics & Gynecology Physician
  • Damascus, MD
National Provider Identifier
1316920689
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0055039 Issued in MD
Practice address
26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892
Phone
(301) 414-2300
Fax
(301) 414-2306
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0055039 MD Primary

Addresses

Primary practice location

26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892

Mailing address

26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892
Phone (301) 414-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050106000295 DC Practitioner - Obstetrics/Gynecology 4486602463 Reassigns benefits to 2 organizations
I20121212000130 MD Practitioner - Obstetrics/Gynecology 4486602463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Virginia Commonwealth University, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Maryland PCGroup PAC ID 3577728211, 18 clinicians

Practice addresses (Care Compare)

200 Memorial Ave
Westminster, MD 21157-5726
Phone (864) 908-3530

Hospital & facility affiliations

  • Carroll Hospital Center Hospital, Westminster, MD, CCN 210033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross CurrentSince Feb 19, 2024 Accepting new patients
Gennao LLC Current Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince Nov 1, 2024 Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince Nov 1, 2024 Accepting new patients
Simmonds, Martin & Helmbrecht, LLC Obstetrics & Gynecology CurrentSince Aug 1, 1999 Accepting new patients
Professional Services of Holy Cross CurrentSince Feb 19, 2024 Accepting new patients
Holy Cross Health, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

26005 Ridge Rd
Ste 200
Damascus, MD 20872
Phone (301) 414-0120

219 S Washington St
Easton, MD 21601

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

77 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 620-7144

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

19735 Germantown Rd
Ste 270
Germantown, MD 20874
Phone (301) 444-8350

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

Interoperability endpoints

  • Direct secure messaging: thomas.martin.1@17360.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1316920689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26005 RIDGE RD",
            "address_2": "SUITE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721892",
            "telephone_number": "301-414-2300",
            "fax_number": "301-414-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26005 RIDGE RD",
            "address_2": "SUITE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721892",
            "telephone_number": "301-414-2300",
            "fax_number": "301-414-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "THOMAS",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0055039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damascus, MD

Sources for this page

Verify at the official NPI Registry.